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Reimbursement index by state: orthopedic surgery

Metric: index_vs_national (100 = specialty national median).

Snapshot Aug 2026

What the data shows

Metric: index_vs_national (100 = specialty national median) · 51 items

1

Alaska ranks first at 276.60; Texas ranks last of 51 at 74.60.

2

The spread between first and last is 3.71× (202.00 points on this metric).

3

The median value across the 51 items is 99.30.

4

25 of 51 items sit above 100 (the reference median) and 26 sit below it.

How to read this ranking

An index of 100 means rates equal the national median for the same procedures. Above 100 means commercial rates in that market are higher than the national median; below 100 means lower. States are compared on the same set of procedure codes, so differences reflect price, not procedure mix.

Reimbursement index by state: orthopedic surgery

51 items ranked

Rank	Item	Value	Level
1	Alaska	276.60
2	Wisconsin	149.60
3	Wyoming	143.60
4	South Dakota	137.50
5	Nebraska	134.70
6	Washington	133.20
7	District of Columbia	130.10
8	Iowa	129.30
9	North Dakota	127.40
10	Connecticut	125.80
11	Oregon	123.20
12	Massachusetts	119.80
13	Minnesota	119.50
14	New Jersey	114.30
15	Georgia	113.00
16	Mississippi	111.30
17	North Carolina	110.50
18	New Hampshire	109.50
19	Tennessee	108.60
20	Colorado	106.80
21	Idaho	105.70
22	Vermont	105.50
23	Illinois	101.50
24	Hawaii	100.90
25	Rhode Island	100.20
26	Maryland	99.30
27	Pennsylvania	96.70
28	Montana	96.60
29	New York	95.80
30	South Carolina	95.40
31	Maine	95.00
32	Alabama	94.10
33	Virginia	93.50
34	Delaware	93.10
35	Kansas	92.90
36	New Mexico	92.10
37	West Virginia	91.60
38	Utah	91.40
39	Arkansas	91.40
40	Ohio	88.90
41	California	88.30
42	Arizona	86.80
43	Michigan	86.70
44	Nevada	86.40
45	Missouri	85.70
46	Kentucky	85.60
47	Indiana	83.80
48	Louisiana	83.30
49	Florida	77.60
50	Oklahoma	75.20
51	Texas	74.60

Frequently asked questions

What does this ranking measure?

index_vs_national (100 = specialty national median). An index of 100 means rates equal the national median for the same procedures. Above 100 means commercial rates in that market are higher than the national median; below 100 means lower. States are compared on the same set of procedure codes, so differences reflect price, not procedure mix.

Who ranks first?

Alaska, at 276.60.

How often is this updated?

It is rebuilt from each monthly snapshot of the payers' published files; this page uses August 2026.

Methodology

How these numbers are calculated

Source: in-network negotiated-rate files published under the federal Transparency in Coverage rule, August 2026 snapshot: UnitedHealthcare Choice plans (74 files); Aetna commercial plans (70 files); Cigna national PPO (1 files); BCBS licensees' own-network files (5,387 files). Payer comparisons describe these files, not each payer's entire book of business.
Sample: rates come from a random sample of up to 150 providers per state and specialty. Counts on this page are sampled providers and TINs, not totals.
Which providers count: only providers in a specialty relevant to the code, because a rate in a payer file attaches to a provider group and is listed under every provider in that group.
Filters: fee-for-service, professional billing class, no modifier, negotiated or fee-schedule dollar rates. Rates outside 1% to 1,000% of the Medicare rate are excluded.
Statistic: one median rate per provider, then percentiles across providers. A cell is shown only with at least 15 sampled providers and 4 TINs.
Medicare benchmark: CY2026 national physician fee schedule, non-QPP conversion factor, unadjusted for locality. Where the non-facility rate is more than twice the facility rate (office rates that include device or supply cost), the facility rate is used so comparisons are like for like.

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