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Commercial reimbursement index by state

Metric: index_vs_national (100 = national median).

Snapshot Aug 2026

What the data shows

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

1

Alaska ranks first at 243.30; Florida ranks last of 51 at 77.50.

2

The spread between first and last is 3.14× (165.80 points on this metric).

3

The median value across the 51 items is 99.10.

4

21 of 51 items sit above 100 (the reference median) and 30 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.

Commercial reimbursement index by state

51 items ranked

Rank	Item	Value	Level
1	Alaska	243.30
2	Wisconsin	159.20
3	Oregon	147.10
4	Nebraska	137.80
5	Wyoming	136.40
6	South Dakota	135.20
7	Washington	133.10
8	Iowa	127.80
9	North Dakota	127.40
10	Minnesota	126.30
11	Georgia	125.30
12	Connecticut	124.50
13	Massachusetts	122.80
14	New Hampshire	121.40
15	North Carolina	114.60
16	Mississippi	111.10
17	Idaho	108.70
18	Vermont	107.00
19	Colorado	105.10
20	District of Columbia	104.00
21	Hawaii	102.20
22	New Jersey	100.00
23	Maine	100.00
24	Montana	99.70
25	Utah	99.60
26	Rhode Island	99.10
27	Ohio	98.80
28	Illinois	97.40
29	Tennessee	96.10
30	Pennsylvania	95.70
31	Kansas	95.70
32	Missouri	93.60
33	New Mexico	93.50
34	West Virginia	93.30
35	California	93.10
36	Arkansas	93.00
37	New York	92.60
38	South Carolina	91.80
39	Virginia	91.00
40	Michigan	89.60
41	Louisiana	88.60
42	Kentucky	87.70
43	Nevada	87.20
44	Alabama	87.00
45	Delaware	86.90
46	Maryland	86.00
47	Indiana	85.90
48	Arizona	82.90
49	Oklahoma	80.30
50	Texas	78.00
51	Florida	77.50

Frequently asked questions

What does this ranking measure?

index_vs_national (100 = 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 243.30.

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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