Aetna negotiated rates in Arkansas
How Aetna's Arkansas rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.
Aetna in Arkansas at a glance
What the data shows
Aetna ranks 3rd of 4 payers in Arkansas with a rate index of 86 (100 = the Arkansas market median), across 227 procedure codes.
Aetna has the highest median for only 9% of codes in Arkansas; UnitedHealthcare leads with an index of 111 in the files analyzed.
Aetna's Arkansas rates sit 2% below its own national level, the 31st highest of its 51 states.
Largest premium over the Arkansas market: CPT 92025 (Cptrized corneal topography) at 123% of market; largest discount: CPT 99487 (Cplx chrnc care 1st 60 min) at 55%.
How the four payers compare in Arkansas
| Payer | Index | Rank | Level | Highest on | Providers |
|---|---|---|---|---|---|
| UnitedHealthcare | 111 | 1 | 72% | 680 | |
| Cigna | 100 | 2 | 17% | 717 | |
| Aetna | 86 | 3 | 9% | 549 | |
| Blue Cross Blue Shield | 80 | 4 | 4% | 181 |
Where Aetna pays most and least against the Arkansas market
Highest above market
| Code | Aetna | Market | Gap | Prov. |
|---|---|---|---|---|
| 92025 Cptrized corneal topography | $44 | $36 | +23% | 61 |
| 88342 Imhchem/imcytchm 1st antb | $126 | $103 | +23% | 47 |
| 88305 Tissue exam by pathologist | $81 | $67 | +21% | 103 |
| 92273 Full field erg w/i&r | $152 | $126 | +20% | 55 |
| 88313 Special stains group 2 | $80 | $67 | +19% | 52 |
| 88312 Special stains group 1 | $112 | $95 | +18% | 100 |
| 96910 Photchmtx tar&uvb/ptrltm&uvb | $131 | $114 | +16% | 34 |
| 92134 Cptrz oph dx img pst sgm rta | $48 | $42 | +16% | 63 |
Furthest below market
| Code | Aetna | Market | Gap | Prov. |
|---|---|---|---|---|
| 99487 Cplx chrnc care 1st 60 min | $56 | $102 | -45% | 22 |
| 51702 Insert temp bladder cath | $35 | $58 | -40% | 29 |
| 52224 Cystoscopy and treatment | $278 | $457 | -39% | 20 |
| 51700 Irrigation of bladder | $41 | $68 | -39% | 42 |
| 52000 Cystourethroscopy | $111 | $181 | -38% | 49 |
| 45380 Colonoscopy and biopsy | $249 | $387 | -36% | 61 |
| 37243 Vasc embolize/occlude organ | $605 | $910 | -34% | 49 |
| 51720 Treatment of bladder lesion | $70 | $104 | -33% | 41 |
Where Aetna pays above and below its national level
Highest states
| State | Index | Prov. | |
|---|---|---|---|
| Alaska | 306 | 211 | |
| Idaho | 152 | 491 | |
| Washington | 142 | 708 | |
| Mississippi | 138 | 608 | |
| Montana | 136 | 80 |
Lowest states
| State | Index | Prov. | |
|---|---|---|---|
| Indiana | 80 | 698 | |
| South Dakota | 82 | 147 | |
| Florida | 82 | 758 | |
| Minnesota | 84 | 774 | |
| North Dakota | 85 | 211 |
Frequently asked questions
Does Aetna pay more or less than the other payers in Arkansas?
Aetna ranks 3rd of 4 in Arkansas with an index of 86. It is highest on 9% of codes.
Are Aetna's Arkansas rates above or below its national level?
About 2% below.
Which procedure does Aetna pay most above market in Arkansas?
CPT 92025 (Cptrized corneal topography), at 123% of the Arkansas median.
Methodology
- 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.
Is your Aetna contract at market in Arkansas?
Compare your negotiated rates for these codes with Arkansas medians for each payer.