Aetna · Arkansas · commercial in-network

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

Across 227 procedure codes for 8 specialties
Rate index vs state market
86
14% below the Arkansas median
Rank in state
3 of 4
UHC 111 · Cigna 100 · Aetna 86 · BCBS 80
vs own national
98
Aetna's level vs its national median
Codes where highest
9%
of 227 codes
549 sampled providers390 TINs227 codesMedian 127% of Medicare · method

What the data shows

Generated from Arkansas and Aetna data only
1

Aetna ranks 3rd of 4 payers in Arkansas with a rate index of 86 (100 = the Arkansas market median), across 227 procedure codes.

2

Aetna has the highest median for only 9% of codes in Arkansas; UnitedHealthcare leads with an index of 111 in the files analyzed.

3

Aetna's Arkansas rates sit 2% below its own national level, the 31st highest of its 51 states.

4

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

Rate index: 100 = the state four-payer median for the same codes
PayerIndexRankLevelHighest onProviders
UnitedHealthcare1111
111
72%680
Cigna1002
100
17%717
Aetna863
86
9%549
Blue Cross Blue Shield804
80
4%181

Where Aetna pays most and least against the Arkansas market

Codes with the largest gap to the state median

Highest above market

CodeAetnaMarketGapProv.
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

CodeAetnaMarketGapProv.
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

Index vs the payer's own national median (100 = national)

Highest states

StateIndexProv.
Alaska306
211
Idaho152
491
Washington142
708
Mississippi138
608
Montana136
80

Lowest states

StateIndexProv.
Indiana80
698
South Dakota82
147
Florida82
758
Minnesota84
774
North Dakota85
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

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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