Orthopedic surgery · Arkansas

Orthopedic surgery commercial reimbursement in Arkansas

How Arkansas orthopedic surgery rates compare with the national market.

Orthopedic surgery in Arkansas

39 codes · 120 sampled providers
Index vs national
91
9% below
Rank among states
39 of 51
1 = highest
Codes above national
0 of 39
median code at 91%
Providers
120
sampled

What the data shows

1

Orthopedic surgery ranks 39th of 51 states in Arkansas with an index of 91 (100 = the specialty's national median), across 39 codes and 120 sampled providers.

2

Of the 39 orthopedic surgery codes with enough data in Arkansas, 0 pay above the national median and 39 below; the typical code sits at 91% of the national median.

3

Largest premium over the national median: CPT 29848 (Wrist endoscopy/surgery) at 99%; largest discount: CPT 99213 (Office o/p est low 20 min) at 77%.

4

Measured against Medicare, Arkansas orthopedic surgery rates have a median of 142% of the Medicare rate across these codes.

Codes above and below the national median

The five largest gaps in each direction

Highest vs national

CodeArkansasNationalGapProv.
29848
Wrist endoscopy/surgery
$806$817-1%118
29827
Sho arthrs srg rt8tr cuf rpr
$1,677$1,701-2%119
27487
Revise/replace knee joint
$2,797$2,840-2%118
27447
Total knee arthroplasty
$2,154$2,190-2%119
27130
Total hip arthroplasty
$2,118$2,158-2%119

Lowest vs national

CodeArkansasNationalGapProv.
99213
Office o/p est low 20 min
$70$91-23%120
99212
Office o/p est sf 10 min
$41$51-20%120
26055
Incise finger tendon sheath
$491$614-20%119
99215
Office o/p est hi 40 min
$150$185-19%120
99214
Office o/p est mod 30 min
$107$132-18%120

All orthopedic surgery codes in Arkansas

Median across payers vs the specialty's national median and the Medicare rate; sorted by premium
CodeArkansasNationalGap% of MedicareProvidersTINsLevel
CPT 29848
Wrist endoscopy/surgery
$806$817-1%166%11899
CPT 29827
Sho arthrs srg rt8tr cuf rpr
$1,677$1,701-1%172%11999
CPT 27487
Revise/replace knee joint
$2,797$2,840-2%178%118100
CPT 27447
Total knee arthroplasty
$2,154$2,190-2%186%11999
CPT 27130
Total hip arthroplasty
$2,118$2,158-2%182%11999
CPT 27245
Treat thigh fracture
$1,952$1,994-2%175%119100
CPT 22558
Arthrd ant ntrbd min dsc lum
$2,420$2,471-2%170%118100
CPT 22612
Arthrd pst tq 1ntrspc lumbar
$2,498$2,557-2%170%11999
CPT 64721
Carpal tunnel surgery
$683$700-2%142%119100
CPT 23472
Reconstruct shoulder joint
$2,261$2,318-2%174%119100
CPT 22633
Arthrd cmbn 1ntrspc lumbar
$2,915$2,991-3%171%11998
CPT 27236
Treat thigh fracture
$1,869$1,918-3%171%119100
CPT 63047
Lam facetec & foramot lumbar
$1,741$1,796-3%163%119100
CPT 22551
Arthrd ant ntrbdy cervical
$2,660$2,778-4%166%11998
CPT 93000
Electrocardiogram complete
$24$25-5%157%12097
CPT 97110
Therapeutic exercises
$30$31-5%102%11999
CPT 20550
Njx 1 tendon sheath/ligament
$69$74-6%115%119100
CPT 73560
X-ray exam of knee 1 or 2
$42$45-7%121%11998
CPT 72110
X-ray exam l-2 spine 4/>vws
$65$71-8%121%11998
CPT 73502
X-ray exam hip uni 2-3 views
$55$60-9%113%11997
CPT 73562
X-ray exam of knee 3
$48$53-10%112%120100
CPT 20611
Drain/inj joint/bursa w/us
$105$117-10%209%11999
CPT 73610
X-ray exam of ankle
$42$47-10%114%120100
CPT 20610
Drain/inj joint/bursa w/o us
$76$85-10%111%120102
CPT 73630
X-ray exam of foot
$40$44-10%117%12099
CPT 73564
X-ray exam knee 4 or more
$53$60-11%108%120100
CPT 72100
X-ray exam l-s spine 2/3 vws
$47$53-11%117%11999
CPT 73030
X-ray exam of shoulder
$40$45-12%111%11999
CPT 73221
Mri joint upr extrem w/o dye
$326$387-16%159%11998
CPT 73721
Mri jnt of lwr extre w/o dye
$325$387-16%159%11998
CPT 99205
Office o/p new hi 60 min
$211$252-16%89%120102
CPT 99204
Office o/p new mod 45 min
$162$194-16%91%120103
CPT 72148
Mri lumbar spine w/o dye
$308$370-17%161%11997
CPT 99203
Office o/p new low 30 min
$102$123-17%87%120103
CPT 99214
Office o/p est mod 30 min
$107$132-18%79%120103
CPT 99215
Office o/p est hi 40 min
$150$185-19%78%120102
CPT 26055
Incise finger tendon sheath
$491$614-20%171%119100
CPT 99212
Office o/p est sf 10 min
$41$51-20%69%120103
CPT 99213
Office o/p est low 20 min
$70$91-23%73%120103

Frequently asked questions

How do Arkansas orthopedic surgery rates compare with the rest of the country?

Arkansas ranks 39th of 51 states with an index of 91; 0 of 39 codes are above the national median.

Which orthopedic surgery code has the biggest premium in Arkansas?

CPT 29848 (Wrist endoscopy/surgery), at 99% of the national median.

Are these Medicare or commercial rates?

Commercial in-network negotiated rates from four national payers' published files; the Medicare comparison column uses the CY2026 Medicare physician fee schedule.

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.

Benchmark your Arkansas orthopedic surgery contracts

Compare your rates with these medians.

Request a rate benchmark