Urology · Arkansas

Urology commercial reimbursement in Arkansas

How Arkansas urology rates compare with the national market.

Urology in Arkansas

37 codes · 67 sampled providers
Index vs national
90
10% below
Rank among states
40 of 50
1 = highest
Codes above national
0 of 37
median code at 90%
Providers
67
sampled

What the data shows

1

Urology ranks 40th of 50 states in Arkansas with an index of 90 (100 = the specialty's national median), across 37 codes and 67 sampled providers.

2

Of the 37 urology codes with enough data in Arkansas, 0 pay above the national median and 37 below; the typical code sits at 90% of the national median.

3

Largest premium over the national median: CPT 64566 (Neuroeltrd stim post tibial) at 100%; largest discount: CPT 99490 (Chrnc care mgmt staff 1st 20) at 75%.

4

Measured against Medicare, Arkansas urology rates have a median of 143% 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.
64566
Neuroeltrd stim post tibial
$69$69-0%64
52224
Cystoscopy and treatment
$457$459-0%65
52601
Prostatectomy (turp)
$1,170$1,181-1%65
55866
Laps surg prst8ect rpbic rad
$2,199$2,237-2%65
55874
Tprnl plmt biodegrdabl matrl
$251$257-2%66

Lowest vs national

CodeArkansasNationalGapProv.
99490
Chrnc care mgmt staff 1st 20
$45$60-25%65
99213
Office o/p est low 20 min
$70$92-24%67
99212
Office o/p est sf 10 min
$41$52-22%67
99215
Office o/p est hi 40 min
$147$187-21%67
99214
Office o/p est mod 30 min
$106$134-21%67

All urology codes in Arkansas

Median across payers vs the specialty's national median and the Medicare rate; sorted by premium
CodeArkansasNationalGap% of MedicareProvidersTINsLevel
CPT 64566
Neuroeltrd stim post tibial
$69$69-0%265%6468
CPT 52224
Cystoscopy and treatment
$457$459-1%260%6570
CPT 52601
Prostatectomy (turp)
$1,170$1,181-1%222%6570
CPT 55866
Laps surg prst8ect rpbic rad
$2,199$2,237-2%203%6569
CPT 55874
Tprnl plmt biodegrdabl matrl
$251$257-2%176%6669
CPT 51729
Cystometrogram w/vp&up
$539$554-3%152%6469
CPT 51702
Insert temp bladder cath
$58$61-4%256%6472
CPT 51720
Treatment of bladder lesion
$104$111-6%273%6670
CPT 99426
Prin care mgmt staff 1st 30
$71$77-7%105%6467
CPT 51728
Cystometrogram w/vp
$481$520-8%143%6571
CPT 52649
Prostate laser enucleation
$1,250$1,355-8%190%6568
CPT 76770
Us exam abdo back wall comp
$141$153-8%132%6673
CPT 74178
Ct abd&plv wo cntr flwd cntr
$457$498-8%135%6671
CPT 52648
Laser surgery of prostate
$1,380$1,508-8%261%6670
CPT 52356
Cysto/uretero w/lithotripsy
$598$657-9%164%6672
CPT 20610
Drain/inj joint/bursa w/o us
$78$86-9%113%6674
CPT 52332
Cystoscopy and treatment
$326$360-10%233%6773
CPT 76856
Us exam pelvic complete
$134$148-10%127%6674
CPT 52287
Cystoscopy chemodenervation
$330$367-10%221%6468
CPT 50590
Fragmenting of kidney stone
$949$1,065-11%125%6771
CPT 52310
Cystoscopy and treatment
$282$317-11%209%6774
CPT 52281
Cystoscopy and treatment
$294$334-12%215%6773
CPT 93000
Electrocardiogram complete
$23$26-12%147%6674
CPT 51700
Irrigation of bladder
$68$77-13%259%6671
CPT 52000
Cystourethroscopy
$181$210-14%254%6773
CPT 99204
Office o/p new mod 45 min
$169$197-14%95%6774
CPT 76857
Us exam pelvic limited
$64$75-15%124%6673
CPT 76872
Us transrectal
$160$188-15%133%6672
CPT 99205
Office o/p new hi 60 min
$215$257-16%91%6774
CPT 51798
Us urine capacity measure
$18$21-18%138%6564
CPT 99203
Office o/p new low 30 min
$102$125-18%87%6774
CPT 76775
Us exam abdo back wall lim
$74$92-20%122%6672
CPT 99214
Office o/p est mod 30 min
$106$134-21%78%6774
CPT 99215
Office o/p est hi 40 min
$147$187-21%76%6774
CPT 99212
Office o/p est sf 10 min
$41$52-22%68%6774
CPT 99213
Office o/p est low 20 min
$70$92-24%74%6774
CPT 99490
Chrnc care mgmt staff 1st 20
$45$60-25%68%6571

Frequently asked questions

How do Arkansas urology rates compare with the rest of the country?

Arkansas ranks 40th of 50 states with an index of 90; 0 of 37 codes are above the national median.

Which urology code has the biggest premium in Arkansas?

CPT 64566 (Neuroeltrd stim post tibial), at 100% 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.

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