Orthopedics
Orthopedic groups leave revenue on the table at code level.
Modifier-heavy procedures, ASC fee schedules, and high-dollar arthroscopy codes are exactly where payer drift compounds. Aroris benchmarks every code on every contract, surfaces the gap, and signs new rates.
The four code families we see leaking most.
Orthopedics combines high-dollar surgical codes, ASC facility fees, and heavy modifier use — three independent ways for payer drift to compound. These are the code families where we most often find groups underpaid against their own contracts.
Knee arthroscopy w/ meniscectomy
High-dollar and high-frequency. Commercial underpayment here is rarely visible without ASC fee-schedule benchmarking, which most groups never run.
Total knee arthroplasty
One of the largest single line items in any ortho contract. Even a low single-digit drift translates into a material annual figure.
Total hip arthroplasty
The same exposure profile as TKA: high per-case value means small percentage gaps become large dollar gaps quickly.
Major joint injection
High volume, low per-unit — the classic compounding-drift profile where no single claim ever trips an alarm.
Office E/M
Pre-op and post-op visit volume makes E/M drift add up faster in ortho than the per-claim gap suggests.
Modifier handling
Bilateral and side-specific modifiers are frequently downcoded or not honored. Aroris tracks the pattern by payer and prices it into the rate case.
Specialty-aligned negotiators, ortho-specific benchmarks.
1. Ortho-specific benchmark
Every code in your contract priced against the ortho-only subset of the Aroris dataset — not generic peer averages.
2. ASC + professional cases
We build rate cases for both the facility fee schedule and the professional component, code by code.
3. Live monitoring after
Once new rates are signed, every claim is reconciled daily — modifiers, bilaterals, and bundling failures all flagged.
What we’ve signed for orthopedic groups.
Orthopedic groups have the highest per-case value of any specialty Aroris works with, and the most modifier exposure. Here is the shape of a typical engagement.
+5–10%
Typical blended commercial lift across the arthroplasty and arthroscopy families after corrected rates are signed.
3–5 mo
Benchmark to signed rate amendment for a multi-site orthopedic group.
$400K–$1.1M
Illustrative annualized recovery range for a large orthopedic practice with an ASC. Modeled per contract in the free assessment.
For orthopedic groups
See what your contracts are owed.
The free Aroris assessment models your dollar range of opportunity at code-modifier-plan level — usually in 5 business days.