Blue Cross Blue Shield employer health plans in Oklahoma
Who Blue Cross Blue Shield insures among Oklahoma employers and what those plans pay in premium and broker compensation, and what the Blue Cross Blue Shield network pays physicians and hospitals.
Blue Cross Blue Shield employer health plans in Oklahoma at a glance
What the data shows
Blue Cross Blue Shield is the largest insurer of employer health plans in Oklahoma: 304 plans held a Blue Cross Blue Shield major-medical contract in form year 2024, 68% of the state's 448 insured large plans, ahead of UnitedHealthcare with 53.
Blue Cross Blue Shield has grown 59% in Oklahoma since 2020, from 191 plans.
Most of these plans cover 100–499 people (222 plans); 21 cover 1,000 or more.
Median premium per person covered was $5,721, 1% above the Oklahoma all-carrier median of $5,684. Benefit design and group mix differ, so this is not a price comparison.
93% of these plans reported broker or agent pay on their Blue Cross Blue Shield contracts; where paid, the median was 5.0% of premium (middle half 3.6%–5.3%).
In BCBS: BCBS OK, 20 of the 50 Employer 50 services have a Oklahoma benchmark, at a median of 96% of Medicare across those services.
At Oklahoma hospitals, Blue Cross Blue Shield's commercial rates run higher than other carriers' at the same hospital for 4 of 7 services; a hip or knee replacement stay has a median rate of $28,009 across 18 hospitals.
Blue Cross Blue Shield plans in Oklahoma, 2020–2024
| Form year | Plans | Persons covered | Share of state | Median premium / person |
|---|---|---|---|---|
| 2020 | 191 | 77,751 | 51% | $5,227 |
| 2021 | 206 | 87,958 | 53% | $5,370 |
| 2022 | 238 | 108,372 | 60% | $5,252 |
| 2023 | 271 | 114,513 | 63% | $5,544 |
| 2024 | 304 | 119,997 | 68% | $5,721 |
| 2025 (partial) | 181 | 68,895 | 69% | $6,211 |
Plan size
| Persons covered | Plans | Share |
|---|---|---|
| Under 100 | 24 | 8% |
| 100–499 | 222 | 73% |
| 500–999 | 37 | 12% |
| 1,000–4,999 | 21 | 7% |
| 5,000 or more | 0 | 0% |
Premiums and broker pay
| Measure | Blue Cross Blue Shield | All carriers, Oklahoma |
|---|---|---|
| Median premium per person covered | $5,721 | $5,684 |
| Premium per person, middle half | $4,847–$6,879 | $4,614–$6,922 |
| Plans reporting broker or agent pay | 93% | 89% |
| Median broker pay, % of premium | 5.0% | 5.0% |
| Broker pay, middle half | 3.6%–5.3% | 3.6%–5.4% |
| Median broker pay per person covered | $260 | $258 |
Industries
Blue Cross Blue Shield's Oklahoma employer clients are concentrated in manufacturing (62 plans) and health care and social assistance (42), followed by professional and technical services (30).
| Industry | Plans | Share |
|---|---|---|
| Manufacturing | 62 | 20% |
| Health care and social assistance | 42 | 14% |
| Professional and technical services | 30 | 10% |
| Construction | 25 | 8% |
| Finance and insurance | 23 | 8% |
| Retail trade | 21 | 7% |
Blue Cross Blue Shield employer clients in Oklahoma
277 employers in Oklahoma have a Blue Cross Blue Shield major-medical contract, 21 of them covering 1,000 or more people. For each one Medlyze has the plan year, the broker on each contract and what that broker was paid, and compiles the list for a state, an industry or a single employer on request.
| Employer | Persons covered | Plan year ends | Broker | Broker pay, % of premium |
|---|---|---|---|---|
| Employer name | Locked | Locked | Locked | Locked |
| Employer name | Locked | Locked | Locked | Locked |
| Employer name | Locked | Locked | Locked | Locked |
Brokers: request the Blue Cross Blue Shield Prospect List for Oklahoma →
What the Blue Cross Blue Shield network pays physicians in Oklahoma
| Service | Code | Median | Middle half | % of Medicare | Other networks, median | Provider groups |
|---|---|---|---|---|---|---|
| Echocardiogram, transthoracic complete with Doppler | 93306 | $246 | $246–$283 | 125% | $259 | 47 |
| Nuclear stress test (SPECT myocardial perfusion) | 78452 | $566 | $566–$613 | 132% | $497 | 47 |
| Skin biopsy, single lesion (tangential) | 11102 | $125 | $125–$125 | 131% | $102 | 41 |
| Abdominal ultrasound, complete | 76700 | $147 | $147–$148 | 129% | $142 | 74 |
| Bone density scan (DXA), axial | 77080 | $45 | $45–$46 | 115% | $55 | 67 |
| CT abdomen and pelvis with contrast | 74177 | $398 | $398–$402 | 133% | $400 | 74 |
| CT chest without contrast | 71250 | $173 | $173–$175 | 130% | $194 | 74 |
| Chest X-ray, 2 views | 71046 | $40 | $40–$40 | 122% | $38 | 74 |
| MRI brain without and with contrast | 70553 | $427 | $427–$431 | 135% | $507 | 74 |
| MRI cervical spine without contrast | 72141 | $255 | $255–$257 | 134% | $316 | 74 |
| MRI knee (lower-extremity joint) without contrast | 73721 | $268 | $268–$271 | 131% | $333 | 74 |
| MRI lumbar spine without contrast | 72148 | $255 | $255–$258 | 133% | $317 | 74 |
| MRI shoulder (upper-extremity joint) without contrast | 73221 | $269 | $269–$272 | 131% | $334 | 74 |
| Pelvic ultrasound, complete (non-obstetric) | 76856 | $132 | $132–$133 | 126% | $125 | 74 |
| Screening mammography, bilateral (incl. CAD) | 77067 | $158 | $158–$158 | 125% | $161 | 67 |
Professional fee only: facility, implant and anesthesia charges are not included. Limited: rates come from a sample of providers, and groups are counted only in specialties that perform the service.
What the Blue Cross Blue Shield network pays hospitals in Oklahoma
Blue Cross Blue Shield commercial rates are on record at 29 Oklahoma hospitals (the hospitals covered so far, not every hospital). Compared at the same hospitals, Blue Cross Blue Shield's rate is higher than the other carriers' median for 4 of 7 services and lower for 0. For MRI, lower back, the rate runs from $257 to $923 across 15 hospitals.
This page shows 2 of the 16 services in full. The other rates, the size of each gap and every hospital's prices are in the Plan Cost Benchmark.
| Service | Hospitals | Median rate | Range (P10–P90) | vs other carriers, same hospitals | Cash price, median |
|---|---|---|---|---|---|
| Hip or knee replacement (hospital stay) | 18 | $28,009 | $15,549–$39,209 | Higher | $22,507 |
| C-section delivery (hospital stay) | 18 | Locked | Locked | Higher | Locked |
| Vaginal delivery (hospital stay) | 18 | Locked | Locked | Higher | Locked |
| MRI, lower back | 15 | $667 | $257–$923 | About the same | $1,807 |
| MRI, knee | 14 | Locked | Locked | About the same | Locked |
| CT, head | 14 | Locked | Locked | About the same | Locked |
| CT, abdomen and pelvis | 14 | Locked | Locked | Higher | Locked |
| Screening mammogram | 5 | Locked | Locked | – | Locked |
| Colonoscopy, diagnostic | 12 | Locked | Locked | – | Locked |
| Upper GI endoscopy with biopsy | 14 | Locked | Locked | – | Locked |
| Knee arthroscopy | 11 | Locked | Locked | – | Locked |
| Cataract surgery | 12 | Locked | Locked | – | Locked |
| Gallbladder removal, laparoscopic | 7 | Locked | Locked | – | Locked |
| Knee replacement, outpatient | 7 | Locked | Locked | – | Locked |
| Comprehensive metabolic panel | 13 | Locked | Locked | – | Locked |
| Complete blood count | 13 | Locked | Locked | – | Locked |
Hospitals with the most published Blue Cross Blue Shield rates
| Hospital | Joint replacement | MRI lower back | CT abdomen | Colonoscopy | ER level 4 | Vaginal delivery |
|---|---|---|---|---|---|---|
| Beaver County Memorial Hospital | $19,670 | Locked | Locked | Locked | Locked | Locked |
| Comanche County Memorial Hospital | $24,037 | Locked | Locked | Locked | Locked | Locked |
| Duncan Regional Hospital | $31,546 | Locked | Locked | Locked | Locked | Locked |
| Grady Memorial Hospital | $30,967 | Locked | Locked | Locked | Locked | Locked |
| Jackson County Memorial Hospital | $38,913 | Locked | Locked | Locked | Locked | Locked |
| Rural Wellness Anadarko | $14,342 | Locked | Locked | Locked | Locked | Locked |
| Rural Wellness Fairfax | $15,549 | Locked | Locked | Locked | Locked | Locked |
| Rural Wellness Stroud | $15,570 | Locked | Locked | Locked | Locked | Locked |
| Stillwater Medical Blackwell | $39,209 | Locked | Locked | Locked | Locked | Locked |
| Stillwater Medical Center | $39,209 | Locked | Locked | Locked | Locked | Locked |
How the contracts are written: case rates 39%, fee schedules 43%, per diem 3%, percent of billed charges 2%, other 13% of Blue Cross Blue Shield's published commercial rates for these services in Oklahoma.
Employers: see all 16 services and every hospital near your people in a Plan Cost Benchmark →
Hospital facility rate only: physician, anesthesia and implant charges are separate. Rates are what hospitals publish, not claims paid, and are not weighted by use.
Carriers in Oklahoma
| Carrier | Plans | Share | Median premium / person | Median broker % |
|---|---|---|---|---|
| Blue Cross Blue Shield | 304 | 68% | $5,721 | 5.0% |
| Other insurers (regional and local plans) | 69 | 15% | $4,412 | 4.8% |
| UnitedHealthcare | 53 | 12% | $5,756 | 5.2% |
| Aetna | 19 | 4% | $5,612 | 1.3% |
| Cigna | 10 | 2% | $2,695 | 6.8% |
| Kaiser Permanente | 7 | 2% | $8,241 | 3.2% |
Blue Cross Blue Shield in other states
FAQ
How many Oklahoma employers have Blue Cross Blue Shield health insurance?
304 employer health plans in Oklahoma reported a Blue Cross Blue Shield major-medical contract in their 2024 filings, covering 119,997 persons. Self-funded plans that Blue Cross Blue Shield only administers are not counted.
What is Blue Cross Blue Shield's share of the Oklahoma insured employer market?
68% of insured large employer health plans, 1st of 6 carrier groups by plan count.
How much do brokers earn on Blue Cross Blue Shield plans in Oklahoma?
Where broker or agent pay was reported, the median was 5.0% of premium (5.0% across all carriers in Oklahoma).
Can I see the figures for a specific employer?
Yes. Brokers can request an Employer Account Brief on one employer, or a Prospect List for this market. Employers can request a Plan Cost Benchmark for their own plan. Use the request form on this page.
About these numbers
- Plans counted: the 304 Oklahoma employer health plans with a Blue Cross Blue Shield major-medical contract in their 2024 filings. Self-funded plans that Blue Cross Blue Shield only administers are not counted here.
- Premium and broker figures: 294 contracts with 20+ persons covered and a reported premium; broker percentages use the 283 contracts that reported broker or agent pay.
- Network rates: BCBS: BCBS OK, professional fees only, from a sample of providers.
- Hospital prices: Blue Cross Blue Shield commercial rates at Oklahoma hospitals; stay and facility prices only.
- Full method and limits: how the employer health plan data is built.