Aetna · Oklahoma · commercial in-network

Aetna negotiated rates in Oklahoma

How Aetna's Oklahoma rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.

Aetna in Oklahoma at a glance

Across 228 procedure codes for 8 specialties
Rate index vs state market
88
12% below the Oklahoma median
Rank in state
4 of 4
UHC 120 · Cigna 100 · BCBS 97 · Aetna 88
vs own national
86
Aetna's level vs its national median
Codes where highest
4%
of 228 codes
638 sampled providers403 TINs228 codesMedian 113% of Medicare · method

What the data shows

Generated from Oklahoma and Aetna data only
1

Aetna ranks 4th of 4 payers in Oklahoma with a rate index of 88 (100 = the Oklahoma market median), across 228 procedure codes.

2

Aetna has the highest median for only 4% of codes in Oklahoma; UnitedHealthcare leads with an index of 120 in the files analyzed.

3

Aetna's Oklahoma rates sit 14% below its own national level, the 45th highest of its 51 states.

4

Largest premium over the Oklahoma market: CPT 93297 (Rem interrog dev eval icpms) at 194% of market; largest discount: CPT 99457 (Rpm tx mgmt 1st 20 min) at 49%.

How the four payers compare in Oklahoma

Rate index: 100 = the state four-payer median for the same codes
PayerIndexRankLevelHighest onProviders
UnitedHealthcare1201
120
76%728
Cigna1002
100
5%748
Blue Cross Blue Shield973
97
14%781
Aetna884
88
4%638

Where Aetna pays most and least against the Oklahoma market

Codes with the largest gap to the state median

Highest above market

CodeAetnaMarketGapProv.
93297
Rem interrog dev eval icpms
$78$40+94%71
72148
Mri lumbar spine w/o dye
$317$221+44%110
73721
Mri jnt of lwr extre w/o dye
$331$232+42%118
73221
Mri joint upr extrem w/o dye
$332$234+42%118
72141
Mri neck spine w/o dye
$316$223+42%54
88312
Special stains group 1
$77$55+41%75
70551
Mri brain stem w/o dye
$322$228+41%54
72158
Mri lumbar spine w/o & w/dye
$526$375+40%53

Furthest below market

CodeAetnaMarketGapProv.
99457
Rpm tx mgmt 1st 20 min
$25$50-51%46
11301
Shave skin lesion 0.6-1.0 cm
$52$94-45%54
99454
Rem mntr physiol param 16-30
$41$69-41%46
97110
Therapeutic exercises
$20$34-41%57
99426
Prin care mgmt staff 1st 30
$42$69-40%39
45384
Colonoscopy w/lesion removal
$245$396-38%60
64566
Neuroeltrd stim post tibial
$34$55-38%57
93000
Electrocardiogram complete
$13$19-35%580

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 Oklahoma?

Aetna ranks 4th of 4 in Oklahoma with an index of 88. It is highest on 4% of codes.

Are Aetna's Oklahoma rates above or below its national level?

About 14% below.

Which procedure does Aetna pay most above market in Oklahoma?

CPT 93297 (Rem interrog dev eval icpms), at 194% of the Oklahoma 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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