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
What the data shows
Aetna ranks 4th of 4 payers in Oklahoma with a rate index of 88 (100 = the Oklahoma market median), across 228 procedure codes.
Aetna has the highest median for only 4% of codes in Oklahoma; UnitedHealthcare leads with an index of 120 in the files analyzed.
Aetna's Oklahoma rates sit 14% below its own national level, the 45th highest of its 51 states.
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
| Payer | Index | Rank | Level | Highest on | Providers |
|---|---|---|---|---|---|
| UnitedHealthcare | 120 | 1 | 76% | 728 | |
| Cigna | 100 | 2 | 5% | 748 | |
| Blue Cross Blue Shield | 97 | 3 | 14% | 781 | |
| Aetna | 88 | 4 | 4% | 638 |
Where Aetna pays most and least against the Oklahoma market
Highest above market
| Code | Aetna | Market | Gap | Prov. |
|---|---|---|---|---|
| 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
| Code | Aetna | Market | Gap | Prov. |
|---|---|---|---|---|
| 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
Highest states
| State | Index | Prov. | |
|---|---|---|---|
| Alaska | 306 | 211 | |
| Idaho | 152 | 491 | |
| Washington | 142 | 708 | |
| Mississippi | 138 | 608 | |
| Montana | 136 | 80 |
Lowest states
| State | Index | Prov. | |
|---|---|---|---|
| Indiana | 80 | 698 | |
| South Dakota | 82 | 147 | |
| Florida | 82 | 758 | |
| Minnesota | 84 | 774 | |
| North Dakota | 85 | 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
- 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.
Is your Aetna contract at market in Oklahoma?
Compare your negotiated rates for these codes with Oklahoma medians for each payer.