Blue Cross Blue Shield · Oklahoma · commercial in-network
Blue Cross Blue Shield negotiated rates in Oklahoma
How Blue Cross Blue Shield's Oklahoma rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.
Blue Cross Blue Shield in Oklahoma at a glance
Across 228 procedure codes for 8 specialties
Rate index vs state market
97
3% below the Oklahoma median
Rank in state
3 of 4
UHC 120 · Cigna 100 · BCBS 97 · Aetna 88
vs own national
76
BCBS's level vs its national median
Codes where highest
14%
of 228 codes
What the data shows
Generated from Oklahoma and Blue Cross Blue Shield data only
1
Blue Cross Blue Shield ranks 3rd of 4 payers in Oklahoma with a rate index of 97 (100 = the Oklahoma market median), across 228 procedure codes.
2
Blue Cross Blue Shield has the highest median for only 14% of codes in Oklahoma; UnitedHealthcare leads with an index of 120 in the files analyzed.
3
Blue Cross Blue Shield's Oklahoma rates sit 24% below its own national level, the 45th highest of its 51 states.
4
Largest premium over the Oklahoma market: CPT 88313 (Special stains group 2) at 150% of market; largest discount: CPT 93925 (Lower extremity study) at 22%.
5
In Oklahoma, BCBS rates come from 37 licensee file sets; the largest is BCBS OK (723 sampled providers).
How the four payers compare in Oklahoma
Rate index: 100 = the state four-payer median for the same codes
| 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 Blue Cross Blue Shield pays most and least against the Oklahoma market
Codes with the largest gap to the state median
Highest above market
| Code | BCBS | Market | Gap | Prov. |
|---|---|---|---|---|
| 88313 Special stains group 2 | $62 | $42 | +50% | 88 |
| 11301 Shave skin lesion 0.6-1.0 cm | $116 | $94 | +23% | 76 |
| 88305 Tissue exam by pathologist | $58 | $50 | +17% | 164 |
| 66821 After cataract laser surgery | $392 | $344 | +14% | 106 |
| 96574 Dbrdmt prmlg les w/pdt | $333 | $296 | +12% | 75 |
| 15823 Blepharp upr eyelid xcsv skn | $699 | $629 | +11% | 106 |
| 92201 Opscpy extnd rta draw uni/bi | $30 | $27 | +10% | 106 |
| 67210 Treatment of retinal lesion | $608 | $555 | +10% | 106 |
Furthest below market
| Code | BCBS | Market | Gap | Prov. |
|---|---|---|---|---|
| 93925 Lower extremity study | $66 | $300 | -78% | 110 |
| 91110 Gi trc img intral esoph-ile | $195 | $871 | -78% | 88 |
| 77280 Ther rad simulaj field smpl | $50 | $221 | -77% | 76 |
| 93970 Extremity study | $58 | $200 | -71% | 212 |
| 78452 Ht muscle image spect mult | $133 | $424 | -68% | 202 |
| 93971 Extremity study | $40 | $124 | -68% | 102 |
| 92242 Fluorescein&icg angiography | $72 | $218 | -67% | 106 |
| 93880 Extracranial bilat study | $72 | $217 | -67% | 302 |
Where Blue Cross Blue Shield pays above and below its national level
Index vs the payer's own national median (100 = national)
Highest states
| State | Index | Prov. | |
|---|---|---|---|
| Alaska | 243 | 290 | |
| Wisconsin | 192 | 733 | |
| Minnesota | 171 | 671 | |
| North Dakota | 148 | 329 | |
| Wyoming | 145 | 256 |
Lowest states
| State | Index | Prov. | |
|---|---|---|---|
| Maryland | 63 | 758 | |
| Arizona | 66 | 479 | |
| Texas | 69 | 1,003 | |
| District of Columbia | 69 | 484 | |
| New Mexico | 74 | 562 |
Blue Cross Blue Shield licensees in Oklahoma
File sets contributing rates; licensees are different companies
| Licensee file set | Sampled providers |
|---|---|
| BCBS OK | 723 |
| BCBS TX | 80 |
| Community Insurance Company | 53 |
| HealthKeepers, Inc. | 45 |
| BCBS KS | 27 |
| BCBS NM | 20 |
| Healthy Alliance Life Insurance Company | 17 |
| Matthew Thornton Health Plan, Inc. | 10 |
| BCBS IL | 10 |
| Anthem (Elevance) | 10 |
| Blue Shield of California Life & Health Insurance Company | 9 |
| BS CA | 8 |
| Wellmark | 8 |
| BCBS NC | 5 |
| Horizon Healthcare of New Jersey | 4 |
| BCBS TN | 4 |
| BCBS NJ (Horizon) | 4 |
| Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc. | 4 |
| Blue Cross Blue Shield of Wyoming | 3 |
| BCBS MI | 3 |
| BCBS MA | 3 |
| BCBS RI | 3 |
| Regence | 3 |
| Compcare Health Services Insurance Corporation | 2 |
| BCBS Kansas City | 2 |
| BCBS MN | 2 |
| Blue Cross and Blue Shield of Nebraska | 2 |
| Blue Cross Blue Shield of North Dakota | 2 |
| BCBS HI | 2 |
| Premera | 2 |
| Excellus BCBS | 2 |
| Carefirst BCBS | 2 |
| BCBS MT | 1 |
| HMO Missouri, Inc. | 1 |
| Capital BC | 1 |
| Blue Cross and Blue Shield of Massachusetts, Inc. | 1 |
| Capital BlueCross | 1 |
Frequently asked questions
Does Blue Cross Blue Shield pay more or less than the other payers in Oklahoma?
Blue Cross Blue Shield ranks 3rd of 4 in Oklahoma with an index of 97. It is highest on 14% of codes.
Are Blue Cross Blue Shield's Oklahoma rates above or below its national level?
About 24% below.
Which procedure does Blue Cross Blue Shield pay most above market in Oklahoma?
CPT 88313 (Special stains group 2), at 150% 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.
Is your Blue Cross Blue Shield contract at market in Oklahoma?
Compare your negotiated rates for these codes with Oklahoma medians for each payer.