Dermatology · Oklahoma

Dermatology commercial reimbursement in Oklahoma

How Oklahoma dermatology rates compare with the national market.

Dermatology in Oklahoma

44 codes · 80 sampled providers
Index vs national
90
10% below
Rank among states
40 of 50
1 = highest
Codes above national
3 of 44
median code at 91%
Providers
80
sampled

What the data shows

1

Dermatology ranks 40th of 50 states in Oklahoma with an index of 90 (100 = the specialty's national median), across 44 codes and 80 sampled providers.

2

Of the 44 dermatology codes with enough data in Oklahoma, 3 pay above the national median and 41 below; the typical code sits at 91% of the national median.

3

Largest premium over the national median: CPT 11301 (Shave skin lesion 0.6-1.0 cm) at 111%; largest discount: CPT 88312 (Special stains group 1) at 57%.

4

Measured against Medicare, Oklahoma dermatology rates have a median of 89% of the Medicare rate across these codes.

Codes above and below the national median

The five largest gaps in each direction

Highest vs national

CodeOklahomaNationalGapProv.
11301
Shave skin lesion 0.6-1.0 cm
$94$85+11%80
96910
Photchmtx tar&uvb/ptrltm&uvb
$126$125+1%80
99213
Office o/p est low 20 min
$76$76+0%80
99214
Office o/p est mod 30 min
$110$110+0%80
99205
Office o/p new hi 60 min
$211$211-0%80

Lowest vs national

CodeOklahomaNationalGapProv.
88312
Special stains group 1
$55$96-43%80
88342
Imhchem/imcytchm 1st antb
$62$95-35%80
88305
Tissue exam by pathologist
$50$68-27%80
77280
Ther rad simulaj field smpl
$221$302-27%80
11102
Tangntl bx skin single les
$50$65-24%80

All dermatology codes in Oklahoma

Median across payers vs the specialty's national median and the Medicare rate; sorted by premium
CodeOklahomaNationalGap% of MedicareProvidersTINsLevel
CPT 11301
Shave skin lesion 0.6-1.0 cm
$94$85+11%226%80111
CPT 96910
Photchmtx tar&uvb/ptrltm&uvb
$126$125+1%110%80108
CPT 99213
Office o/p est low 20 min
$76$76+0%80%80114
CPT 99214
Office o/p est mod 30 min
$110$110+0%81%80114
CPT 99205
Office o/p new hi 60 min
$211$211-0%89%80110
CPT 99212
Office o/p est sf 10 min
$44$44-0%74%80114
CPT 99203
Office o/p new low 30 min
$105$106-1%89%80114
CPT 99215
Office o/p est hi 40 min
$152$155-1%79%80111
CPT 99204
Office o/p new mod 45 min
$160$163-2%90%80114
CPT 14040
Tis trnfr f/c/c/m/n/a/g/h/f
$778$800-3%101%80111
CPT 17000
Destruct premalg lesion
$67$69-3%100%80113
CPT 14301
Tis trnfr any 30.1-60 sq cm
$1,111$1,155-4%99%80111
CPT 14041
Tis trnfr f/c/c/m/n/a/g/h/f
$952$991-4%103%80110
CPT 15260
Fth/gft fr n/e/e/l 20 sqcm/<
$1,029$1,078-5%103%80110
CPT 14061
Tis trnfr e/n/e/l10.1-30sqcm
$1,024$1,074-5%103%80110
CPT 14060
Tis trnfr e/n/e/l 10 sq cm/<
$790$835-5%102%80111
CPT 11603
Exc tr-ext mal+marg 2.1-3 cm
$251$267-6%91%80112
CPT 99202
Office o/p new sf 15 min
$65$70-6%87%80114
CPT 96574
Dbrdmt prmlg les w/pdt
$296$315-6%111%80108
CPT 11602
Exc tr-ext mal+marg 1.1-2 cm
$210$228-8%87%80112
CPT 17282
Dstr mal ls f/e/e/n/l/m1.1-2
$179$195-8%89%80110
CPT 93000
Electrocardiogram complete
$19$21-9%126%8071
CPT 12052
Intmd rpr face/mm 2.6-5.0 cm
$260$289-10%83%80112
CPT 12042
Intmd rpr n-hf/genit2.6-7.5
$255$285-10%84%80111
CPT 13152
Cmplx rpr e/n/e/l 2.6-7.5 cm
$442$498-11%90%80110
CPT 17262
Dstrj mal les t/a/l 1.1-2.0
$143$163-12%82%80111
CPT 12032
Intmd rpr s/a/t/ext 2.6-7.5
$246$280-12%82%80112
CPT 13101
Cmplx rpr trunk 2.6-7.5 cm
$326$374-13%83%80111
CPT 17111
Destruction b9 lesions 15/>
$105$120-13%81%80112
CPT 17261
Dstrj mal les t/a/l .6-1.0cm
$113$132-14%78%80111
CPT 13121
Cmplx rpr s/a/l 2.6-7.5 cm
$339$398-15%81%80111
CPT 13132
Cmplx rpr f/c/c/m/n/ax/g/h/f
$397$470-16%86%80112
CPT 17110
Destruction b9 les up to 14
$85$101-17%76%80113
CPT 17004
Destroy premal lesions 15/>
$127$154-17%78%80112
CPT 17313
Mohs 1 stage t/a/l
$422$515-18%164%80111
CPT 17311
Mohs 1 stage h/n/hf/g
$471$577-18%164%80111
CPT 11302
Shave skin lesion 1.1-2.0 cm
$80$98-19%165%80111
CPT 20610
Drain/inj joint/bursa w/o us
$56$70-19%82%8071
CPT 11104
Punch bx skin single lesion
$63$81-22%165%80111
CPT 11102
Tangntl bx skin single les
$50$65-24%165%80111
CPT 77280
Ther rad simulaj field smpl
$221$302-27%82%80109
CPT 88305
Tissue exam by pathologist
$50$68-27%71%80111
CPT 88342
Imhchem/imcytchm 1st antb
$62$95-35%56%80111
CPT 88312
Special stains group 1
$55$96-43%50%80111

Frequently asked questions

How do Oklahoma dermatology rates compare with the rest of the country?

Oklahoma ranks 40th of 50 states with an index of 90; 3 of 44 codes are above the national median.

Which dermatology code has the biggest premium in Oklahoma?

CPT 11301 (Shave skin lesion 0.6-1.0 cm), at 111% of the national median.

Are these Medicare or commercial rates?

Commercial in-network negotiated rates from four national payers' published files; the Medicare comparison column uses the CY2026 Medicare physician fee schedule.

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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