Urology · Oklahoma

Urology commercial reimbursement in Oklahoma

How Oklahoma urology rates compare with the national market.

Urology Oklahoma

Urology in Oklahoma

37 codes · 108 sampled providers

Index vs national

23% below

Rank among states

50 of 50

1 = highest

Codes above national

0 of 37

median code at 77%

Providers

108

sampled

What the data shows

Urology ranks 50th of 50 states in Oklahoma with an index of 77 (100 = the specialty's national median), across 37 codes and 108 sampled providers.

Of the 37 urology codes with enough data in Oklahoma, 0 pay above the national median and 37 below; the typical code sits at 77% of the national median.

Largest premium over the national median: CPT 99215 (Office o/p est hi 40 min) at 92%; largest discount: CPT 76775 (Us exam abdo back wall lim) at 57%.

Measured against Medicare, Oklahoma urology rates have a median of 120% of the Medicare rate across these codes.

Codes above and below the national median

The five largest gaps in each direction

Highest vs national

Code	Oklahoma	National	Gap	Prov.
99215 Office o/p est hi 40 min	$173	$187	-8%	108
99214 Office o/p est mod 30 min	$121	$134	-9%	108
99426 Prin care mgmt staff 1st 30	$69	$77	-10%	108
99212 Office o/p est sf 10 min	$47	$52	-10%	108
99213 Office o/p est low 20 min	$82	$92	-10%	108

Lowest vs national

Code	Oklahoma	National	Gap	Prov.
76775 Us exam abdo back wall lim	$53	$92	-43%	108
76857 Us exam pelvic limited	$45	$75	-39%	108
76770 Us exam abdo back wall comp	$100	$153	-35%	108
51798 Us urine capacity measure	$14	$21	-35%	104
76856 Us exam pelvic complete	$98	$148	-34%	108

All urology codes in Oklahoma

Median across payers vs the specialty's national median and the Medicare rate; sorted by premium

Code	Oklahoma	National	Gap	% of Medicare	Providers	TINs
CPT 99215 Office o/p est hi 40 min	$173	$187	-8%	90%	108	164
CPT 99214 Office o/p est mod 30 min	$121	$134	-9%	90%	108	164
CPT 99426 Prin care mgmt staff 1st 30	$69	$77	-10%	102%	108	107
CPT 99212 Office o/p est sf 10 min	$47	$52	-10%	79%	108	164
CPT 99213 Office o/p est low 20 min	$82	$92	-10%	87%	108	164
CPT 99203 Office o/p new low 30 min	$109	$125	-13%	93%	108	164
CPT 99205 Office o/p new hi 60 min	$224	$257	-13%	94%	108	164
CPT 99204 Office o/p new mod 45 min	$170	$197	-14%	96%	108	164
CPT 55874 Tprnl plmt biodegrdabl matrl	$218	$257	-15%	153%	108	160
CPT 20610 Drain/inj joint/bursa w/o us	$72	$86	-16%	105%	108	163
CPT 52601 Prostatectomy (turp)	$982	$1,181	-17%	187%	108	162
CPT 99490 Chrnc care mgmt staff 1st 20	$50	$60	-17%	76%	108	163
CPT 55866 Laps surg prst8ect rpbic rad	$1,842	$2,237	-18%	170%	108	162
CPT 52356 Cysto/uretero w/lithotripsy	$540	$657	-18%	148%	108	162
CPT 52649 Prostate laser enucleation	$1,112	$1,355	-18%	169%	108	162
CPT 64566 Neuroeltrd stim post tibial	$55	$69	-21%	211%	108	161
CPT 51728 Cystometrogram w/vp	$405	$520	-22%	120%	108	163
CPT 51729 Cystometrogram w/vp&up	$429	$554	-23%	121%	108	161
CPT 93000 Electrocardiogram complete	$20	$26	-23%	129%	108	163
CPT 50590 Fragmenting of kidney stone	$813	$1,065	-24%	107%	108	161
CPT 52310 Cystoscopy and treatment	$241	$317	-24%	179%	108	163
CPT 52287 Cystoscopy chemodenervation	$269	$367	-27%	181%	108	162
CPT 51700 Irrigation of bladder	$56	$77	-27%	217%	108	161
CPT 52281 Cystoscopy and treatment	$242	$334	-28%	177%	108	162
CPT 51720 Treatment of bladder lesion	$80	$111	-28%	210%	108	163
CPT 52224 Cystoscopy and treatment	$329	$459	-28%	187%	108	162
CPT 74178 Ct abd&plv wo cntr flwd cntr	$355	$498	-29%	105%	108	159
CPT 52648 Laser surgery of prostate	$1,073	$1,508	-29%	203%	108	161
CPT 51702 Insert temp bladder cath	$43	$61	-29%	190%	108	161
CPT 52000 Cystourethroscopy	$145	$210	-31%	204%	108	162
CPT 76872 Us transrectal	$126	$188	-33%	105%	108	163
CPT 52332 Cystoscopy and treatment	$239	$360	-34%	171%	108	162
CPT 76856 Us exam pelvic complete	$98	$148	-34%	93%	108	163
CPT 51798 Us urine capacity measure	$14	$21	-35%	110%	104	132
CPT 76770 Us exam abdo back wall comp	$100	$153	-35%	94%	108	163
CPT 76857 Us exam pelvic limited	$45	$75	-39%	88%	108	164
CPT 76775 Us exam abdo back wall lim	$53	$92	-43%	87%	108	163

Frequently asked questions

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

Oklahoma ranks 50th of 50 states with an index of 77; 0 of 37 codes are above the national median.

Which urology code has the biggest premium in Oklahoma?

CPT 99215 (Office o/p est hi 40 min), at 92% 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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