Commercial healthcare reimbursement in Oklahoma
How Oklahoma compares with the nation, by payer, specialty and procedure.
Oklahoma at a glance
What the data shows
Oklahoma ranks 49th of 51 states for commercial reimbursement, with an index of 80 (100 = national median) across 228 procedure codes; the South region averages 94.
Commercial rates in Oklahoma run a median 114% of Medicare.
UnitedHealthcare has the highest index in the state (120) and Aetna the lowest (88), a 32-point gap, in the files analyzed.
CPT 11301 (Shave skin lesion 0.6-1.0 cm) is the strongest relative to the national median (111% of it, a 11% premium); CPT 77080 (Dxa bone density axial) is furthest below (52% of the national median, 48% lower).
By specialty, Oklahoma is strongest for internal medicine (ranks 33rd of 51 states for that specialty) and weakest for diagnostic radiology (51st of 51).
Against Medicare, gastroenterology has the highest ratio in Oklahoma (149% of Medicare) and dermatology the lowest (88%).
Payer ranking in Oklahoma
| Payer | Index | Rank | Level | Codes | Providers | TINs |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 120 | 1 | 228 | 728 | 442 | |
| Cigna | 100 | 2 | 227 | 748 | 467 | |
| Blue Cross Blue Shield | 97 | 3 | 228 | 781 | 598 | |
| Aetna | 88 | 4 | 228 | 638 | 403 |
Reimbursement index by specialty in Oklahoma
| Specialty | Index | Rank among states | % of Medicare | Level | Codes | Providers |
|---|---|---|---|---|---|---|
| Internal medicine | 92 | 33 of 51 | 103% | 25 | 109 | |
| Cardiology | 90 | 36 of 51 | 127% | 38 | 119 | |
| Dermatology | 90 | 40 of 50 | 88% | 44 | 80 | |
| Ophthalmology | 85 | 44 of 50 | 103% | 42 | 112 | |
| Gastroenterology | 79 | 48 of 50 | 149% | 36 | 98 | |
| Orthopedic surgery | 75 | 50 of 51 | 114% | 39 | 100 | |
| Urology | 77 | 50 of 50 | 120% | 37 | 108 | |
| Diagnostic radiology | 65 | 51 of 51 | 102% | 49 | 110 |
Specialty by payer in Oklahoma
| Specialty | UHC | Aetna | Cigna | BCBS |
|---|---|---|---|---|
| Internal medicine | 107 | 83 | 95 | 86 |
| Dermatology | 104 | 70 | 79 | 91 |
| Ophthalmology | 90 | 77 | 87 | 93 |
| Cardiology | 106 | 84 | 95 | 86 |
| Orthopedic surgery | 84 | 65 | 74 | 74 |
| Diagnostic radiology | 89 | 71 | 65 | 34 |
| Urology | 101 | 59 | 73 | 74 |
| Gastroenterology | 100 | 72 | 81 | 79 |
Oklahoma compared with South region states
Procedures that pay most and least in Oklahoma vs the nation
Highest vs national
| Code | Oklahoma | National | Gap | Prov. |
|---|---|---|---|---|
| 11301 Shave skin lesion 0.6-1.0 cm | $94 | $85 | +11% | 80 |
| 97110 Therapeutic exercises | $34 | $31 | +9% | 100 |
| 92004 Compre oph exam new pt 1/> | $127 | $124 | +3% | 112 |
| 92202 Opscpy extnd on/mac draw | $17 | $17 | +3% | 112 |
| 92014 Compre oph exam est pt 1/> | $102 | $101 | +1% | 112 |
| 92201 Opscpy extnd rta draw uni/bi | $27 | $27 | +1% | 112 |
| 96910 Photchmtx tar&uvb/ptrltm&uvb | $126 | $125 | +1% | 80 |
| 99215 Office o/p est hi 40 min | $173 | $176 | -2% | 836 |
| 99214 Office o/p est mod 30 min | $123 | $125 | -2% | 836 |
| 14040 Tis trnfr f/c/c/m/n/a/g/h/f | $778 | $800 | -3% | 80 |
| 99213 Office o/p est low 20 min | $83 | $86 | -3% | 836 |
| 99212 Office o/p est sf 10 min | $48 | $49 | -3% | 836 |
| 17000 Destruct premalg lesion | $67 | $69 | -3% | 80 |
| 92020 Gonioscopy | $25 | $26 | -4% | 112 |
| 14301 Tis trnfr any 30.1-60 sq cm | $1,111 | $1,155 | -4% | 80 |
Lowest vs national
| Code | Oklahoma | National | Gap | Prov. |
|---|---|---|---|---|
| 77080 Dxa bone density axial | $34 | $66 | -48% | 110 |
| 88312 Special stains group 1 | $55 | $97 | -44% | 178 |
| 70551 Mri brain stem w/o dye | $228 | $402 | -43% | 110 |
| 76775 Us exam abdo back wall lim | $53 | $92 | -43% | 108 |
| 72141 Mri neck spine w/o dye | $223 | $390 | -43% | 110 |
| 72148 Mri lumbar spine w/o dye | $221 | $382 | -42% | 210 |
| 73721 Mri jnt of lwr extre w/o dye | $232 | $399 | -42% | 210 |
| 73221 Mri joint upr extrem w/o dye | $234 | $399 | -41% | 210 |
| 88313 Special stains group 2 | $42 | $71 | -41% | 98 |
| 77049 Mri breast c-+ w/cad bi | $329 | $558 | -41% | 110 |
| 76512 Oph us dx b-scan | $41 | $70 | -41% | 112 |
| 76536 Us exam of head and neck | $93 | $154 | -40% | 110 |
| 76857 Us exam pelvic limited | $45 | $75 | -39% | 108 |
| 72110 X-ray exam l-2 spine 4/>vws | $44 | $71 | -38% | 100 |
| 77067 Scr mammo bi incl cad | $114 | $182 | -38% | 110 |
Frequently asked questions
How do commercial reimbursement rates in Oklahoma compare with the rest of the country?
Oklahoma ranks 49th of 51 states with an index of 80, across 228 procedure codes. Median commercial rates run 114% of the Medicare rate.
Which payer has the highest rates in Oklahoma?
In the files we analyzed, UnitedHealthcare has the highest index (120) and Aetna the lowest (88). Each payer's figures describe the specific plans and networks in the files used, not its whole book of business.
Which specialty has the strongest rates in Oklahoma?
Internal medicine ranks 33rd of 51 states.
How many providers does this Oklahoma page cover?
836 sampled providers across 4 payers. The data comes from a random sample of providers, so counts describe the sample, not every provider in the state.
Which procedures differ most between Oklahoma and the national median?
CPT 11301 (Shave skin lesion 0.6-1.0 cm) is highest relative to the nation at 111% of the national median; CPT 77080 (Dxa bone density axial) is lowest at 52%.
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.
Benchmark your Oklahoma contracts
Compare your negotiated rates with these state medians by payer and specialty.