Alabama, Arizona, Florida, Georgia, Iowa, Illinois, Kansas, Michigan, Missouri, Mississippi, North Carolina, Nebraska, New Jersey, New York, Ohio, Oklahoma, Pennsylvania, Tennessee, Texas, Virginia
Oscar fee schedule 2026, by CPT code.
Oscar Health publishes the rate it negotiated with each practice it contracts with, by NPI. Enter yours and we read Oscar’s files for your rates.
Medical rates come from Oscar’s own files; behavioral health from Optum’s, which Oscar publishes alongside them.
What you’ll get
| Code | Visit | Your Oscar rate | Source file |
|---|---|---|---|
| Filled in from Oscar’s own file when you enter your NPI. | |||
Oscar publishes 32 in-network rate files. We read them for the rate listed for your practice, code by code.
Need the codes you bill, across your payers? Start a fee schedule from $99/month.
Inside Oscar’s files
What Oscar publishes.
Published by Oscar under the federal Transparency in Coverage rule.
What you get
The number, and everything behind it.
The exact dollar Oscar negotiated for a CPT code and your NPI — the genuinely negotiated figure, chosen by a fixed rule, not the “derived” line beside it.
Which Oscar network the rate sits in (an HMO and a PPO product can pay differently), and that it’s the in-office professional rate.
The source file and its “as of” month, linked — so the number survives being questioned by a contracting manager.
On a paid plan, Oscar becomes one column of a sheet next to every other payer you take, with underpayment checks and change alerts.
After the rate
Is Oscar paying you what it published?
Upload your allowed amounts by code and see which ones Oscar allowed below the rate it published for you, the claims affected and the dollar gap. Totals only, no patient data. →
Fee scheduleOscar next to every other payer you take, code by code, in one sheet, with the source behind every number and an alert when a rate changes. →
Also in Alabama, Arizona, Florida, Georgia, Iowa, Illinois, Kansas, Michigan, Missouri, Mississippi, North Carolina, Nebraska, New Jersey, New York, Ohio, Oklahoma, Pennsylvania, Tennessee, Texas, Virginia
The other payers we read here.
Your states
All the payers we read in Alabama, Arizona, Florida, Georgia, Iowa, Illinois, Kansas, Michigan, Missouri, Mississippi, North Carolina, Nebraska, New Jersey, New York, Ohio, Oklahoma, Pennsylvania, Tennessee, Texas, Virginia.
Questions about Oscar’s rates or your contract? Ask us →