What is the top of the local market (P90) for CPT 00811 under Anthem Blue Cross Blue Shield (CO) for Milwaukee-Waukesha, WI providers?

The P90, the top of the local market and Reddenda's target rate, is $880.

Reddenda · Rate Intelligence · Milwaukee-Waukesha, WI

00811 under Anthem Blue Cross Blue Shield (CO), for Milwaukee-Waukesha, WI providers

Name: Anthem Blue Cross Blue Shield (CO) rates for CPT 00811 among Milwaukee-Waukesha, WI providers
Creator: Reddenda

Local peer median $880 · Medium confidence

$880 local peer median. Anthem Blue Cross Blue Shield (CO)'s published rate file lists a local peer median of $880 for CPT 00811 among 242 indexed providers in Milwaukee-Waukesha, WI. Where a Blue Cross entity’s label carries a state, that state names the file we found the rate in, not the provider’s location. Blue Cross plans file separately per state and do not share rates, even for the same provider. The top of that filed distribution, the P90 target, is $880, which is the same as the median here: this payer's filed rates for this code cluster on one number, so the opportunity in this cell is reaching the median rather than exceeding it. A provider billed below this median is being paid less than peers holding the identical Anthem Blue Cross Blue Shield (CO) contract for the identical code. Modeled from published rates, not guaranteed.

Local distribution · 242 providers · 242 rate records

P10

$397.84

P25

$880

Median

$880

P75

$880

P90 (target)

$880

P10$397.84

P25$880

Median (P50)$880

P75$880

P90 target$880

Peer basis: local peer distribution: same CPT, same payer file, same metro (CBSA) Benchmark: local peer median; never a national average Range: $150 – $880

The local peer median for CPT 00811 under Anthem Blue Cross Blue Shield (CO) for Milwaukee-Waukesha, WI providers is $880, drawn from 242 distinct providers.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Anthem Blue Cross Blue Shield (CO) to publish this rate
The bottom of the local market (P10) is $397.84 and the top (P90) is $880; the median-to-P90 spread is $0.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Anthem Blue Cross Blue Shield (CO) to publish this rate
The lowest published rate in this market is $150; the highest is $880.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Anthem Blue Cross Blue Shield (CO) to publish this rate
This benchmark is drawn from 242 individual rate records that Anthem Blue Cross Blue Shield (CO) itself published for this code in this metro.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Anthem Blue Cross Blue Shield (CO) to publish this rate
81.4% of indexed providers cluster at the single most common rate; the remainder shows a real, scoreable spread across the local market.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Anthem Blue Cross Blue Shield (CO) to publish this rate
A federal No Surprises Act arbitrator may weigh up to four plan years of a provider's own contracted rate history and local market share when resolving a payment dispute over this exact code and payer.Source: 45 CFR §149.510(c)(4)(iii)(B)

242 providers bill this code to this payer in this metro.

Find yourself on this curve. Enter your NPI: no account, no email, no PHI.

Free, forever, unmetered. Possession-channel verification only if you choose to claim the record; looking is always free.

See where your rate lands

These are the rates Anthem Blue Cross Blue Shield (CO) publishes for CPT 00811 among Milwaukee-Waukesha, WI providers. Enter your NPI to see your own contracted rate against this peer curve, per payer and per code. Free, about 15 seconds, no card and no PHI.

Run a free RateScore on your NPI → Talk to us about Anthem Blue Cross Blue Shield (CO)

Documented reimbursement opportunity, modeled from published rates and never a guaranteed outcome.

Modeled from Anthem Blue Cross Blue Shield (CO)'s own published in-network rates, never guaranteed and never a national average. Peer basis: same CPT, same payer file, same metro (CBSA). Federal citation for the underlying obligation: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Anthem Blue Cross Blue Shield (CO) to publish this rate. Page generated 2026-08-23 23:50 UTC; the live index is queried in real time on every request.