What does Bcbsnm pay for CPT 11055 in Sioux Falls, SD-MN?

The local peer median for CPT 11055 under Bcbsnm in Sioux Falls, SD-MN is $161, based on 490 indexed providers. Modeled from published rates, not guaranteed.

What is the top of the local market (P90) for CPT 11055 under Bcbsnm in Sioux Falls, SD-MN?

The P90, the top of the local market and Reddenda's target rate, is $161.

How does Bcbsnm's rate for CPT 11055 compare to Medicare?

The Bcbsnm local median of $161 is 488% of Medicare's national non-facility rate of $32.99 for CPT 11055.

Reddenda · Rate Intelligence · Sioux Falls, SD-MN

11055 under Bcbsnm in Sioux Falls, SD-MN

Name: Bcbsnm rates for CPT 11055 in Sioux Falls, SD-MN
Creator: Reddenda

Paring of corn or callus, single · Local peer median $161 · Medium confidence

$161 local peer median. In the Sioux Falls, SD-MN market, Bcbsnm pays a local peer median of $161 for CPT 11055 (Paring of corn or callus, single), based on 490 providers in Reddenda's index of Bcbsnm's own published in-network rates. The top of the local market, the P90 target, is $161, 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 the local median is being paid less than peers holding the identical Bcbsnm contract in Sioux Falls, SD-MN for the identical code. Modeled from published rates, not guaranteed.

Local distribution · 490 providers · 490 rate records

P10

$131.60

P25

$161

Median

$161

P75

$161

P90 (target)

$161

P10$131.60

P25$161

Median (P50)$161

P75$161

P90 target$161

Peer basis: local peer distribution: same CPT, same payer file, same metro (CBSA) Benchmark: local peer median; never a national average Range: $15.28 – $161

The local peer median for CPT 11055 under Bcbsnm in Sioux Falls, SD-MN is $161, drawn from 490 distinct providers.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Bcbsnm to publish this rate
The bottom of the local market (P10) is $131.60 and the top (P90) is $161; the median-to-P90 spread is $0.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Bcbsnm to publish this rate
The lowest published rate in this market is $15.28; the highest is $161.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Bcbsnm to publish this rate
This benchmark is drawn from 490 individual rate records that Bcbsnm itself published for this code in this metro.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Bcbsnm to publish this rate
Medicare's national non-facility rate for CPT 11055 is $32.99, making the Bcbsnm local median 488% of Medicare.Source: Medicare Physician Fee Schedule; the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Bcbsnm to publish this rate
75.5% 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 Bcbsnm 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)

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

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This is the local market for CPT 11055 (Paring of corn or callus, single) under Bcbsnm in Sioux Falls, SD-MN. 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.

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

Modeled from Bcbsnm'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 Bcbsnm to publish this rate. Page generated 2026-08-24 00:53 UTC; the live index is queried in real time on every request.