What does Anthem Blue Cross (CA) pay for CPT 11056 in Los Angeles-Long Beach-Anaheim, CA?

The local peer median for CPT 11056 under Anthem Blue Cross (CA) in Los Angeles-Long Beach-Anaheim, CA is $47.20, based on 1340 indexed providers. Modeled from published rates, not guaranteed.

What is the top of the local market (P90) for CPT 11056 under Anthem Blue Cross (CA) in Los Angeles-Long Beach-Anaheim, CA?

The P90, the top of the local market and Reddenda's target rate, is $219.24.

Reddenda · Rate Intelligence · Los Angeles-Long Beach-Anaheim, CA

11056 under Anthem Blue Cross (CA) in Los Angeles-Long Beach-Anaheim, CA

Name: Anthem Blue Cross (CA) rates for CPT 11056 in Los Angeles-Long Beach-Anaheim, CA
Creator: Reddenda

Local peer median $47.20 · High confidence

$47.20 local peer median. In the Los Angeles-Long Beach-Anaheim, CA market, Anthem Blue Cross (CA) pays a local peer median of $47.20 for CPT 11056, based on 1340 providers in Reddenda's index of Anthem Blue Cross (CA)'s own published in-network rates. The top of the local market, the P90 target, is $219.24, 364% above the median. A provider billed below the local median is being paid less than peers holding the identical Anthem Blue Cross (CA) contract in Los Angeles-Long Beach-Anaheim, CA for the identical code. Modeled from published rates, not guaranteed.

Local distribution · 1340 providers · 1373 rate records

P10

$25.43

P25

$42.25

Median

$47.20

P75

$59.90

P90 (target)

$219.24

P10$25.43

P25$42.25

Median (P50)$47.20

P75$59.90

P90 target$219.24

Peer basis: local peer distribution: same CPT, same payer file, same metro (CBSA) Benchmark: local peer median; never a national average Range: $15.15 – $488.25

The local peer median for CPT 11056 under Anthem Blue Cross (CA) in Los Angeles-Long Beach-Anaheim, CA is $47.20, drawn from 1340 distinct providers.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Anthem Blue Cross (CA) to publish this rate
The bottom of the local market (P10) is $25.43 and the top (P90) is $219.24; the median-to-P90 spread is $172.04.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Anthem Blue Cross (CA) to publish this rate
The lowest published rate in this market is $15.15; the highest is $488.25.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Anthem Blue Cross (CA) to publish this rate
This benchmark is drawn from 1373 individual rate records that Anthem Blue Cross (CA) itself published for this code in this metro.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Anthem Blue Cross (CA) to publish this rate
38.2% 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 (CA) 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)

1340 providers bill this code to this payer in this metro.

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This is the local market for CPT 11056 under Anthem Blue Cross (CA) in Los Angeles-Long Beach-Anaheim, CA. 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 Anthem Blue Cross (CA)'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 (CA) to publish this rate. Page generated 2026-08-23 23:50 UTC; the live index is queried in real time on every request.