What does Centene pay for CPT 11056 in Des Moines-West Des Moines, IA?

The local peer median for CPT 11056 under Centene in Des Moines-West Des Moines, IA is $75.53, based on 30 indexed providers. Modeled from published rates, not guaranteed.

What is the top of the local market (P90) for CPT 11056 under Centene in Des Moines-West Des Moines, IA?

The P90, the top of the local market and Reddenda's target rate, is $150.

Reddenda · Rate Intelligence · Des Moines-West Des Moines, IA

11056 under Centene in Des Moines-West Des Moines, IA

Name: Centene rates for CPT 11056 in Des Moines-West Des Moines, IA
Creator: Reddenda

Local peer median $75.53 · High confidence

$75.53 local peer median. In the Des Moines-West Des Moines, IA market, Centene pays a local peer median of $75.53 for CPT 11056, based on 30 providers in Reddenda's index of Centene's own published in-network rates. The top of the local market, the P90 target, is $150, 99% above the median. A provider billed below the local median is being paid less than peers holding the identical Centene contract in Des Moines-West Des Moines, IA for the identical code. Modeled from published rates, not guaranteed.

Local distribution · 30 providers · 30 rate records

P10

$24.69

P25

$67.84

Median

$75.53

P75

$98.40

P90 (target)

$150

P10$24.69

P25$67.84

Median (P50)$75.53

P75$98.40

P90 target$150

Peer basis: local peer distribution: same CPT, same payer file, same metro (CBSA) Benchmark: local peer median; never a national average Range: $19.19 – $150

The local peer median for CPT 11056 under Centene in Des Moines-West Des Moines, IA is $75.53, drawn from 30 distinct providers.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Centene to publish this rate
The bottom of the local market (P10) is $24.69 and the top (P90) is $150; the median-to-P90 spread is $74.47.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Centene to publish this rate
The lowest published rate in this market is $19.19; the highest is $150.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Centene to publish this rate
This benchmark is drawn from 30 individual rate records that Centene itself published for this code in this metro.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Centene to publish this rate
16.7% 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 Centene 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)

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

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

Modeled from Centene'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 Centene to publish this rate. Page generated 2026-08-23 23:46 UTC; the live index is queried in real time on every request.