What does Moda Ak pay for CPT 11056 in Seattle-Tacoma-Bellevue, WA?

The local peer median for CPT 11056 under Moda Ak in Seattle-Tacoma-Bellevue, WA is $183, based on 270 indexed providers. Modeled from published rates, not guaranteed.

What is the top of the local market (P90) for CPT 11056 under Moda Ak in Seattle-Tacoma-Bellevue, WA?

The P90, the top of the local market and Reddenda's target rate, is $193.07.

Reddenda · Rate Intelligence · Seattle-Tacoma-Bellevue, WA

11056 under Moda Ak in Seattle-Tacoma-Bellevue, WA

Name: Moda Ak rates for CPT 11056 in Seattle-Tacoma-Bellevue, WA
Creator: Reddenda

Local peer median $183 · High confidence

$183 local peer median. In the Seattle-Tacoma-Bellevue, WA market, Moda Ak pays a local peer median of $183 for CPT 11056, based on 270 providers in Reddenda's index of Moda Ak's own published in-network rates. The top of the local market, the P90 target, is $193.07, 6% above the median. A provider billed below the local median is being paid less than peers holding the identical Moda Ak contract in Seattle-Tacoma-Bellevue, WA for the identical code. Modeled from published rates, not guaranteed.

Local distribution · 270 providers · 270 rate records

P10

$90.25

P25

$183

Median

$183

P75

$193.07

P90 (target)

$193.07

P10$90.25

P25$183

Median (P50)$183

P75$193.07

P90 target$193.07

Peer basis: local peer distribution: same CPT, same payer file, same metro (CBSA) Benchmark: local peer median; never a national average Range: $90.25 – $261.23

The local peer median for CPT 11056 under Moda Ak in Seattle-Tacoma-Bellevue, WA is $183, drawn from 270 distinct providers.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Moda Ak to publish this rate
The bottom of the local market (P10) is $90.25 and the top (P90) is $193.07; the median-to-P90 spread is $10.07.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Moda Ak to publish this rate
The lowest published rate in this market is $90.25; the highest is $261.23.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Moda Ak to publish this rate
This benchmark is drawn from 270 individual rate records that Moda Ak itself published for this code in this metro.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Moda Ak to publish this rate
45.6% 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 Moda Ak 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)

270 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 Moda Ak'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 Moda Ak to publish this rate. Page generated 2026-08-23 23:45 UTC; the live index is queried in real time on every request.