What does Bcbsmt pay for CPT 11102 in Iowa City, IA?

The local peer median for CPT 11102 under Bcbsmt in Iowa City, IA is $196, based on 521 indexed providers. Modeled from published rates, not guaranteed.

What is the top of the local market (P90) for CPT 11102 under Bcbsmt in Iowa City, IA?

The P90, the top of the local market and Reddenda's target rate, is $210.80.

How does Bcbsmt's rate for CPT 11102 compare to Medicare?

The Bcbsmt local median of $196 is 205% of Medicare's national non-facility rate of $95.53 for CPT 11102.

Reddenda · Rate Intelligence · Iowa City, IA

11102 under Bcbsmt in Iowa City, IA

Name: Bcbsmt rates for CPT 11102 in Iowa City, IA
Creator: Reddenda

Tangential biopsy, single lesion · Local peer median $196 · High confidence

$196 local peer median. In the Iowa City, IA market, Bcbsmt pays a local peer median of $196 for CPT 11102 (Tangential biopsy, single lesion), based on 521 providers in Reddenda's index of Bcbsmt's own published in-network rates. The top of the local market, the P90 target, is $210.80, 8% above the median. A provider billed below the local median is being paid less than peers holding the identical Bcbsmt contract in Iowa City, IA for the identical code. Modeled from published rates, not guaranteed.

Local distribution · 521 providers · 522 rate records

P10

$168.60

P25

$179.20

Median

$196

P75

$210.80

P90 (target)

$210.80

P10$168.60

P25$179.20

Median (P50)$196

P75$210.80

P90 target$210.80

Peer basis: local peer distribution: same CPT, same payer file, same metro (CBSA) Benchmark: local peer median; never a national average Range: $36.80 – $346.26

The local peer median for CPT 11102 under Bcbsmt in Iowa City, IA is $196, drawn from 521 distinct providers.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Bcbsmt to publish this rate
The bottom of the local market (P10) is $168.60 and the top (P90) is $210.80; the median-to-P90 spread is $14.80.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Bcbsmt to publish this rate
The lowest published rate in this market is $36.80; the highest is $346.26.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Bcbsmt to publish this rate
This benchmark is drawn from 522 individual rate records that Bcbsmt itself published for this code in this metro.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Bcbsmt to publish this rate
Medicare's national non-facility rate for CPT 11102 is $95.53, making the Bcbsmt local median 205% of Medicare.Source: Medicare Physician Fee Schedule; the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Bcbsmt to publish this rate
47.9% 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 Bcbsmt 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)

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

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This is the local market for CPT 11102 (Tangential biopsy, single lesion) under Bcbsmt in Iowa City, IA. 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 Bcbsmt'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 Bcbsmt to publish this rate. Page generated 2026-08-24 10:30 UTC; the live index is queried in real time on every request.