What does Bcbsnm pay for CPT 11300 in Cedar Rapids, IA?

The local peer median for CPT 11300 under Bcbsnm in Cedar Rapids, IA is $181, based on 231 indexed providers. Modeled from published rates, not guaranteed.

What is the top of the local market (P90) for CPT 11300 under Bcbsnm in Cedar Rapids, IA?

The P90, the top of the local market and Reddenda's target rate, is $213.

How does Bcbsnm's rate for CPT 11300 compare to Medicare?

The Bcbsnm local median of $181 is 188% of Medicare's national non-facility rate of $96.53 for CPT 11300.

Reddenda · Rate Intelligence · Cedar Rapids, IA

11300 under Bcbsnm in Cedar Rapids, IA

Name: Bcbsnm rates for CPT 11300 in Cedar Rapids, IA
Creator: Reddenda

Shaving lesion, trunk/arms/legs, ≤0.5cm · Local peer median $181 · Medium confidence

$181 local peer median. In the Cedar Rapids, IA market, Bcbsnm pays a local peer median of $181 for CPT 11300 (Shaving lesion, trunk/arms/legs, ≤0.5cm), based on 231 providers in Reddenda's index of Bcbsnm's own published in-network rates. The top of the local market, the P90 target, is $213, 18% above the median. A provider billed below the local median is being paid less than peers holding the identical Bcbsnm contract in Cedar Rapids, IA for the identical code. Modeled from published rates, not guaranteed.

Local distribution · 231 providers · 231 rate records

P10

$181

P25

$181

Median

$181

P75

$213

P90 (target)

$213

P10$181

P25$181

Median (P50)$181

P75$213

P90 target$213

Peer basis: local peer distribution: same CPT, same payer file, same metro (CBSA) Benchmark: local peer median; never a national average Range: $42.87 – $221.50

The local peer median for CPT 11300 under Bcbsnm in Cedar Rapids, IA is $181, drawn from 231 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 $181 and the top (P90) is $213; the median-to-P90 spread is $32.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 $42.87; the highest is $221.50.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Bcbsnm to publish this rate
This benchmark is drawn from 231 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 11300 is $96.53, making the Bcbsnm local median 188% of Medicare.Source: Medicare Physician Fee Schedule; the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Bcbsnm to publish this rate
52.4% 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)

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

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This is the local market for CPT 11300 (Shaving lesion, trunk/arms/legs, ≤0.5cm) under Bcbsnm in Cedar Rapids, 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 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 03:20 UTC; the live index is queried in real time on every request.