What is the top of the local market (P90) for CPT 11901 under Horizon Nj for Casper, WY providers?

The P90, the top of the local market and Reddenda's target rate, is $127.

Reddenda · Rate Intelligence · Casper, WY

11901 under Horizon Nj, for Casper, WY providers

Name: Horizon Nj rates for CPT 11901 among Casper, WY providers
Creator: Reddenda

Local peer median $127 · Medium confidence

$127 local peer median. Horizon Nj's published rate file lists a local peer median of $127 for CPT 11901 among 132 indexed providers in Casper, WY. Where a Blue Cross entity’s label carries a state, that state names the file we found the rate in, not the provider’s location. Blue Cross plans file separately per state and do not share rates, even for the same provider. The top of that filed distribution, the P90 target, is $127, which is the same as the median here: this payer's filed rates for this code cluster on one number, so the opportunity in this cell is reaching the median rather than exceeding it. A provider billed below this median is being paid less than peers holding the identical Horizon Nj contract for the identical code. Modeled from published rates, not guaranteed.

Local distribution · 132 providers · 132 rate records

P10

$80

P25

$80

Median

$127

P75

$127

P90 (target)

$127

P10$80

P25$80

Median (P50)$127

P75$127

P90 target$127

Peer basis: local peer distribution: same CPT, same payer file, same metro (CBSA) Benchmark: local peer median; never a national average Range: $80 – $157.25

The local peer median for CPT 11901 under Horizon Nj for Casper, WY providers is $127, drawn from 132 distinct providers.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Horizon Nj to publish this rate
The bottom of the local market (P10) is $80 and the top (P90) is $127; the median-to-P90 spread is $0.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Horizon Nj to publish this rate
The lowest published rate in this market is $80; the highest is $157.25.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Horizon Nj to publish this rate
This benchmark is drawn from 132 individual rate records that Horizon Nj itself published for this code in this metro.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Horizon Nj to publish this rate
65.9% 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 Horizon Nj 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)

132 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 Horizon Nj'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 Horizon Nj to publish this rate. Page generated 2026-08-24 05:25 UTC; the live index is queried in real time on every request.