What does Bcbs Sc pay for CPT 21013 in Charleston-North Charleston, SC?

The local peer median for CPT 21013 under Bcbs Sc in Charleston-North Charleston, SC is $740, based on 9 indexed providers. Modeled from published rates, not guaranteed.

What is the top of the local market (P90) for CPT 21013 under Bcbs Sc in Charleston-North Charleston, SC?

The P90, the top of the local market and Reddenda's target rate, is $1,327.19.

Reddenda · Rate Intelligence · Charleston-North Charleston, SC

21013 under Bcbs Sc in Charleston-North Charleston, SC

Name: Bcbs Sc rates for CPT 21013 in Charleston-North Charleston, SC
Creator: Reddenda

Local peer median $740 · low

$740 local peer median. In the Charleston-North Charleston, SC market, Bcbs Sc pays a local peer median of $740 for CPT 21013, based on 9 providers in Reddenda's index of Bcbs Sc's own published in-network rates. The top of the local market, the P90 target, is $1,327.19, 79% above the median. A provider billed below the local median is being paid less than peers holding the identical Bcbs Sc contract in Charleston-North Charleston, SC for the identical code. Modeled from published rates, not guaranteed.

Local distribution · 9 providers · 9 rate records

P10

$740

P25

$740

Median

$740

P75

$740

P90 (target)

$1,327.19

P10$740

P25$740

Median (P50)$740

P75$740

P90 target$1,327.19

Peer basis: local peer distribution: same CPT, same payer file, same metro (CBSA) Benchmark: local peer median; never a national average Range: $740 – $1,327.19

The local peer median for CPT 21013 under Bcbs Sc in Charleston-North Charleston, SC is $740, drawn from 9 distinct providers.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Bcbs Sc to publish this rate
The bottom of the local market (P10) is $740 and the top (P90) is $1,327.19; the median-to-P90 spread is $587.19.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Bcbs Sc to publish this rate
The lowest published rate in this market is $740; the highest is $1,327.19.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Bcbs Sc to publish this rate
This benchmark is drawn from 9 individual rate records that Bcbs Sc itself published for this code in this metro.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Bcbs Sc to publish this rate
77.8% 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 Bcbs Sc 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)

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

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This is the local market for CPT 21013 under Bcbs Sc in Charleston-North Charleston, SC. 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 Bcbs Sc'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 Bcbs Sc to publish this rate. Page generated 2026-08-24 14:26 UTC; the live index is queried in real time on every request.