What does Bcbsnm pay for CPT 23472 in Billings, MT?

The local peer median for CPT 23472 under Bcbsnm in Billings, MT is $2,055.19, based on 319 indexed providers. Modeled from published rates, not guaranteed.

What is the top of the local market (P90) for CPT 23472 under Bcbsnm in Billings, MT?

The P90, the top of the local market and Reddenda's target rate, is $3,328.

Reddenda · Rate Intelligence · Billings, MT

23472 under Bcbsnm in Billings, MT

Name: Bcbsnm rates for CPT 23472 in Billings, MT
Creator: Reddenda

Local peer median $2,055.19 · High confidence

$2,055.19 local peer median. In the Billings, MT market, Bcbsnm pays a local peer median of $2,055.19 for CPT 23472, based on 319 providers in Reddenda's index of Bcbsnm's own published in-network rates. The top of the local market, the P90 target, is $3,328, 62% above the median. A provider billed below the local median is being paid less than peers holding the identical Bcbsnm contract in Billings, MT for the identical code. Modeled from published rates, not guaranteed.

Local distribution · 319 providers · 368 rate records

P10

$1,802.55

P25

$1,802.55

Median

$2,055.19

P75

$2,283.55

P90 (target)

$3,328

P10$1,802.55

P25$1,802.55

Median (P50)$2,055.19

P75$2,283.55

P90 target$3,328

Peer basis: local peer distribution: same CPT, same payer file, same metro (CBSA) Benchmark: local peer median; never a national average Range: $776.93 – $5,863.05

The local peer median for CPT 23472 under Bcbsnm in Billings, MT is $2,055.19, drawn from 319 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 $1,802.55 and the top (P90) is $3,328; the median-to-P90 spread is $1,272.81.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 $776.93; the highest is $5,863.05.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Bcbsnm to publish this rate
This benchmark is drawn from 368 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
22.6% 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 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)

319 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 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 2026-08-23 23:47 UTC; the live index is queried in real time on every request.