What does Anthem pay for CPT 28470 in Mobile, AL?

The local peer median for CPT 28470 under Anthem in Mobile, AL is $224, based on 315 indexed providers. Modeled from published rates, not guaranteed.

What is the top of the local market (P90) for CPT 28470 under Anthem in Mobile, AL?

The P90, the top of the local market and Reddenda's target rate, is $246.67.

How does Anthem's rate for CPT 28470 compare to Medicare?

The Anthem local median of $224 is 94% of Medicare's national non-facility rate of $237.15 for CPT 28470.

Reddenda · Rate Intelligence · Mobile, AL

28470 under Anthem in Mobile, AL

Name: Anthem rates for CPT 28470 in Mobile, AL
Creator: Reddenda

Closed treatment of metatarsal fracture · Local peer median $224 · Medium confidence

$224 local peer median. In the Mobile, AL market, Anthem pays a local peer median of $224 for CPT 28470 (Closed treatment of metatarsal fracture), based on 315 providers in Reddenda's index of Anthem's own published in-network rates. The top of the local market, the P90 target, is $246.67, 10% above the median. A provider billed below the local median is being paid less than peers holding the identical Anthem contract in Mobile, AL for the identical code. Modeled from published rates, not guaranteed.

Local distribution · 315 providers · 315 rate records

P10

$222.83

P25

$224

Median

$224

P75

$224

P90 (target)

$246.67

P10$222.83

P25$224

Median (P50)$224

P75$224

P90 target$246.67

Peer basis: local peer distribution: same CPT, same payer file, same metro (CBSA) Benchmark: local peer median; never a national average Range: $127 – $578.03

The local peer median for CPT 28470 under Anthem in Mobile, AL is $224, drawn from 315 distinct providers.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Anthem to publish this rate
The bottom of the local market (P10) is $222.83 and the top (P90) is $246.67; the median-to-P90 spread is $22.67.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Anthem to publish this rate
The lowest published rate in this market is $127; the highest is $578.03.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Anthem to publish this rate
This benchmark is drawn from 315 individual rate records that Anthem itself published for this code in this metro.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Anthem to publish this rate
Medicare's national non-facility rate for CPT 28470 is $237.15, making the Anthem local median 94% of Medicare.Source: Medicare Physician Fee Schedule; the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Anthem to publish this rate
77.5% 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 Anthem 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)

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

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This is the local market for CPT 28470 (Closed treatment of metatarsal fracture) under Anthem in Mobile, AL. 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 Anthem'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 Anthem to publish this rate. Page generated 2026-08-24 07:06 UTC; the live index is queried in real time on every request.