What does Bcbsmt pay for CPT 28470 in Lincoln, NE?

The local peer median for CPT 28470 under Bcbsmt in Lincoln, NE is $456, based on 470 indexed providers. Modeled from published rates, not guaranteed.

What is the top of the local market (P90) for CPT 28470 under Bcbsmt in Lincoln, NE?

The P90, the top of the local market and Reddenda's target rate, is $456.

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

The Bcbsmt local median of $456 is 192% of Medicare's national non-facility rate of $237.15 for CPT 28470.

Reddenda · Rate Intelligence · Lincoln, NE

28470 under Bcbsmt in Lincoln, NE

Name: Bcbsmt rates for CPT 28470 in Lincoln, NE
Creator: Reddenda

Closed treatment of metatarsal fracture · Local peer median $456 · Medium confidence

$456 local peer median. In the Lincoln, NE market, Bcbsmt pays a local peer median of $456 for CPT 28470 (Closed treatment of metatarsal fracture), based on 470 providers in Reddenda's index of Bcbsmt's own published in-network rates. The top of the local market, the P90 target, is $456, 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 the local median is being paid less than peers holding the identical Bcbsmt contract in Lincoln, NE for the identical code. Modeled from published rates, not guaranteed.

Local distribution · 470 providers · 470 rate records

P10

$416.81

P25

$416.81

Median

$456

P75

$456

P90 (target)

$456

P10$416.81

P25$416.81

Median (P50)$456

P75$456

P90 target$456

Peer basis: local peer distribution: same CPT, same payer file, same metro (CBSA) Benchmark: local peer median; never a national average Range: $265.29 – $582.20

The local peer median for CPT 28470 under Bcbsmt in Lincoln, NE is $456, drawn from 470 distinct providers.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Bcbsmt to publish this rate
The bottom of the local market (P10) is $416.81 and the top (P90) is $456; the median-to-P90 spread is $0.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Bcbsmt to publish this rate
The lowest published rate in this market is $265.29; the highest is $582.20.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Bcbsmt to publish this rate
This benchmark is drawn from 470 individual rate records that Bcbsmt itself published for this code in this metro.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Bcbsmt to publish this rate
Medicare's national non-facility rate for CPT 28470 is $237.15, making the Bcbsmt local median 192% of Medicare.Source: Medicare Physician Fee Schedule; the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Bcbsmt to publish this rate
63.2% 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 Bcbsmt 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)

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

Find yourself on this curve. Enter your NPI: no account, no email, no PHI.

Free, forever, unmetered. Possession-channel verification only if you choose to claim the record; looking is always free.

See where your rate lands

This is the local market for CPT 28470 (Closed treatment of metatarsal fracture) under Bcbsmt in Lincoln, NE. 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.

Run a free RateScore on your NPI → Talk to us about Bcbsmt

Documented reimbursement opportunity, modeled from published rates and never a guaranteed outcome.

Modeled from Bcbsmt'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 Bcbsmt to publish this rate. Page generated 2026-08-24 07:04 UTC; the live index is queried in real time on every request.