What does Bcbsnm pay for CPT 31231 in Casper, WY?

The local peer median for CPT 31231 under Bcbsnm in Casper, WY is $117, based on 139 indexed providers. Modeled from published rates, not guaranteed.

What is the top of the local market (P90) for CPT 31231 under Bcbsnm in Casper, WY?

The P90, the top of the local market and Reddenda's target rate, is $205.

How does Bcbsnm's rate for CPT 31231 compare to Medicare?

The Bcbsnm local median of $117 is 60% of Medicare's national non-facility rate of $193.39 for CPT 31231.

Reddenda · Rate Intelligence · Casper, WY

31231 under Bcbsnm in Casper, WY

Name: Bcbsnm rates for CPT 31231 in Casper, WY
Creator: Reddenda

Nasal endoscopy, diagnostic · Local peer median $117 · Medium confidence

$117 local peer median. In the Casper, WY market, Bcbsnm pays a local peer median of $117 for CPT 31231 (Nasal endoscopy, diagnostic), based on 139 providers in Reddenda's index of Bcbsnm's own published in-network rates. The top of the local market, the P90 target, is $205, 75% above the median. A provider billed below the local median is being paid less than peers holding the identical Bcbsnm contract in Casper, WY for the identical code. Modeled from published rates, not guaranteed.

Local distribution · 139 providers · 139 rate records

P10

$117

P25

$117

Median

$117

P75

$117

P90 (target)

$205

P10$117

P25$117

Median (P50)$117

P75$117

P90 target$205

Peer basis: local peer distribution: same CPT, same payer file, same metro (CBSA) Benchmark: local peer median; never a national average Range: $58.50 – $382.56

The local peer median for CPT 31231 under Bcbsnm in Casper, WY is $117, drawn from 139 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 $117 and the top (P90) is $205; the median-to-P90 spread is $88.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 $58.50; the highest is $382.56.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Bcbsnm to publish this rate
This benchmark is drawn from 139 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
Medicare's national non-facility rate for CPT 31231 is $193.39, making the Bcbsnm local median 60% of Medicare.Source: Medicare Physician Fee Schedule; the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Bcbsnm to publish this rate
74.1% 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)

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

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This is the local market for CPT 31231 (Nasal endoscopy, diagnostic) under Bcbsnm in Casper, WY. 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 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 2026-08-24 00:28 UTC; the live index is queried in real time on every request.