What does Anthem pay for CPT 43245 in Anchorage, AK?

The local peer median for CPT 43245 under Anthem in Anchorage, AK is $700.65, based on 474 indexed providers. Modeled from published rates, not guaranteed.

What is the top of the local market (P90) for CPT 43245 under Anthem in Anchorage, AK?

The P90, the top of the local market and Reddenda's target rate, is $2,327.40.

How does Anthem's rate for CPT 43245 compare to Medicare?

The Anthem local median of $700.65 is 107% of Medicare's national non-facility rate of $654.99 for CPT 43245.

Reddenda · Rate Intelligence · Anchorage, AK

43245 under Anthem in Anchorage, AK

Name: Anthem rates for CPT 43245 in Anchorage, AK
Creator: Reddenda

EGD w/ dilation gastric outlet · Local peer median $700.65 · High confidence

$700.65 local peer median. In the Anchorage, AK market, Anthem pays a local peer median of $700.65 for CPT 43245 (EGD w/ dilation gastric outlet), based on 474 providers in Reddenda's index of Anthem's own published in-network rates. The top of the local market, the P90 target, is $2,327.40, 232% above the median. A provider billed below the local median is being paid less than peers holding the identical Anthem contract in Anchorage, AK for the identical code. Modeled from published rates, not guaranteed.

Local distribution · 474 providers · 474 rate records

P10

$327.98

P25

$587.50

Median

$700.65

P75

$1,085.71

P90 (target)

$2,327.40

P10$327.98

P25$587.50

Median (P50)$700.65

P75$1,085.71

P90 target$2,327.40

Peer basis: local peer distribution: same CPT, same payer file, same metro (CBSA) Benchmark: local peer median; never a national average Range: $187.75 – $4,400.51

The local peer median for CPT 43245 under Anthem in Anchorage, AK is $700.65, drawn from 474 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 $327.98 and the top (P90) is $2,327.40; the median-to-P90 spread is $1,626.75.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 $187.75; the highest is $4,400.51.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Anthem to publish this rate
This benchmark is drawn from 474 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 43245 is $654.99, making the Anthem local median 107% of Medicare.Source: Medicare Physician Fee Schedule; the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Anthem to publish this rate
34.8% 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 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)

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

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This is the local market for CPT 43245 (EGD w/ dilation gastric outlet) under Anthem in Anchorage, AK. 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 2026-08-23 22:35 UTC; the live index is queried in real time on every request.