What does Centene pay for CPT 52315 in Los Angeles-Long Beach-Anaheim, CA?

The local peer median for CPT 52315 under Centene in Los Angeles-Long Beach-Anaheim, CA is $1,393, based on 1154 indexed providers. Modeled from published rates, not guaranteed.

What is the top of the local market (P90) for CPT 52315 under Centene in Los Angeles-Long Beach-Anaheim, CA?

The P90, the top of the local market and Reddenda's target rate, is $1,393.

Reddenda · Rate Intelligence · Los Angeles-Long Beach-Anaheim, CA

52315 under Centene in Los Angeles-Long Beach-Anaheim, CA

Name: Centene rates for CPT 52315 in Los Angeles-Long Beach-Anaheim, CA
Creator: Reddenda

Local peer median $1,393 · Medium confidence

$1,393 local peer median. In the Los Angeles-Long Beach-Anaheim, CA market, Centene pays a local peer median of $1,393 for CPT 52315, based on 1154 providers in Reddenda's index of Centene's own published in-network rates. The top of the local market, the P90 target, is $1,393, 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 Centene contract in Los Angeles-Long Beach-Anaheim, CA for the identical code. Modeled from published rates, not guaranteed.

Local distribution · 1154 providers · 1154 rate records

P10

$454.08

P25

$1,393

Median

$1,393

P75

$1,393

P90 (target)

$1,393

P10$454.08

P25$1,393

Median (P50)$1,393

P75$1,393

P90 target$1,393

Peer basis: local peer distribution: same CPT, same payer file, same metro (CBSA) Benchmark: local peer median; never a national average Range: $221.65 – $1,393

The local peer median for CPT 52315 under Centene in Los Angeles-Long Beach-Anaheim, CA is $1,393, drawn from 1154 distinct providers.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Centene to publish this rate
The bottom of the local market (P10) is $454.08 and the top (P90) is $1,393; the median-to-P90 spread is $0.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Centene to publish this rate
The lowest published rate in this market is $221.65; the highest is $1,393.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Centene to publish this rate
This benchmark is drawn from 1154 individual rate records that Centene itself published for this code in this metro.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Centene to publish this rate
86.5% 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 Centene 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)

1154 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 Centene'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 Centene to publish this rate. Page generated 2026-08-23 23:50 UTC; the live index is queried in real time on every request.