What is the top of the local market (P90) for CPT 55706 under Premera Ak for Tuscaloosa, AL providers?

The P90, the top of the local market and Reddenda's target rate, is $475.

Reddenda · Rate Intelligence · Tuscaloosa, AL

55706 under Premera Ak, for Tuscaloosa, AL providers

Name: Premera Ak rates for CPT 55706 among Tuscaloosa, AL providers
Creator: Reddenda

Local peer median $475 · Medium confidence

$475 local peer median. Premera Ak's published rate file lists a local peer median of $475 for CPT 55706 among 269 indexed providers in Tuscaloosa, AL. Where a Blue Cross entity’s label carries a state, that state names the file we found the rate in, not the provider’s location. Blue Cross plans file separately per state and do not share rates, even for the same provider. The top of that filed distribution, the P90 target, is $475, 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 this median is being paid less than peers holding the identical Premera Ak contract for the identical code. Modeled from published rates, not guaranteed.

Local distribution · 269 providers · 269 rate records

P10

$346.75

P25

$475

Median

$475

P75

$475

P90 (target)

$475

P10$346.75

P25$475

Median (P50)$475

P75$475

P90 target$475

Peer basis: local peer distribution: same CPT, same payer file, same metro (CBSA) Benchmark: local peer median; never a national average Range: $346.75 – $698.40

The local peer median for CPT 55706 under Premera Ak for Tuscaloosa, AL providers is $475, drawn from 269 distinct providers.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Premera Ak to publish this rate
The bottom of the local market (P10) is $346.75 and the top (P90) is $475; the median-to-P90 spread is $0.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Premera Ak to publish this rate
The lowest published rate in this market is $346.75; the highest is $698.40.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Premera Ak to publish this rate
This benchmark is drawn from 269 individual rate records that Premera Ak itself published for this code in this metro.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Premera Ak to publish this rate
75.5% 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 Premera Ak 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)

269 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 Premera Ak'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 Premera Ak to publish this rate. Page generated 2026-08-23 23:49 UTC; the live index is queried in real time on every request.