What is the top of the local market (P90) for CPT 70496 under Anthem Blue Cross Blue Shield (CT) for Columbus, OH providers?

The P90, the top of the local market and Reddenda's target rate, is $1,241.50.

Reddenda · Rate Intelligence · Columbus, OH

70496 under Anthem Blue Cross Blue Shield (CT), for Columbus, OH providers

Name: Anthem Blue Cross Blue Shield (CT) rates for CPT 70496 among Columbus, OH providers
Creator: Reddenda

Local peer median $459.71 · High confidence

$459.71 local peer median. Anthem Blue Cross Blue Shield (CT)'s published rate file lists a local peer median of $459.71 for CPT 70496 among 853 indexed providers in Columbus, OH. 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 $1,241.50, 170% above the median. A provider billed below this median is being paid less than peers holding the identical Anthem Blue Cross Blue Shield (CT) contract for the identical code. Modeled from published rates, not guaranteed.

Local distribution · 853 providers · 910 rate records

P10

$242.30

P25

$308.73

Median

$459.71

P75

$1,241.50

P90 (target)

$1,241.50

P10$242.30

P25$308.73

Median (P50)$459.71

P75$1,241.50

P90 target$1,241.50

Peer basis: local peer distribution: same CPT, same payer file, same metro (CBSA) Benchmark: local peer median; never a national average Range: $81.57 – $1,241.50

The local peer median for CPT 70496 under Anthem Blue Cross Blue Shield (CT) for Columbus, OH providers is $459.71, drawn from 853 distinct providers.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Anthem Blue Cross Blue Shield (CT) to publish this rate
The bottom of the local market (P10) is $242.30 and the top (P90) is $1,241.50; the median-to-P90 spread is $781.79.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Anthem Blue Cross Blue Shield (CT) to publish this rate
The lowest published rate in this market is $81.57; the highest is $1,241.50.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Anthem Blue Cross Blue Shield (CT) to publish this rate
This benchmark is drawn from 910 individual rate records that Anthem Blue Cross Blue Shield (CT) itself published for this code in this metro.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Anthem Blue Cross Blue Shield (CT) to publish this rate
30.2% 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 Anthem Blue Cross Blue Shield (CT) 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)

853 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 Anthem Blue Cross Blue Shield (CT)'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 Blue Cross Blue Shield (CT) to publish this rate. Page generated 2026-08-23 23:04 UTC; the live index is queried in real time on every request.