Reddenda · Rate Intelligence · St. Louis, MO-IL
72170 under Anthem Blue Cross Blue Shield (MO) in St. Louis, MO-IL: a flat fee schedule
X-ray, pelvis, 1-2 views · No dispersion to score. Flat fee schedule
What we found
- Anthem Blue Cross Blue Shield (MO) pays exactly $32.46 for CPT 72170 (X-ray, pelvis, 1-2 views) to 100% of the 10 providers indexed in St. Louis, MO-IL.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Anthem Blue Cross Blue Shield (MO) to publish this rate
- This cell has 10 individual rate records and 10 distinct providers, all converging on one number.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Anthem Blue Cross Blue Shield (MO) to publish this rate
- Because the rate is flat, there is no local percentile to claim here: every peer is paid the same, so "below median" is not a meaningful complaint against this specific file.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Anthem Blue Cross Blue Shield (MO) to publish this rate
- A rate change here would have to come from a fee-schedule renegotiation with Anthem Blue Cross Blue Shield (MO) directly, not a peer-comparison argument, since 100% of the local market already sits at the identical number.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Anthem Blue Cross Blue Shield (MO) to publish this rate
- Medicare's national non-facility rate for CPT 72170 is $28.06; Anthem Blue Cross Blue Shield (MO)'s flat $32.46 is 116% of that Medicare rate.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Anthem Blue Cross Blue Shield (MO) 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 (45 CFR §149.510(c)(4)(iii)(B)).Source: 45 CFR §149.510(c)(4)(iii)(B) (No Surprises Act IDR)
10 providers bill this code to this payer in this metro.
Find yourself on this curve. Enter your NPI: no account, no email, no PHI.
See where your rate lands
This is the local market for CPT 72170 (X-ray, pelvis, 1-2 views) under Anthem Blue Cross Blue Shield (MO) in St. Louis, MO-IL. 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.
Documented reimbursement opportunity, modeled from published rates and never a guaranteed outcome.
Modeled from Anthem Blue Cross Blue Shield (MO)'s own published in-network rates, not guaranteed. Peer basis: same CPT, same payer file, same metro (CBSA); never a pooled payer family, never a national average. Page generated 2026-08-25 19:23 UTC.