What is the top of the local market (P90) for CPT 77065 under Bcbs Al for Pensacola-Ferry Pass-Brent, FL providers?

The P90, the top of the local market and Reddenda's target rate, is $159.

How does Bcbs Al's rate for CPT 77065 compare to Medicare?

The Bcbs Al local median of $159 is 128% of Medicare's national non-facility rate of $123.92 for CPT 77065.

Reddenda · Rate Intelligence · Pensacola-Ferry Pass-Brent, FL

77065 under Bcbs Al, for Pensacola-Ferry Pass-Brent, FL providers

Name: Bcbs Al rates for CPT 77065 among Pensacola-Ferry Pass-Brent, FL providers
Creator: Reddenda

Diagnostic mammography, unilateral · Local peer median $159 · low

$159 local peer median. Bcbs Al's published rate file lists a local peer median of $159 for CPT 77065 (Diagnostic mammography, unilateral) among 13 indexed providers in Pensacola-Ferry Pass-Brent, FL. 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 $159, 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 Bcbs Al contract for the identical code. Modeled from published rates, not guaranteed.

Local distribution · 13 providers · 13 rate records

P10

$124.66

P25

$159

Median

$159

P75

$159

P90 (target)

$159

P10$124.66

P25$159

Median (P50)$159

P75$159

P90 target$159

Peer basis: local peer distribution: same CPT, same payer file, same metro (CBSA) Benchmark: local peer median; never a national average Range: $116.07 – $159

The local peer median for CPT 77065 under Bcbs Al for Pensacola-Ferry Pass-Brent, FL providers is $159, drawn from 13 distinct providers.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Bcbs Al to publish this rate
The bottom of the local market (P10) is $124.66 and the top (P90) is $159; the median-to-P90 spread is $0.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Bcbs Al to publish this rate
The lowest published rate in this market is $116.07; the highest is $159.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Bcbs Al to publish this rate
This benchmark is drawn from 13 individual rate records that Bcbs Al itself published for this code in this metro.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Bcbs Al to publish this rate
Medicare's national non-facility rate for CPT 77065 is $123.92, making the Bcbs Al local median 128% of Medicare.Source: Medicare Physician Fee Schedule; the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Bcbs Al to publish this rate
84.6% 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 Bcbs Al 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)

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

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These are the rates Bcbs Al publishes for CPT 77065 (Diagnostic mammography, unilateral) among Pensacola-Ferry Pass-Brent, FL providers. 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 Bcbs Al'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 Bcbs Al to publish this rate. Page generated 2026-08-24 10:31 UTC; the live index is queried in real time on every request.