What is the top of the local market (P90) for CPT 90847 under Horizon Nj for Casper, WY providers?

The P90, the top of the local market and Reddenda's target rate, is $183.

How does Horizon Nj's rate for CPT 90847 compare to Medicare?

The Horizon Nj local median of $183 is 167% of Medicare's national non-facility rate of $109.55 for CPT 90847.

Reddenda · Rate Intelligence · Casper, WY

90847 under Horizon Nj, for Casper, WY providers

Name: Horizon Nj rates for CPT 90847 among Casper, WY providers
Creator: Reddenda

Family psychotherapy with patient, 50 min · Local peer median $183 · Medium confidence

$183 local peer median. Horizon Nj's published rate file lists a local peer median of $183 for CPT 90847 (Family psychotherapy with patient, 50 min) among 126 indexed providers in Casper, WY. 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 $183, 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 Horizon Nj contract for the identical code. Modeled from published rates, not guaranteed.

Local distribution · 126 providers · 127 rate records

P10

$149

P25

$149

Median

$183

P75

$183

P90 (target)

$183

P10$149

P25$149

Median (P50)$183

P75$183

P90 target$183

Peer basis: local peer distribution: same CPT, same payer file, same metro (CBSA) Benchmark: local peer median; never a national average Range: $137.21 – $192.06

The local peer median for CPT 90847 under Horizon Nj for Casper, WY providers is $183, drawn from 126 distinct providers.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Horizon Nj to publish this rate
The bottom of the local market (P10) is $149 and the top (P90) is $183; the median-to-P90 spread is $0.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Horizon Nj to publish this rate
The lowest published rate in this market is $137.21; the highest is $192.06.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Horizon Nj to publish this rate
This benchmark is drawn from 127 individual rate records that Horizon Nj itself published for this code in this metro.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Horizon Nj to publish this rate
Medicare's national non-facility rate for CPT 90847 is $109.55, making the Horizon Nj local median 167% of Medicare.Source: Medicare Physician Fee Schedule; the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Horizon Nj to publish this rate
65.4% 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 Horizon Nj 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)

126 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 Horizon Nj'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 Horizon Nj to publish this rate. Page generated 2026-08-24 06:06 UTC; the live index is queried in real time on every request.