Reddenda · Rate Intelligence · St. Louis, MO-IL
93880 under Bcbsil in St. Louis, MO-IL
Carotid duplex ultrasound, complete · Local peer median $246.50 · High confidence
Local distribution · 338 providers · 399 rate records
- The local peer median for CPT 93880 under Bcbsil in St. Louis, MO-IL is $246.50, drawn from 338 distinct providers.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Bcbsil to publish this rate
- The bottom of the local market (P10) is $162.93 and the top (P90) is $340; the median-to-P90 spread is $93.50.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Bcbsil to publish this rate
- The lowest published rate in this market is $35.71; the highest is $1,142.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Bcbsil to publish this rate
- This benchmark is drawn from 399 individual rate records that Bcbsil itself published for this code in this metro.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Bcbsil to publish this rate
- Medicare's national non-facility rate for CPT 93880 is $189.05, making the Bcbsil local median 130% of Medicare.Source: Medicare Physician Fee Schedule; the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Bcbsil to publish this rate
- 9.3% 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 Bcbsil 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)
338 providers bill this code to this payer in this metro.
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This is the local market for CPT 93880 (Carotid duplex ultrasound, complete) under Bcbsil 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 Bcbsil'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 Bcbsil to publish this rate. Page generated 2026-08-23 23:51 UTC; the live index is queried in real time on every request.