Reddenda · Rate Intelligence · Atlanta-Sandy Springs-Roswell, GA
93925 under Empire BlueCross BlueShield (NY), for Atlanta-Sandy Springs-Roswell, GA providers
Lower extremity arterial duplex, complete · Local peer median $217.45 · High confidence
Local distribution · 202 providers · 202 rate records
- The local peer median for CPT 93925 under Empire BlueCross BlueShield (NY) for Atlanta-Sandy Springs-Roswell, GA providers is $217.45, drawn from 202 distinct providers.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Empire BlueCross BlueShield (NY) to publish this rate
- The bottom of the local market (P10) is $176.94 and the top (P90) is $807.87; the median-to-P90 spread is $590.42.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Empire BlueCross BlueShield (NY) to publish this rate
- The lowest published rate in this market is $121.79; the highest is $1,407.64.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Empire BlueCross BlueShield (NY) to publish this rate
- This benchmark is drawn from 202 individual rate records that Empire BlueCross BlueShield (NY) itself published for this code in this metro.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Empire BlueCross BlueShield (NY) to publish this rate
- Medicare's national non-facility rate for CPT 93925 is $237.48, making the Empire BlueCross BlueShield (NY) local median 92% of Medicare.Source: Medicare Physician Fee Schedule; the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Empire BlueCross BlueShield (NY) to publish this rate
- 26.7% 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 Empire BlueCross BlueShield (NY) 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)
202 providers bill this code to this payer in this metro.
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These are the rates Empire BlueCross BlueShield (NY) publishes for CPT 93925 (Lower extremity arterial duplex, complete) among Atlanta-Sandy Springs-Roswell, GA 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.
Documented reimbursement opportunity, modeled from published rates and never a guaranteed outcome.
Modeled from Empire BlueCross BlueShield (NY)'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 Empire BlueCross BlueShield (NY) to publish this rate. Page generated 2026-08-23 23:58 UTC; the live index is queried in real time on every request.