What does Centene pay for CPT 93970 in St. Louis, MO-IL?

The local peer median for CPT 93970 under Centene in St. Louis, MO-IL is $141.16, based on 3000 indexed providers. Modeled from published rates, not guaranteed.

What is the top of the local market (P90) for CPT 93970 under Centene in St. Louis, MO-IL?

The P90, the top of the local market and Reddenda's target rate, is $239.37.

How does Centene's rate for CPT 93970 compare to Medicare?

The Centene local median of $141.16 is 77% of Medicare's national non-facility rate of $184.04 for CPT 93970.

Reddenda · Rate Intelligence · St. Louis, MO-IL

93970 under Centene in St. Louis, MO-IL

Name: Centene rates for CPT 93970 in St. Louis, MO-IL
Creator: Reddenda

Extremity venous duplex, complete bilateral · Local peer median $141.16 · High confidence

$141.16 local peer median. In the St. Louis, MO-IL market, Centene pays a local peer median of $141.16 for CPT 93970 (Extremity venous duplex, complete bilateral), based on 3000 providers in Reddenda's index of Centene's own published in-network rates. The top of the local market, the P90 target, is $239.37, 70% above the median. A provider billed below the local median is being paid less than peers holding the identical Centene contract in St. Louis, MO-IL for the identical code. Modeled from published rates, not guaranteed.

Local distribution · 3000 providers · 3000 rate records

P10

$141.16

P25

$141.16

Median

$141.16

P75

$239.37

P90 (target)

$239.37

P10$141.16

P25$141.16

Median (P50)$141.16

P75$239.37

P90 target$239.37

Peer basis: local peer distribution: same CPT, same payer file, same metro (CBSA) Benchmark: local peer median; never a national average Range: $114.40 – $424.53

The local peer median for CPT 93970 under Centene in St. Louis, MO-IL is $141.16, drawn from 3000 distinct providers.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Centene to publish this rate
The bottom of the local market (P10) is $141.16 and the top (P90) is $239.37; the median-to-P90 spread is $98.21.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Centene to publish this rate
The lowest published rate in this market is $114.40; the highest is $424.53.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Centene to publish this rate
This benchmark is drawn from 3000 individual rate records that Centene itself published for this code in this metro.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Centene to publish this rate
Medicare's national non-facility rate for CPT 93970 is $184.04, making the Centene local median 77% of Medicare.Source: Medicare Physician Fee Schedule; the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Centene to publish this rate
49.6% 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 Centene 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)

3000 providers bill this code to this payer in this metro.

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This is the local market for CPT 93970 (Extremity venous duplex, complete bilateral) under Centene 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.

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Documented reimbursement opportunity, modeled from published rates and never a guaranteed outcome.

Modeled from Centene'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 Centene to publish this rate. Page generated 2026-08-23 23:05 UTC; the live index is queried in real time on every request.