What does Bcbsmt pay for CPT 95811 in San Antonio-New Braunfels, TX?

The local peer median for CPT 95811 under Bcbsmt in San Antonio-New Braunfels, TX is $866.46, based on 112 indexed providers. Modeled from published rates, not guaranteed.

What is the top of the local market (P90) for CPT 95811 under Bcbsmt in San Antonio-New Braunfels, TX?

The P90, the top of the local market and Reddenda's target rate, is $1,668.61.

Reddenda · Rate Intelligence · San Antonio-New Braunfels, TX

95811 under Bcbsmt in San Antonio-New Braunfels, TX

Name: Bcbsmt rates for CPT 95811 in San Antonio-New Braunfels, TX
Creator: Reddenda

Local peer median $866.46 · High confidence

$866.46 local peer median. In the San Antonio-New Braunfels, TX market, Bcbsmt pays a local peer median of $866.46 for CPT 95811, based on 112 providers in Reddenda's index of Bcbsmt's own published in-network rates. The top of the local market, the P90 target, is $1,668.61, 93% above the median. A provider billed below the local median is being paid less than peers holding the identical Bcbsmt contract in San Antonio-New Braunfels, TX for the identical code. Modeled from published rates, not guaranteed.

Local distribution · 112 providers · 129 rate records

P10

$427

P25

$582.03

Median

$866.46

P75

$1,369.31

P90 (target)

$1,668.61

P10$427

P25$582.03

Median (P50)$866.46

P75$1,369.31

P90 target$1,668.61

Peer basis: local peer distribution: same CPT, same payer file, same metro (CBSA) Benchmark: local peer median; never a national average Range: $103.77 – $2,641.95

The local peer median for CPT 95811 under Bcbsmt in San Antonio-New Braunfels, TX is $866.46, drawn from 112 distinct providers.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Bcbsmt to publish this rate
The bottom of the local market (P10) is $427 and the top (P90) is $1,668.61; the median-to-P90 spread is $802.15.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Bcbsmt to publish this rate
The lowest published rate in this market is $103.77; the highest is $2,641.95.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Bcbsmt to publish this rate
This benchmark is drawn from 129 individual rate records that Bcbsmt itself published for this code in this metro.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Bcbsmt to publish this rate
8.5% 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 Bcbsmt 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)

112 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 Bcbsmt'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 Bcbsmt to publish this rate. Page generated 2026-08-23 23:10 UTC; the live index is queried in real time on every request.