What does Centene pay for CPT 95811 in Phoenix-Mesa-Chandler, AZ?

The local peer median for CPT 95811 under Centene in Phoenix-Mesa-Chandler, AZ is $721.77, based on 721 indexed providers. Modeled from published rates, not guaranteed.

What is the top of the local market (P90) for CPT 95811 under Centene in Phoenix-Mesa-Chandler, AZ?

The P90, the top of the local market and Reddenda's target rate, is $900.

Reddenda · Rate Intelligence · Phoenix-Mesa-Chandler, AZ

95811 under Centene in Phoenix-Mesa-Chandler, AZ

Name: Centene rates for CPT 95811 in Phoenix-Mesa-Chandler, AZ
Creator: Reddenda

Local peer median $721.77 · Medium confidence

$721.77 local peer median. In the Phoenix-Mesa-Chandler, AZ market, Centene pays a local peer median of $721.77 for CPT 95811, based on 721 providers in Reddenda's index of Centene's own published in-network rates. The top of the local market, the P90 target, is $900, 25% above the median. A provider billed below the local median is being paid less than peers holding the identical Centene contract in Phoenix-Mesa-Chandler, AZ for the identical code. Modeled from published rates, not guaranteed.

Local distribution · 721 providers · 721 rate records

P10

$635.89

P25

$694.92

Median

$721.77

P75

$721.77

P90 (target)

$900

P10$635.89

P25$694.92

Median (P50)$721.77

P75$721.77

P90 target$900

Peer basis: local peer distribution: same CPT, same payer file, same metro (CBSA) Benchmark: local peer median; never a national average Range: $418.34 – $1,520.37

The local peer median for CPT 95811 under Centene in Phoenix-Mesa-Chandler, AZ is $721.77, drawn from 721 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 $635.89 and the top (P90) is $900; the median-to-P90 spread is $178.23.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 $418.34; the highest is $1,520.37.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Centene to publish this rate
This benchmark is drawn from 721 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
53.4% 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 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)

721 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 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 23:01 UTC; the live index is queried in real time on every request.