What does Centene National pay for CPT 95811 in Austin-Round Rock-San Marcos, TX?

The local peer median for CPT 95811 under Centene National in Austin-Round Rock-San Marcos, TX is $674.80, based on 47 indexed providers. Modeled from published rates, not guaranteed.

What is the top of the local market (P90) for CPT 95811 under Centene National in Austin-Round Rock-San Marcos, TX?

The P90, the top of the local market and Reddenda's target rate, is $1,410.67.

Reddenda · Rate Intelligence · Austin-Round Rock-San Marcos, TX

95811 under Centene National in Austin-Round Rock-San Marcos, TX

Name: Centene National rates for CPT 95811 in Austin-Round Rock-San Marcos, TX
Creator: Reddenda

Local peer median $674.80 · High confidence

$674.80 local peer median. In the Austin-Round Rock-San Marcos, TX market, Centene National pays a local peer median of $674.80 for CPT 95811, based on 47 providers in Reddenda's index of Centene National's own published in-network rates. The top of the local market, the P90 target, is $1,410.67, 109% above the median. A provider billed below the local median is being paid less than peers holding the identical Centene National contract in Austin-Round Rock-San Marcos, TX for the identical code. Modeled from published rates, not guaranteed.

Local distribution · 47 providers · 47 rate records

P10

$611.34

P25

$627.57

Median

$674.80

P75

$1,410.67

P90 (target)

$1,410.67

P10$611.34

P25$627.57

Median (P50)$674.80

P75$1,410.67

P90 target$1,410.67

Peer basis: local peer distribution: same CPT, same payer file, same metro (CBSA) Benchmark: local peer median; never a national average Range: $418.34 – $1,410.67

The local peer median for CPT 95811 under Centene National in Austin-Round Rock-San Marcos, TX is $674.80, drawn from 47 distinct providers.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Centene National to publish this rate
The bottom of the local market (P10) is $611.34 and the top (P90) is $1,410.67; the median-to-P90 spread is $735.87.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Centene National to publish this rate
The lowest published rate in this market is $418.34; the highest is $1,410.67.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Centene National to publish this rate
This benchmark is drawn from 47 individual rate records that Centene National itself published for this code in this metro.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Centene National to publish this rate
31.9% 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 National 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)

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

Find yourself on this curve. Enter your NPI: no account, no email, no PHI.

Free, forever, unmetered. Possession-channel verification only if you choose to claim the record; looking is always free.

See where your rate lands

This is the local market for CPT 95811 under Centene National in Austin-Round Rock-San Marcos, TX. 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.

Run a free RateScore on your NPI → Talk to us about Centene National

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

Modeled from Centene National'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 National to publish this rate. Page generated 2026-08-23 23:53 UTC; the live index is queried in real time on every request.