What does Centene pay for CPT 97162 in Dallas-Fort Worth-Arlington, TX?

The local peer median for CPT 97162 under Centene in Dallas-Fort Worth-Arlington, TX is $105, based on 129 indexed providers. Modeled from published rates, not guaranteed.

What is the top of the local market (P90) for CPT 97162 under Centene in Dallas-Fort Worth-Arlington, TX?

The P90, the top of the local market and Reddenda's target rate, is $105.

How does Centene's rate for CPT 97162 compare to Medicare?

The Centene local median of $105 is 107% of Medicare's national non-facility rate of $97.86 for CPT 97162.

Reddenda · Rate Intelligence · Dallas-Fort Worth-Arlington, TX

97162 under Centene in Dallas-Fort Worth-Arlington, TX

Name: Centene rates for CPT 97162 in Dallas-Fort Worth-Arlington, TX
Creator: Reddenda

PT evaluation, moderate complexity · Local peer median $105 · Medium confidence

$105 local peer median. In the Dallas-Fort Worth-Arlington, TX market, Centene pays a local peer median of $105 for CPT 97162 (PT evaluation, moderate complexity), based on 129 providers in Reddenda's index of Centene's own published in-network rates. The top of the local market, the P90 target, is $105, which is the same as the median here: this payer's filed rates for this code cluster on one number, so the opportunity in this cell is reaching the median rather than exceeding it. A provider billed below the local median is being paid less than peers holding the identical Centene contract in Dallas-Fort Worth-Arlington, TX for the identical code. Modeled from published rates, not guaranteed.

Local distribution · 129 providers · 130 rate records

P10

$68.67

P25

$74.15

Median

$105

P75

$105

P90 (target)

$105

P10$68.67

P25$74.15

Median (P50)$105

P75$105

P90 target$105

Peer basis: local peer distribution: same CPT, same payer file, same metro (CBSA) Benchmark: local peer median; never a national average Range: $66.84 – $105

The local peer median for CPT 97162 under Centene in Dallas-Fort Worth-Arlington, TX is $105, drawn from 129 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 $68.67 and the top (P90) is $105; the median-to-P90 spread is $0.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 $66.84; the highest is $105.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Centene to publish this rate
This benchmark is drawn from 130 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 97162 is $97.86, making the Centene local median 107% of Medicare.Source: Medicare Physician Fee Schedule; the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Centene to publish this rate
63.8% 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)

129 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 97162 (PT evaluation, moderate complexity) under Centene in Dallas-Fort Worth-Arlington, 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

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 2026-08-24 10:27 UTC; the live index is queried in real time on every request.