What does Bcbsmt pay for CPT 99285 in Anchorage, AK?

The local peer median for CPT 99285 under Bcbsmt in Anchorage, AK is $1,040, based on 464 indexed providers. Modeled from published rates, not guaranteed.

What is the top of the local market (P90) for CPT 99285 under Bcbsmt in Anchorage, AK?

The P90, the top of the local market and Reddenda's target rate, is $1,040.

How does Bcbsmt's rate for CPT 99285 compare to Medicare?

The Bcbsmt local median of $1,040 is 607% of Medicare's national non-facility rate of $171.35 for CPT 99285.

Reddenda · Rate Intelligence · Anchorage, AK

99285 under Bcbsmt in Anchorage, AK

Name: Bcbsmt rates for CPT 99285 in Anchorage, AK
Creator: Reddenda

Emergency dept visit, level 5 · Local peer median $1,040 · Medium confidence

$1,040 local peer median. In the Anchorage, AK market, Bcbsmt pays a local peer median of $1,040 for CPT 99285 (Emergency dept visit, level 5), based on 464 providers in Reddenda's index of Bcbsmt's own published in-network rates. The top of the local market, the P90 target, is $1,040, 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 Bcbsmt contract in Anchorage, AK for the identical code. Modeled from published rates, not guaranteed.

Local distribution · 464 providers · 467 rate records

P10

$353.80

P25

$1,040

Median

$1,040

P75

$1,040

P90 (target)

$1,040

P10$353.80

P25$1,040

Median (P50)$1,040

P75$1,040

P90 target$1,040

Peer basis: local peer distribution: same CPT, same payer file, same metro (CBSA) Benchmark: local peer median; never a national average Range: $160.18 – $1,259.06

The local peer median for CPT 99285 under Bcbsmt in Anchorage, AK is $1,040, drawn from 464 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 $353.80 and the top (P90) is $1,040; the median-to-P90 spread is $0.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 $160.18; the highest is $1,259.06.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Bcbsmt to publish this rate
This benchmark is drawn from 467 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
Medicare's national non-facility rate for CPT 99285 is $171.35, making the Bcbsmt local median 607% of Medicare.Source: Medicare Physician Fee Schedule; the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Bcbsmt to publish this rate
83.9% 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 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)

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

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This is the local market for CPT 99285 (Emergency dept visit, level 5) under Bcbsmt in Anchorage, AK. 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 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 23:55 UTC; the live index is queried in real time on every request.