Internal medicine · Alaska

Internal medicine commercial reimbursement in Alaska

How Alaska internal medicine rates compare with the national market.

Internal medicine in Alaska

25 codes · 97 sampled providers
Index vs national
182
82% above
Rank among states
1 of 51
1 = highest
Codes above national
25 of 25
median code at 182%
Providers
97
sampled

What the data shows

1

Internal medicine ranks 1st of 51 states in Alaska with an index of 182 (100 = the specialty's national median), across 25 codes and 97 sampled providers.

2

Of the 25 internal medicine codes with enough data in Alaska, 25 pay above the national median and 0 below; the typical code sits at 182% of the national median.

3

Largest premium over the national median: CPT 20610 (Drain/inj joint/bursa w/o us) at 221%; largest discount: CPT 99454 (Rem mntr physiol param 16-30) at 153%.

4

Measured against Medicare, Alaska internal medicine rates have a median of 215% of the Medicare rate across these codes.

Codes above and below the national median

The five largest gaps in each direction

Highest vs national

CodeAlaskaNationalGapProv.
20610
Drain/inj joint/bursa w/o us
$184$83+121%97
78452
Ht muscle image spect mult
$1,271$621+105%89
99490
Chrnc care mgmt staff 1st 20
$120$61+97%96
93880
Extracranial bilat study
$546$285+91%96
99487
Cplx chrnc care 1st 60 min
$232$121+91%96

Lowest vs national

CodeAlaskaNationalGapProv.
99454
Rem mntr physiol param 16-30
$116$76+53%96
96372
Ther/proph/diag inj sc/im
$38$24+59%97
93306
Tte w/doppler complete
$536$319+68%96
93000
Electrocardiogram complete
$43$25+71%97
99348
Home/res vst est low mdm 30
$187$109+72%89

All internal medicine codes in Alaska

Median across payers vs the specialty's national median and the Medicare rate; sorted by premium
CodeAlaskaNationalGap% of MedicareProvidersTINsLevel
CPT 20610
Drain/inj joint/bursa w/o us
$184$83+121%267%97162
CPT 78452
Ht muscle image spect mult
$1,271$621+105%297%89155
CPT 99490
Chrnc care mgmt staff 1st 20
$120$61+97%182%96157
CPT 93880
Extracranial bilat study
$546$285+91%289%96155
CPT 99487
Cplx chrnc care 1st 60 min
$232$121+91%161%96158
CPT 45385
Colonoscopy w/lesion removal
$1,011$535+89%453%90156
CPT 99215
Office o/p est hi 40 min
$352$188+87%183%97159
CPT 99214
Office o/p est mod 30 min
$250$134+87%185%97159
CPT 99457
Rpm tx mgmt 1st 20 min
$99$53+87%191%96158
CPT 99497
Advncd care plan 30 min
$202$108+86%232%97160
CPT 99213
Office o/p est low 20 min
$169$92+83%177%97159
CPT 99350
Home/res vst est high mdm 60
$453$247+83%234%89153
CPT 99495
Transj care mgmt mod f2f 14d
$384$211+82%175%97161
CPT 99204
Office o/p new mod 45 min
$356$196+81%201%97159
CPT 99496
Transj care mgmt high f2f 7d
$522$291+79%175%97160
CPT 99349
Home/res vst est mod mdm 40
$311$174+78%235%90153
CPT 90960
Esrd srv 4 visits p mo 20+
$800$453+77%215%89152
CPT 99212
Office o/p est sf 10 min
$91$52+76%153%97159
CPT 99203
Office o/p new low 30 min
$218$125+74%185%97159
CPT 99205
Office o/p new hi 60 min
$443$256+73%187%97159
CPT 99348
Home/res vst est low mdm 30
$187$109+72%237%89153
CPT 93000
Electrocardiogram complete
$43$25+71%278%97159
CPT 93306
Tte w/doppler complete
$536$319+68%273%96157
CPT 96372
Ther/proph/diag inj sc/im
$38$24+59%248%97162
CPT 99454
Rem mntr physiol param 16-30
$116$76+53%223%96160

Frequently asked questions

How do Alaska internal medicine rates compare with the rest of the country?

Alaska ranks 1st of 51 states with an index of 182; 25 of 25 codes are above the national median.

Which internal medicine code has the biggest premium in Alaska?

CPT 20610 (Drain/inj joint/bursa w/o us), at 221% of the national median.

Are these Medicare or commercial rates?

Commercial in-network negotiated rates from four national payers' published files; the Medicare comparison column uses the CY2026 Medicare physician fee schedule.

Methodology

How these numbers are calculated
  • Source: in-network negotiated-rate files published under the federal Transparency in Coverage rule, August 2026 snapshot: UnitedHealthcare Choice plans (74 files); Aetna commercial plans (70 files); Cigna national PPO (1 files); BCBS licensees' own-network files (5,387 files). Payer comparisons describe these files, not each payer's entire book of business.
  • Sample: rates come from a random sample of up to 150 providers per state and specialty. Counts on this page are sampled providers and TINs, not totals.
  • Which providers count: only providers in a specialty relevant to the code, because a rate in a payer file attaches to a provider group and is listed under every provider in that group.
  • Filters: fee-for-service, professional billing class, no modifier, negotiated or fee-schedule dollar rates. Rates outside 1% to 1,000% of the Medicare rate are excluded.
  • Statistic: one median rate per provider, then percentiles across providers. A cell is shown only with at least 15 sampled providers and 4 TINs.
  • Medicare benchmark: CY2026 national physician fee schedule, non-QPP conversion factor, unadjusted for locality. Where the non-facility rate is more than twice the facility rate (office rates that include device or supply cost), the facility rate is used so comparisons are like for like.

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