Donald L Resnick
radiology · San Diego-Chula Vista-Carlsbad, CA
Position by payer
Your median contracted rate vs the local peer median, per payer, for every payer we can score in San Diego-Chula Vista-Carlsbad, CA. Where a Blue Cross entity's label carries a state, that state names the file we found the rate in, not this practice's location — Blue Cross plans file separately per state and do not share rates, even for the same provider.
| Payer | Codes | Your median | Local peer median | Gap | RateScore |
|---|---|---|---|---|---|
| Aetna | 1 | $475.00 | $335.00 | +$140.00 | 682 |
| Cigna | 2 | $701.83 | $426.07 | +$275.76 | 733 |
| Blueshield Ca | 25 | $244.43 | $179.98 | +$64.45 | 758 |
Documented reimbursement opportunity
The largest per-encounter gaps to the local P90 target, code by code. Modeled from published rates, not guaranteed — per encounter, not annualized.
| Payer | CPT | Your rate | Local median | Local P90 | Per-encounter gap | Peers |
|---|---|---|---|---|---|---|
| Cigna | 73721 | $706.33 | $427.32 | $1,372.66 | $666.33 | 20 |
| Cigna | 73221 | $697.32 | $424.81 | $1,355.15 | $657.83 | 18 |
| Aetna | 73221 | $475.00 | $335.00 | $737.07 | $262.07 | 18 |
| Blueshield Ca | J2350 | $101.63 | $101.63 | $149.74 | $48.11 | 23 |
| Blueshield Ca | 67412 | $2,735.35 | $1,872.67 | $2,758.23 | $22.88 | 26 |
| Blueshield Ca | 29873 | $1,747.86 | $1,347.45 | $1,759.55 | $11.69 | 27 |
| Blueshield Ca | 87661 | $152.68 | $85.78 | $155.23 | $2.55 | 29 |
| Blueshield Ca | J0698 | $4.76 | $4.76 | $6.84 | $2.08 | 21 |
| Blueshield Ca | 84704 | $52.06 | $36.80 | $52.50 | $0.44 | 26 |
What insurers pay nationally for these codes: 73721
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