Christopher W. Duncan
gi · Seattle-Tacoma-Bellevue, WA
Aetna is the worst-paying contract we can score for Christopher W. Duncan — 87.8% of local peers, paid by the same payer for the same codes in the same metro, are paid more. That is the payer's pricing decision, not a reflection on this provider.
Position by payer
Your median contracted rate vs the local peer median, per payer, for every payer we can score in Seattle-Tacoma-Bellevue, WA. 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 | $656.80 | $972.06 | −$315.26 | 367 |
| Aetna Ca | 8 | $36.00 | $47.97 | −$11.97 | 433 |
| Regence Or Wa 4 | 59 | $79.93 | $98.16 | −$18.23 | 475 |
| Anthem National | 177 | $170.44 | $126.10 | +$44.34 | 697 |
| Cigna | 5 | $288.50 | $463.50 | −$175.00 | 723 |
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 |
|---|---|---|---|---|---|---|
| Anthem National | 23472 | $3,286.33 | $2,936.50 | $4,377.50 | $1,091.17 | 3118 |
| Anthem National | 27447 | $2,918.05 | $2,620.06 | $3,776.03 | $857.98 | 3127 |
| Anthem National | 45384 | $509.04 | $477.26 | $1,281.00 | $771.96 | 3121 |
| Aetna | 45380 | $656.80 | $972.06 | $1,280.30 | $623.50 | 49 |
| Anthem National | 43239 | $308.93 | $515.50 | $899.60 | $590.67 | 3135 |
| Anthem National | 45380 | $448.17 | $471.35 | $1,032.25 | $584.08 | 3127 |
| Regence Or Wa 4 | 64633 | $612.61 | $612.61 | $1,181.13 | $568.52 | 2423 |
| Anthem National | 95811 | $656.60 | $696.00 | $1,218.07 | $561.47 | 3138 |
| Cigna | 43239 | $288.50 | $463.50 | $843.69 | $555.19 | 40 |
| Regence Or Wa 4 | 64483 | $150.61 | $292.17 | $664.67 | $514.06 | 2423 |
What insurers pay nationally for these codes: 23472 · 27447 · 45384 · 45380 · 43239 · 64633 · 95811 · 64483
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