Kerry L. Bayer Cole
Washington-Arlington-Alexandria, DC-VA-MD-WV
Aetna is the worst-paying contract we can score for Kerry L. Bayer Cole — 96.9% 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 Washington-Arlington-Alexandria, DC-VA-MD-WV. 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 | 3 | $74.63 | $120.19 | −$45.56 | 317 |
| UnitedHealthcare | 11 | $59.12 | $105.69 | −$46.57 | 358 |
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 |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 11301 | $35.18 | $112.17 | $189.49 | $154.31 | 28 |
| UnitedHealthcare | 17262 | $117.53 | $168.76 | $241.04 | $123.51 | 33 |
| Aetna | 17110 | $70.92 | $120.19 | $191.65 | $120.73 | 92 |
| UnitedHealthcare | 17110 | $44.80 | $105.69 | $157.41 | $112.61 | 161 |
| Aetna | 99202 | $74.63 | $75.62 | $161.76 | $87.13 | 60 |
| Aetna | 17262 | $113.65 | $186.46 | $197.64 | $83.99 | 16 |
| UnitedHealthcare | 11310 | $31.43 | $107.25 | $112.15 | $80.72 | 10 |
| UnitedHealthcare | 17000 | $35.89 | $62.86 | $110.68 | $74.79 | 145 |
| UnitedHealthcare | 11300 | $66.62 | $94.80 | $139.57 | $72.95 | 18 |
| UnitedHealthcare | 11306 | $82.10 | $111.66 | $141.96 | $59.86 | 11 |
What insurers pay nationally for these codes: 11301 · 17110 · 17000 · 11300 · 11306
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