Brandon Douglas Jones
Kingsport-Bristol, TN-VA
Aetna is the worst-paying contract we can score for Brandon Douglas Jones — 50.7% 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 Kingsport-Bristol, TN-VA. 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 | 2 | $67.03 | $68.40 | −$1.37 | 571 |
| Bcbst Tn | 9 | $80.04 | $79.09 | +$0.95 | 628 |
| UnitedHealthcare | 1 | $92.29 | $81.44 | +$10.85 | 630 |
| Bcbsnm | 1 | $314.33 | $286.94 | +$27.39 | 751 |
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 | 20610 | $92.29 | $81.44 | $139.04 | $46.75 | 20 |
| Aetna | 20610 | $114.22 | $114.22 | $152.65 | $38.43 | 12 |
| Bcbst Tn | 92081 | $21.15 | $35.31 | $57.46 | $36.31 | 385 |
| Bcbst Tn | 70450 | $76.81 | $79.09 | $110.62 | $33.81 | 568 |
| Bcbst Tn | 92100 | $80.04 | $109.06 | $109.06 | $29.02 | 13 |
| Aetna | 96372 | $19.84 | $22.58 | $39.74 | $19.90 | 27 |
| Bcbst Tn | 76872 | $96.28 | $80.07 | $116.06 | $19.78 | 198 |
| Bcbst Tn | 11720 | $35.07 | $47.40 | $49.00 | $13.93 | 15 |
| Bcbsnm | 10061 | $314.33 | $286.94 | $322.09 | $7.76 | 344 |
| Bcbst Tn | 95909 | $118.10 | $109.12 | $123.44 | $5.34 | 512 |
What insurers pay nationally for these codes: 20610 · 92081 · 92100 · 76872 · 11720 · 10061 · 95909
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