Gary Gordon Benjamin
radiology · Seattle-Tacoma-Bellevue, WA
Moda Or is the worst-paying contract we can score for Gary Gordon Benjamin — 85.2% 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 |
|---|---|---|---|---|---|
| Moda Or | 45 | $63.75 | $109.49 | −$45.74 | 381 |
| Aetna | 7 | $44.48 | $48.90 | −$4.42 | 425 |
| Aetna Ca | 7 | $36.00 | $49.87 | −$13.87 | 432 |
| Cigna | 11 | $54.85 | $54.85 | $0.00 | 549 |
| UnitedHealthcare | 3 | $666.51 | $666.51 | $0.00 | 575 |
| Anthem National | 177 | $193.41 | $126.10 | +$67.31 | 739 |
| Regence Or Wa 4 | 59 | $105.08 | $98.16 | +$6.92 | 822 |
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 |
|---|---|---|---|---|---|---|
| Moda Or | 64635 | $327.93 | $401.04 | $1,394.82 | $1,066.89 | 128 |
| Moda Or | 64633 | $333.03 | $400.33 | $1,376.79 | $1,043.76 | 128 |
| Anthem National | 28296 | $1,196.34 | $1,322.20 | $2,193.79 | $997.45 | 3123 |
| Anthem National | 23472 | $3,419.15 | $2,936.50 | $4,377.50 | $958.35 | 3118 |
| Anthem National | 43245 | $411.87 | $370.67 | $1,330.42 | $918.55 | 3122 |
| Regence Or Wa 4 | 64633 | $491.32 | $612.61 | $1,181.13 | $689.81 | 2423 |
| Anthem National | 45384 | $621.50 | $477.26 | $1,281.00 | $659.50 | 3121 |
| UnitedHealthcare | 32408 | $1,894.76 | $1,894.76 | $2,495.30 | $600.54 | 9 |
| Moda Or | 27095 | $122.91 | $159.14 | $713.75 | $590.84 | 128 |
| Anthem National | 45385 | $691.70 | $530.37 | $1,194.91 | $503.21 | 3128 |
What insurers pay nationally for these codes: 64635 · 64633 · 28296 · 23472 · 43245 · 45384 · 45385
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