Sample report: real layout, made-up numbers.

Sample report: real insurer names, invented dollar figures.

This sample is for providers already in-network with at least one insurer. Not in-network yet? View the insurer-comparison sample →

Where your rates sit, at a glance.

How your rates compare with psychiatric PAs near you, using your insurers' published data.

Prepared for: Carl Rogers, PA-C
Market: Raleigh, NC
ZIP code: 27601
Report date: July 30, 2026
Peers: 50 psychiatric PAs

Billing CodeOffice visit, established patient, moderate complexityAssumptions

960 sessions per year.

Across all your panels

Carl Rogers, PA-C · Psych PA · 8 years in practice

Three numbers, blended evenly across your in-network insurers at 99214.

Behind the medianYour rates versus the peer medians over a year, at 20 sessions/week × 48 weeks/year.

Peer percentileAbove 32% of in-network psychiatric PAs in your area.

Percent of Medicare98%Peer median 108% of Medicare; you are 10 points below.

Short version: your rates sit below the peer median. The sections below break this down insurer by insurer.

More info

The blend weights each insurer equally; it is not your actual caseload mix.

Some rates filed under your NPI are left out of these comparisons; see Other rates at the end.

Insurers included in this report.

Every insurer in your area, plus any you hold a rate with elsewhere.

Included: 6; Aetna, Ambetter (Centene), BCBS North Carolina, Cigna, MedCost, UnitedHealthcare (includes Oscar Health)

Limited data: None; Every insurer here has enough local peers to publish.

Not included: 1; No data yet for Humana. Details on our insurers page.

Oscar Health uses the UnitedHealthcare (Optum Behavioral Health) network, so its rates appear under UnitedHealthcare (Optum Behavioral Health).

Where your rates sit against your peers.

A dot for each of your peers’ rates, highest median first.

Billing CodeOffice visit, established patient, moderate complexity

Show

Providers at the same rate1×10×25×40+

Peer rate dot plot for CPT 99214
Payer	Rate	Marker
BCBS North Carolina	$154	median
BCBS North Carolina	$177	p75
BCBS North Carolina	$137	your rate
BCBS North Carolina	$98
BCBS North Carolina	$108
BCBS North Carolina	$117
BCBS North Carolina	$121
BCBS North Carolina	$126
BCBS North Carolina	$130
BCBS North Carolina	$131
BCBS North Carolina	$135
BCBS North Carolina	$138
BCBS North Carolina	$142
BCBS North Carolina	$144
BCBS North Carolina	$144
BCBS North Carolina	$149
BCBS North Carolina	$151
BCBS North Carolina	$152
BCBS North Carolina	$156
BCBS North Carolina	$157
BCBS North Carolina	$160
BCBS North Carolina	$162
BCBS North Carolina	$166
BCBS North Carolina	$168
BCBS North Carolina	$172
BCBS North Carolina	$174
BCBS North Carolina	$176
BCBS North Carolina	$181
BCBS North Carolina	$186
BCBS North Carolina	$188
BCBS North Carolina	$194
BCBS North Carolina	$201
BCBS North Carolina	$213
BCBS North Carolina	$228
MedCost (no in-network rate found)	$146	median
MedCost (no in-network rate found)	$128	p25
MedCost (no in-network rate found)	$168	p75
MedCost (no in-network rate found)	31	providers in cohort
Aetna	$139	median
Aetna	$160	p75
Aetna	$129	your rate
Aetna	$87
Aetna	$96
Aetna	$104
Aetna	$108
Aetna	$112
Aetna	$116
Aetna	$117
Aetna	$121
Aetna	$124
Aetna	$128
Aetna	$130
Aetna	$130
Aetna	$135
Aetna	$136
Aetna	$137
Aetna	$141
Aetna	$141
Aetna	$145
Aetna	$146
Aetna	$150
Aetna	$152
Aetna	$155
Aetna	$157
Aetna	$159
Aetna	$163
Aetna	$168
Aetna	$170
Aetna	$175
Aetna	$182
Aetna	$192
Aetna	$206
Cigna	$134	median
Cigna	$154	p75
Cigna	$121	your rate
Cigna	$85
Cigna	$93
Cigna	$101
Cigna	$105
Cigna	$109
Cigna	$113
Cigna	$114
Cigna	$117
Cigna	$120
Cigna	$124
Cigna	$125
Cigna	$125
Cigna	$130
Cigna	$131
Cigna	$132
Cigna	$135
Cigna	$136
Cigna	$139
Cigna	$141
Cigna	$145
Cigna	$147
Cigna	$150
Cigna	$152
Cigna	$154
Cigna	$157
Cigna	$161
Cigna	$164
Cigna	$169
Cigna	$175
Cigna	$185
Cigna	$198
UnitedHealthcare	$132	median
UnitedHealthcare	$152	p75
UnitedHealthcare	$125	your rate
UnitedHealthcare	$83
UnitedHealthcare	$91
UnitedHealthcare	$99
UnitedHealthcare	$103
UnitedHealthcare	$107
UnitedHealthcare	$111
UnitedHealthcare	$112
UnitedHealthcare	$115
UnitedHealthcare	$118
UnitedHealthcare	$122
UnitedHealthcare	$123
UnitedHealthcare	$123
UnitedHealthcare	$128
UnitedHealthcare	$129
UnitedHealthcare	$130
UnitedHealthcare	$133
UnitedHealthcare	$134
UnitedHealthcare	$137
UnitedHealthcare	$139
UnitedHealthcare	$143
UnitedHealthcare	$145
UnitedHealthcare	$148
UnitedHealthcare	$150
UnitedHealthcare	$152
UnitedHealthcare	$155
UnitedHealthcare	$159
UnitedHealthcare	$162
UnitedHealthcare	$167
UnitedHealthcare	$173
UnitedHealthcare	$183
UnitedHealthcare	$196
Ambetter (Centene) (no in-network rate found)	$129	median
Ambetter (Centene) (no in-network rate found)	$114	p25
Ambetter (Centene) (no in-network rate found)	$148	p75
Ambetter (Centene) (no in-network rate found)	31	providers in cohort

Each dot is one psychiatric PA's published rate with that insurer; the larger plum dot is yours.

More info

The shaded band is the middle half of that insurer's rates, with its median line inside. Bigger grey dots are several providers at one rate.

Where the gap lives, contract by contract.

One card per insurer, furthest below the peer median first.

Billing CodeOffice visit, established patient, moderate complexityAssumptions

960 sessions per year.

BCBS North Carolina

Rate difference over a full year

−$16,320

vs. peer median


99214 Office visit, established patient, moderate complexity	$137	$154	$177		105%	−$17
To the median: +$17 (+12%) a session. To the 75th: +$40 (+29%) a session.

Cigna

Rate difference over a full year

−$12,480

vs. peer median


99214 Office visit, established patient, moderate complexity	$121	$134	$154		93%	−$13
To the median: +$13 (+11%) a session. To the 75th: +$33 (+27%) a session.

Aetna

Rate difference over a full year

−$9,600

vs. peer median


99214 Office visit, established patient, moderate complexity	$129	$139	$160		99%	−$10
To the median: +$10 (+8%) a session. To the 75th: +$31 (+24%) a session.

UnitedHealthcare

Rate difference over a full year

−$6,720

vs. peer median


99214 Office visit, established patient, moderate complexity	$125	$132	$152		96%	−$7
To the median: +$7 (+6%) a session. To the 75th: +$27 (+22%) a session.

Not shown: Ambetter (Centene), MedCost (no published rate for you at 99214).

What the difference could mean over a year.

Your rates and the peer target, multiplied by a year of sessions.

Billing CodeOffice visit, established patient, moderate complexityAssumptions

960 sessions per year.

At your current rates$122,880$128 per 99214

An even blend of your in-network rates for this code.

At the peer median$134,400$140 per 99214

At the 75th-percentile reference$154,560$161 per 99214

Per week+$240

Per month+$960

Per year+$11,520

Five years+$57,600

Annualized comparison: your rate vs. the peer target, assuming 20 sessions per week and 48 weeks per year.
Scenario	Per-session rate	Annual gross
Today (your rate)	$128	$122,880
At the peer median	$140	$134,400
At the 75th-percentile reference	$161	$154,560
Per year	N/A	+$11,520

How well-supplied your area is.

How many psychiatric PAs practice near you, compared with the rest of the country.

In the Raleigh, NC area

Your read

Your area has significantly fewer psychiatric PAs per resident than the country as a whole, under half the national rate.

Comparison

National rate: about 68 practising psychiatric PAs per 100,000 people.

The insurers around you.

Every insurer publishing local rates for your credential, placed by rate and by how many people it covers near you.

Panel opportunity map

Psychiatric PAs · Raleigh, NC · CPT 99214

Show

Billing CodeOffice visit, established patient, moderate complexity

Above the area median
Near the median
Below the median
Well below
Plum ring marks your panels
Dotted circle = the peer median for that insurer
Bubble size = estimated covered lives

5 insurers in this metro for psychiatric PAs on CPT 99214. The average of their medians is $128 per session. 3 pay above it, 2 at or below.

Tabular view of the Panel Opportunity Map. Rows are insurers; columns are rate, members per local provider, and the number of local peers behind each insurer's stats. Estimated covered lives for this insurer in your area, per active provider in your specialty practising there: everyone available locally, not only the providers we hold rates for. The last column is different: it counts only the peers we hold rates for, which is what the rate column rests on.
Insurer	Rate	Members per local provider (est.)	Local peers
BCBS North CarolinaIn-network	$137	More members per local provider	31
AetnaIn-network	$129	More members per local provider	31
Ambetter (Centene)	$129	More members per local provider	31
UnitedHealthcareIn-network	$125	More members per local provider	31
CignaIn-network	$121	More members per local provider	31

Not shown: MedCost (no estimate of how many people they cover in your area).

Percent of Medicare.

Each insurer's rates as a share of the Medicare rate, the yardstick many contracts are written in.

Billing CodeOffice visit, established patient, moderate complexity

BCBS North Carolina

105%peer median: 118%

MedCostno in-network rate found

—peer median: 112%

Aetna

99%peer median: 107%

Cigna

93%peer median: 103%

UnitedHealthcare

96%peer median: 102%

Ambetter (Centene)no in-network rate found

—peer median: 99%

All payers blended

98%peer median: 108%

When your rate matches the peer median, the dot and diamond overlap.

Per-payer percent-of-Medicare comparison: your rate, peer 25th percentile, peer median, peer 75th percentile.
Payer	Your %	Peer 25th pct	Peer median	Peer 75th pct
BCBS North Carolina	105%	105%	118%	136%
MedCost	—	98%	112%	129%
Aetna	99%	94%	107%	123%
Cigna	93%	91%	103%	118%
UnitedHealthcare	96%	89%	102%	117%
Ambetter (Centene)	—	88%	99%	114%
All payers blended	98%	95%	108%	124%

What happens next.

If you'd like to request a rate review, it typically looks something like this. Timing varies by insurer.

1
Send the request
Email to the insurer's network team requesting a rate review.
2
Follow up
If you haven't heard back within a few weeks, a polite follow-up is reasonable.
3
Review and counter
The insurer's review team responds: they could offer a rate increase, decline to make a change, or hypothetically lower your rate (though this is rare).
4
Negotiation
One or two rounds of back-and-forth.
5
Decision
An amendment to the contracted rate, or keep the status quo.

Every insurer, row by row.

Just the numbers.

Billing CodeOffice visit, established patient, moderate complexityAssumptions

960 sessions per year.

Annual diff. assumes all sessions at that one insurer and compares to the median.

In-network rate found
BCBS North Carolina	$137	$136	$154	$177	105%	31	−$16,320
Cigna	$121	$118	$134	$154	93%	31	−$12,480
Aetna	$129	$122	$139	$160	99%	31	−$9,600
UnitedHealthcare	$125	$116	$132	$152	96%	31	−$6,720
No in-network rate found
MedCost	N/A	$128	$146	$168	N/A	31	N/A
Ambetter (Centene)	N/A	$114	$129	$148	N/A	31	N/A

All rates at all the insurers on one curve.

Every local rate for your credential from every insurer, on one smoothed curve.

Billing CodeOffice visit, established patient, moderate complexity

Peer rate distribution for CPT 99214
#	Rate
Median	$141
P75	$160
Your rate 1	$137
Your rate 2	$129
Your rate 3	$121
Your rate 4	$125
1	$98
2	$108
3	$117
4	$121
5	$126
6	$130
7	$131
8	$135
9	$138
10	$142
11	$144
12	$144
13	$149
14	$151
15	$152
16	$156
17	$157
18	$160
19	$162
20	$166
21	$168
22	$172
23	$174
24	$176
25	$181
26	$186
27	$188
28	$194
29	$201
30	$213
31	$228
32	$87
33	$96
34	$104
35	$108
36	$112
37	$116
38	$117
39	$121
40	$124
41	$128
42	$130
43	$130
44	$135
45	$136
46	$137
47	$141
48	$141
49	$145
50	$146
51	$150
52	$152
53	$155
54	$157
55	$159
56	$163
57	$168
58	$170
59	$175
60	$182
61	$192
62	$206
63	$85
64	$93
65	$101
66	$105
67	$109
68	$113
69	$114
70	$117
71	$120
72	$124
73	$125
74	$125
75	$130
76	$131
77	$132
78	$135
79	$136
80	$139
81	$141
82	$145
83	$147
84	$150
85	$152
86	$154
87	$157
88	$161
89	$164
90	$169
91	$175
92	$185
93	$198
94	$83
95	$91
96	$99
97	$103
98	$107
99	$111
100	$112
101	$115
102	$118
103	$122
104	$123
105	$123
106	$128
107	$129
108	$130
109	$133
110	$134
111	$137
112	$139
113	$143
114	$145
115	$148
116	$150
117	$152
118	$155
119	$159
120	$162
121	$167
122	$173
123	$183
124	$196

Your rates ($137, $129, $121, $125) are the plum dots; the peer median is $141. 124 rates.

More info

Each small dot under the curve is one filed rate; the curve smooths them.

Other rates

Other rates we found, but didn’t use.

Rates filed under your NPI that we left out of the comparisons above.

More info

They are usually tied to an old employer or group, or are catch-all rates an insurer publishes but does not expect anyone to bill. As far as we can tell they are not rates you are paid or could negotiate. Listed here for completeness.

Billing CodeOffice visit, established patient, moderate complexity

Insurer	Rate	Why we excluded it
BCBS North Carolina	$164	Through a group
Aetna	$174	Estimated rate
Cigna	$182	Other setting
UnitedHealthcare	$206	Unusually high

Questions about your rates.

: Insurers update their files on their own schedule, and many are slow to remove providers who have left. We process new files as insurers publish them, so the change reaches our data once the insurer’s own files reflect it.
: An insurer’s files can list you through arrangements you might not think of as your own contract: a group or practice you bill through, a former employer, another insurer’s network that they rent, or a broad listing of providers they don’t contract with directly. We remove networks we know are rented, but we can’t catch every case.
: Insurers don’t always update their published files when a rate changes, and when they do, it’s on their own schedule. We pick up new files as insurers publish them, so a raise shows up once it appears in the insurer’s own filing.
: Please let us know, and we’ll check it against the insurer’s filing. Insurers sometimes publish several rates for the same code (for a different setting or credential level, an estimate, or a group you’re listed under), and some files contain errors. We pick the one that looks most like your own rate, and we don’t always get it right.
: The insurer may not have published it yet, or its files may be missing details we need to match it to you. Some rates are listed only under a practice’s billing ID rather than your own NPI, and when you also have your own practice, we set aside rates that come through a large group or platform. If you think we’ve missed you, please let us know.

Learn more about how we generate these numbers on our methodology page.

This is a sample. Yours uses real published rates for you and your local peers.

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