Virginia, North Carolina
Sentara Health Plans fee schedule 2026, by CPT code.
Sentara Health Plans (formerly Optima Health) publishes the rate it negotiated with each practice it contracts with, by NPI. Enter yours and we read Sentara Health Plans’s files for your rates.
What you’ll get
| Code | Visit | Your Sentara Health Plans rate | Source file |
|---|---|---|---|
| Filled in from Sentara Health Plans’s own file when you enter your NPI. | |||
Need the codes you bill, across your payers? Start a fee schedule from $99/month.
What you get
The number, and everything behind it.
The exact dollar Sentara Health Plans negotiated for a CPT code and your NPI — the genuinely negotiated figure, chosen by a fixed rule, not the “derived” line beside it.
Which Sentara Health Plans network the rate sits in (an HMO and a PPO product can pay differently), and that it’s the in-office professional rate.
The source file and its “as of” month, linked — so the number survives being questioned by a contracting manager.
On a paid plan, Sentara Health Plans becomes one column of a sheet next to every other payer you take, with underpayment checks and change alerts.
After the rate
Is Sentara Health Plans paying you what it published?
Upload your allowed amounts by code and see which ones Sentara Health Plans allowed below the rate it published for you, the claims affected and the dollar gap. Totals only, no patient data. →
Fee scheduleSentara Health Plans next to every other payer you take, code by code, in one sheet, with the source behind every number and an alert when a rate changes. →
Also in Virginia, North Carolina
The other payers we read here.
Your states
All the payers we read in Virginia, North Carolina.
Questions about Sentara Health Plans’s rates or your contract? Ask us →