Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 0036U Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Genetic Testing, Tissue From A Tumor Biopsy Is Tested In Order To Identify Mutations. This Gives Insight Into The Tumors Behavior And Level Of Risk And Guides Possible Treatments.
| Key Fact | Detail |
|---|---|
| Service Type | Proprietary Laboratory Analyses |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 0036U |
| Medicaid Fee Schedule | View Medicaid rates for 0036U |
National average reimbursement for CPT 0036U by major payers:
$N/A
$N/A
$N/A
$N/A
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 0036U.
CPT 0036U
5 of 25 sample ratesHigher to lower in this preview
Christopher Raio
St Joseph Hospital
$5,678.64Published rateChristopher Raio
Mercy Medical Center
$4,775.22Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$3,524.95Published rateBaptist Health Care, Inc., Baptist Home Healt Care And Medical Equipment
Baptist Health Care Inc
$2,007.59Published rateE And A Medical On The Go Healthcare Of South Florida LLC, E And A Healthcare On The Go
E And A Medical On The Go Healthcare Of South Florida LLC
$1,673.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 0036U vs. Other Proprietary Laboratory Analyses Codes
The CPT 0036U code is part of the Proprietary Laboratory Analyses services . It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 0036U code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 0036U-CPT | Moderate | Genetic Testing, Tissue From A Tumor Biopsy Is Tested In Order To Identify Mutations. This Gives Insight Into The Tumors Behavior And Level Of Risk And Guides Possible Treatments. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 0036U. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 0036U fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 0036U) and we'll show you how you compare in 15 minutes or less.