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 comparisonHealthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Category III Codes Various Services - Category III Codes |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 0072T |
| Medicaid Fee Schedule | View Medicaid rates for 0072T |
National average reimbursement for CPT 0072T by major payers:

$2,269.99

$2,233.14

$1,871.93

$2,951.10
Choose a payer to see a sample of rates for CPT 0072T.
Memorial Hermann Health System
Weatherford Health Services LLC
Crescent City Surgical Centre
Medical University Hospital Authority
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 0072T vs. Other Various Services - Category III Codes Codes
The CPT 0072T code is part of the Category III Codes services used for Various Services - Category III Codes. 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 0072T 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 |
|---|---|---|
| 0072T-CPT | High | Focused Ultrasound Ablation Of, Focused Ultrasound Ablation Of Uterine Leiomyomata Including Mr Guidance Total Leiomyomata Volume Greater Or Equal To 200 Cc Of Tissue |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 0072T. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 0072T 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.
Bring your top codes (like CPT 0072T) and we'll show you how you compare in 15 minutes or less.