Data Platform
Sign InTry for Free

Revenue Code (RC) 0401 Fee Schedule

Last Verified: January 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.

Diagnostic mammography

Key FactDetail
Service Type

Other Imaging Services

Complexity LevelModerate

National average reimbursement for Revenue Code 0401 by major payers:

bcbs

$588.21

uhc

$218.87

aetna

$181.90

cigna

$1,420.38

Preview provider-level rates for...
For billing codeRC 0401
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for RC 0401

United
0401$142.001629025648 - SAINT THOMAS WEST HOSPITAL, ASCENSION SAINT THOMAS HOSPITAL620347580 - (TN) SAINT THOMAS WEST HOSPITALTNGeneral Acute Care Hospital (282N00000X)
United
0401$286.001699754812 - HARDIN COUNTY GENERAL HOSPITAL, HARDIN MEDICAL CENTER626002428 - (TN) HARDIN COUNTY GENERAL HOSPITALTNGeneral Acute Care Hospital (282N00000X)
United
0401$142.001629025648 - SAINT THOMAS WEST HOSPITAL, ASCENSION SAINT THOMAS HOSPITAL620347580 - (TN) SAINT THOMAS WEST HOSPITALTNGeneral Acute Care Hospital (282N00000X)
United
0401$256.001578591756 - MAURY REGIONAL HOSPITAL MARSHALL MEDICAL CENTER, MARSHALL MEDICAL CENTER621590713TNCritical Access Hospital (282NC0060X)
United
0401$249.001578591756 - MAURY REGIONAL HOSPITAL MARSHALL MEDICAL CENTER, MARSHALL MEDICAL CENTER621590713TNCritical Access Hospital (282NC0060X)
United
0401$192.001215233986 - ANDERSON REGIONAL MEDICAL CENTER, ANDERSON REGIONAL MEDICAL CENTER SOUTH CAMPUS640362400 - (MS) ANDERSON REGIONAL MEDICAL CENTERMSGeneral Acute Care Hospital (282N00000X)
United
0401$476.001811940976 - MACON NORTHSIDE HOSPITAL, LLC, PIEDMONT MACON NORTH HOSPITAL621736985 - (GA) MACON NORTHSIDE HOSPITAL LLCGAGeneral Acute Care Hospital (282N00000X)
United
0401$75.001225068935 - HALE COUNTY HOSPITAL630475297 - (AL) HALE COUNTY HOSPITALALGeneral Acute Care Hospital (282N00000X)
United
0401$427.001801826912 - WELLMONT HEALTH SYSTEM, LONESOME PINE HOSPITAL621636465 - WELLMONT HEALTH SYSTEMVAGeneral Acute Care Hospital (282N00000X)
United
0401$75.001225068935 - HALE COUNTY HOSPITAL630475297 - (AL) HALE COUNTY HOSPITALALGeneral Acute Care Hospital (282N00000X)
United
0401$192.001134164924 - GULF HEALTH HOSPITALS, INC., NORTH BALDWIN INFIRMARY630891904 - (AL) GULF HEALTH HOSPITALS INCALGeneral Acute Care Hospital (282N00000X)
United
0401$198.001033112230 - ST JUDE CHILDRENS RESEARCH HOSPITAL INC620646012 - ST JUDE CHILDRENS RESEARCH HOSPITAL INCTNChildren's Hospital (282NC2000X)
United
0401$136.001992755292 - GENEVA COUNTY HEALTHCARE AUTHORITY, INC., WIREGRASS MEDICAL CENTER636004474 - (AL) GENEVA COUNTY HEALTH CARE AUTHORITY INC DBA WIREGRASS MEDICAL CENTERALGeneral Acute Care Hospital (282N00000X)
United
0401$171.001427051002 - CLAYTON HEALTH SYSTEMS INC, UNION COUNTY GENERAL HOSPITAL850442957 - (NM) CLAYTON HEALTH SYSTEMS INCNMCritical Access Hospital (282NC0060X)
United
0401$398.001659787554 - BANNER HEALTH, BANNER FORT COLLINS MEDICAL CENTER450233470 - BANNER HEALTHCOGeneral Acute Care Hospital (282N00000X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

Want to see your competitors' rates?

Start your trial today to unlock complete access to provider rates and fee schedules in your area.

Here's what you can do with PayerPrice

Renegotiate your managed care contracts

Benchmark your current rates against market averages to identify opportunities for rate optimization.

Prospect for new business using fee schedules

Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.

Integrate real-time payer data into your workflows

Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.

PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.

Revenue Code 0401 vs. Other Other Imaging Services Codes

The Revenue Code 0401 code is part of the Other Imaging Services 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 Revenue Code 0401 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.

CodeComplexityDescription
0400-RCModerateGeneral
0401-RCModerateDiagnostic mammography
0402-RCModerateUltrasound

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including Revenue Code 0401. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 0401 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 RC 0401) and we'll show you how you compare in 15 minutes or less.