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 comparisonRevenue Code (RC) 0459 Fee Schedule
Revenue Code (RC) 0459 is classified under Emergency Room.
Other
| Key Fact | Detail |
|---|---|
| Service Type | Emergency Room |
| Complexity Level | High |
National average reimbursement for Revenue Code 0459 by major payers:
$1,215.55
BCBS / Anthem
$594.82
UnitedHealthcare
$1,539.39
Aetna
$2,312.38
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for RC 0459.
RC 0459
5 of 25 sample ratesHigher to lower in this preview
Maricopa County Special Health Care District, Valleywise Health
$695.00Published rateInova Health Care Services, Inova Alexandria Hospital
Inova Health Care Services
$605.00Published rateInova Health Care Services, Inova Alexandria Hospital
Inova Health Care Services
$396.00Published rateVhs San Antonio Partners LLC, Baptist Medical Center
$365.00Published rateAhs Hospital Corp., Chilton Medical Center
Atlantic Health System Inc
$219.00Published 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 proposalRevenue Code 0459 vs. Other Emergency Room Codes
The table lists codes related to 0459. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 0458-RC | Low | Emergency Room |
| 0459-RC | High | Other |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including Revenue Code 0459. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 0459 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 0459) and we'll show you how you compare in 15 minutes or less.