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 38746 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.
Thoracic Lymphadenectomy By Th, Thoracic Lymphadenectomy By Thoracotomy Mediastinal And Regional Lymphadenectomy (List Separately In Addition To Code For Primary Procedure)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Hemic and Lymphatic Systems |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | AS - PA/NP/CNS assistant at surgery RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $195.40 national non-facility rate (2026) · View Medicare rates for 38746 |
| Medicaid Fee Schedule | $155.885 median of the 8 states in the free preview · View Medicaid rates for 38746 |
National average reimbursement for CPT 38746 by major payers:
$290.49
$306.54
$316.80
$354.93
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 38746.
CPT 38746
5 of 25 sample ratesHigher to lower in this preview
Texas Health Surgery Center Chisholm Trail, LLC
Texas Health Surgery Center Chisholm Trail LLC
$6,068.00Published rateVillages Endoscopy & Surgical Center LLC
$1,064.00Published rateFirst Choice Ambulatory Surgical Center LLC, Legent Asc Med Center
First Choice Ambulatory Surgical Center LLC
$850.00Published rateGastrointestinal Diagnostic Endoscopy Woodstock, LLC, Town Lake Endoscopy Center
Gastrointestinal Diagnostic Endoscopy Woodstock LLC
$515.00Published rateAnderson Endoscopy Center LLC
$99.00Published 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 38746 vs. Other Surgical Procedures on the Hemic and Lymphatic Systems Codes
The CPT 38746 code is part of the Surgery services used for Surgical Procedures on the Hemic and Lymphatic Systems. 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 38746 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 |
|---|---|---|
| 38573-CPT | High | Laps Pelvic Lymphadec, Laparoscopy Surgical With Bilateral Total Pelvic Lymphadenectomy And Peri Aortic Lymph Node Sampling Peritoneal Washings Peritoneal Biopsy Ies Omentectomy And Diaphragmatic Washings Including Diaphragmatic And Other Serosal Biopsy Ies When Performed |
| 38746-CPT | Moderate | Thoracic Lymphadenectomy By Th, Thoracic Lymphadenectomy By Thoracotomy Mediastinal And Regional Lymphadenectomy (List Separately In Addition To Code For Primary Procedure) |
| 38747-CPT | Moderate | Remove Abdominal Lymph Nodes, Abdominal Lymphadenectomy Regional Including Celiac Gastric Portal Peripancreatic With Or Without Para Aortic And Vena Caval Nodes List Separately In Addition To Code For Primary Procedure |
| 38900-CPT | Moderate | Sentinel Lymph Node Procedure, Intraoperative Identification (Eg Mapping) Of Sentinel Lymph Node(S) Includes Injection Of Non-Radioactive Dye When Performed (List Separately In Addition To Code For Primary Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 38746. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 38746 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 38746) and we'll show you how you compare in 15 minutes or less.