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 46083 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.
Inc Thrombosed Hemorrhoid External
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 11 - Office 23 - Emergency Room |
| Common Modifiers | None 59 - Distinct Procedural Service AG - Primary physician |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 46083 |
| Medicaid Fee Schedule | View Medicaid rates for 46083 |
National average reimbursement for CPT 46083 by major payers:
$216.12
$242.26
$277.81
$317.38
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 46083.
CPT 46083
5 of 25 sample ratesHigher to lower in this preview
Southlake Ambulatory Surgery Center, Lllp, Spivey Station Surgery Center
Emory University
$1,394.00Published rateBoise Endoscopy Center, LLC, Canyon County Endoscopy Center
Boise Endoscopy Center LLC
$500.00Published rateGolden Springs Surgical Center
$200.00Published rateUrology Surgery Center Johns Creek LLC
$150.00Published rateSalina Surgical Arts Center, LLC, David A. Hendrick M.D., P.A.
David A. Hendrick Md
$79.00Published 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 46083 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 46083 code is part of the Surgery services used for Surgical Procedures on the Digestive System. 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 46083 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 |
|---|---|---|
| 46070-CPT | Moderate | Inc Anal Septum Infant |
| 46080-CPT | Moderate | Sphincterotomy,Anal,Divis-Sphincter |
| 46083-CPT | Moderate | Inc Thrombosed Hemorrhoid External |
| 46200-CPT | Moderate | Surgery Anal Tissue Repair, Surgery To Repair A Fissure (Deep Crack) In The Tissues. The Procedure May Include Removing A Portion Of The Sphincter Muscle. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 46083. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 46083 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 46083) and we'll show you how you compare in 15 minutes or less.