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 | Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component None 59 - Distinct Procedural Service |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 75894 |
| Medicaid Fee Schedule | View Medicaid rates for 75894 |
National average reimbursement for CPT 75894 by major payers:

$1,003.06

$1,094.46

$1,074.12

$1,493.80
Choose a payer to see a sample of rates for CPT 75894.
Radiology Associates Of North Texas, PA
Radiology Associates Of North Texas, PA
Radiology Associates Of North Texas, PA
Northern Arizona Healthcare Corporation
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 75894 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 75894 code is part of the Radiology Procedures services used for Diagnostic Radiology (Diagnostic Imaging) Procedures. 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 75894 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 |
|---|---|---|
| 75870-CPT | Moderate | X-Ray Of Brain Or Neck Veins, A Venogram Evaluates The Health Of Veins In The Head Or Neck. X-Rays Are Taken After Introducing A Contrast Agent To Highlight The Blood Vessels. |
| 75893-CPT | Low | Obtain Blood Sample From Vein, A Sample Of Blood Is Taken Directly From A Vein Or Through A Catheter (Tube) That Has Been Inserted Into A Leg Vein. The Procedure May Include X-Rays Of The Blood Vessel. |
| 75894-CPT | High | Monitor Therapy With X-Ray, Monitoring By X-Ray Of Medication To Break Up A Clot Or Another Fluid As It Is Injected Into A Blood Vessel. |
| 75898-CPT | High | Follow-Up Blood Vessel Study, A Follow-Up Angiography Examines The Health Of One Or More Blood Vessels After A Procedure Or Treatment. An X-Ray Is Taken After Introducing A Contrast Agent To Highlight The Blood Flow. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 75894. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 75894 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 75894) and we'll show you how you compare in 15 minutes or less.