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 76080 Fee Schedule
Medicare rates as of October 2026
CPT 76080 is classified under Radiology Procedures, in the Diagnostic Radiology (Diagnostic Imaging) Procedures subgroup.
Radiologic Examination Absces, Radiologic Examination Abscess Fistula Or Sinus Tractstudy Radiological Supervision And Interpretation
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | $58.79 national non-facility rate (2026) · View Medicare rates for 76080 |
| Medicaid Fee Schedule | $47.645 median of the 8 states in the free preview · View Medicaid rates for 76080 |
National average reimbursement for CPT 76080 by major payers:
$73.06
BCBS / Anthem
$70.60
UnitedHealthcare
$76.07
Aetna
$87.22
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 76080.
CPT 76080
5 of 25 sample ratesHigher to lower in this preview
Aron Mednick
New York University
$198.36Published rateVictor Laregina
St Peters Hospital
$97.58Published rateJoseph Dryer
Spinecare
$63.04Published rateChristopher Raio
Samaritan Emergency Medical Services PC
$40.40Published rateSyed Shah
New York University
$30.01Published 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 76080 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The table lists codes related to 76080. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 76000-CPT | Low | Fluoroscopy (Separate Procedur, Fluoroscopy (Separate Procedure) Up To 1 Hour Physician Or Other Qualified Health Care Professionaltime Other Than 71023 Or 71034 (Eg Cardiac Fluo Roscopy) |
| 76010-CPT | Low | X-Ray Of Child To Find Object, X-Rays Taken Of A Childs Digestive Tract From Nose To Rectum. The Images Are Taken To Find A Foreign Object. |
| 76080-CPT | Low | Radiologic Examination Absces, Radiologic Examination Abscess Fistula Or Sinus Tractstudy Radiological Supervision And Interpretation |
| 76098-CPT | Low | X-Ray Breast Surgical Specimen |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 76080. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76080 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 76080) and we'll show you how you compare in 15 minutes or less.