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 76098 Fee Schedule
Last Verified: September 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.
X-Ray Breast Surgical Specimen
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None 26 - Professional component LT - Left side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 76098 |
| Medicaid Fee Schedule | View Medicaid rates for 76098 |
National average reimbursement for CPT 76098 by major payers:
$45.63
$36.76
$41.46
$48.73
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 76098.
CPT 76098
5 of 25 sample ratesHigher to lower in this preview
Enumclaw Regional Hospital Association, St. Elizabeth Hospital
Enumclaw Regional Hospital Association
$2,064.28Published rateHospital Service District 2 Of The Parish Of Tangipahoa State Of La., Hood Memorial Hospital
Hospital Service District 2 Of The Parish Of Tangipahoa State Of La
$965.78Published rateMercy Hospital South
$505.66Published rateMercy Hospital Carthage
$44.29Published rateVillapark Medical Imaging Inc
$4.96Published 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 76098 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 76098 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 76098 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 |
|---|---|---|
| 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. |
| 76098-CPT | Low | X-Ray Breast Surgical Specimen |
| 76376-CPT | Low | 3d Render W Intrp Postproces, 3d Rendering With Interpretation And Reporting Of Computed Tomography Magnetic Resonance Imaging Ultrasound Or Other Tomographic Modality With Image Postprocessing Under Concurrent Supervision Not Requiring Image Postprocessing On An Independent Workstation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 76098. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76098 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 76098) and we'll show you how you compare in 15 minutes or less.