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See a sample rate comparisonCPT 77002 Fee Schedule
CPT 77002 is classified under Radiology Procedures, in the Radiologic Guidance subgroup.
X-Ray-Guided Needle Placement, Fluoroscopic Guidance Is Used To Place A Needle In A Precise Location. Fluoroscopy Is An X-Ray Technique That Shows Movement In Real-Time With The Aid Of Contrast Dye.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Radiologic Guidance |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 77002 |
| Medicaid Fee Schedule | $97.785 median of the 8 states in the free preview · View Medicaid rates for 77002 |
National average reimbursement for CPT 77002 by major payers:
$129.94
BCBS / Anthem
$111.30
UnitedHealthcare
$131.36
Aetna
$159.06
Cigna
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CPT 77002
5 of 25 sample ratesHigher to lower in this preview
Pouya Mohajer
North Shore-Lij Medical PC
$290.08Published rateMia Farida Pingul
Inova Health Care Services
$175.88Published rateGerald Karetnick
Bon Secours Charity Health System Inc
$124.06Published rateQurratulaen Khawaja-Javaid
Inova Health Care Services
$56.78Published rateGerald Karetnick
Bon Secours Charity Health System Inc
$32.33Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 77002 vs. Other Radiologic Guidance Codes
The table lists codes related to 77002. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 76936-CPT | Moderate | Echo Guide For Artery Repair, Ultrasound Guided Compression Repair Of Arterial Pseudoaneurysm Or Arteriovenous Fistulae (Includes Diagnostic Ultrasound Evaluation Compression Of Lesion And Imaging) |
| 76937-CPT | Low | Us Guide Vascular Access, Ultrasound Guidance For Vascular Access Requiring Ultrasound Evaluation Of Potential Access Sites Documentation Of Selected Vessel Patency Concurrent Realtime Ultrasound Visualization Of Vascular Needle Entry With Permanent Recording And Reporting List Separately In Addition To Code For Primary Procedure |
| 76942-CPT | Low | Ultrasonic Guidance Proc, Ultrasonic Guidance For Needle Placement (E.G. Biopsy Aspiration Injection Localization Device) Imaging Supervision And Interpretation |
| 77002-CPT | Low | X-Ray-Guided Needle Placement, Fluoroscopic Guidance Is Used To Place A Needle In A Precise Location. Fluoroscopy Is An X-Ray Technique That Shows Movement In Real-Time With The Aid Of Contrast Dye. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77002. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77002 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.
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Frequently Asked Questions
Finding the exact cost of a medical procedure beforehand can be challenging due to varying factors like your insurance plan, location, and specific provider. However, many hospitals and providers are now required to provide price estimates. For a more precise and personalized estimate based on specific CPT codes and your location, you can utilize tools like Payerprice.
CPT stands for Current Procedural Terminology. CPT codes are standardized five-digit codes used by healthcare professionals to describe medical, surgical, and diagnostic services. They are crucial because they determine how services are billed and reimbursed. When looking up the cost of a specific procedure, knowing the CPT code can help you get a more accurate price estimate, as these codes are often used in pricing tools.
Medical costs can vary significantly due to several factors including regional cost of living, the specific hospital or clinic's negotiated rates with insurance companies, the complexity of the service, the technology used, and whether the provider is in-network or out-of-network for your insurance plan. Academic medical centers, specialty hospitals, and larger facilities may also have different cost structures compared to smaller clinics or independent practices.
For a personalized estimate of medical service costs, especially if you have a CPT code and your specific location, you should use a dedicated fee schedule lookup tool. Payerprice offers such a tool, allowing you to search with CPT codes and specific locations to get a better understanding of potential costs.
To understand your medical bills, first review your Explanation of Benefits (EOB) from your insurance company, which details what your insurer paid and what you owe. Don't hesitate to contact your provider's billing department directly if you have questions about specific charges. For proactive cost research and understanding what a service *should* cost, you can use tools like Payerprice before or after receiving a bill, especially if you have the CPT code for the service.