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See a sample rate comparisonCPT 77012 is classified under Radiology Procedures, in the Radiologic Guidance subgroup.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Radiologic Guidance |
| 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 | $122.92 national non-facility rate (2026) · View Medicare rates for 77012 |
| Medicaid Fee Schedule | $101.255 median of the 8 states in the free preview · View Medicaid rates for 77012 |
National average reimbursement for CPT 77012 by major payers:

$176.47
BCBS / Anthem

$199.00
UnitedHealthcare

$227.53
Aetna

$238.17
Cigna
Choose a payer to see a sample of rates for CPT 77012.
Charleston Radiologists PA
Charleston Radiologists, P.A.
James Reeves
Town Center Orthopaedic Associates, P.C.
Theodore Gabig
Stony Brook Internists P C
Alan Kaufman
Robert Gluck
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 77012 vs. Other Radiologic Guidance Codes
The table lists codes related to 77012. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| 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. |
| 77011-CPT | Moderate | Ct-Guided Imaging, A Ct (Computed Tomography) Scan Creates Images From Multiple Locations Around An Area. These Images Are Assembled Into A Stereotactic Image A 3-D Map That Uses Two Or More Points To Precisely Locate A Point In-Between. |
| 77012-CPT | Low | Ct-Guided Needle Placement, A Ct (Computed Tomography) Scan Is Used To Guide The Placement Of A Needle For A Biopsy. The Scanner Circles The Body Taking X-Rays And Assembles Them Into A 3-D Image. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77012. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77012 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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To understand the potential cost of a medical procedure, you can start by discussing it with your healthcare provider and your insurance company. For more detailed, specific pricing information tailored to your location and the exact procedure (identified by a CPT code), you can utilize tools like Payerprice. Payerprice offers a fee schedule lookup tool that allows you to search with CPT codes and specific locations to get a better estimate of costs.
CPT stands for Current Procedural Terminology. CPT codes are standardized five-digit alphanumeric codes used by healthcare providers to describe medical, surgical, and diagnostic services. They are crucial for medical billing and understanding healthcare costs because they precisely define the service being provided, allowing for consistent pricing and insurance reimbursement across different providers and payers. When looking up costs, knowing the specific CPT code for your procedure will help you get the most accurate price estimate.
For specific pricing information based on a CPT code and your geographic location, you can use specialized tools. Payerprice provides a fee schedule lookup tool where you can input the CPT code for your service and your specific location to find relevant pricing data. This can help you get a more precise understanding of the potential costs involved.
Healthcare prices can vary significantly due to a multitude of factors, including negotiations between providers and different insurance companies, variations in overhead costs, technology and facility differences, geographical location, the provider's reputation, and whether the provider is in-network or out-of-network for your specific insurance plan. Additionally, the complexity of the specific case and bundled services can influence the final cost. Using tools like Payerprice can help you compare these varying prices for specific services in your area.
A fee schedule in healthcare is a comprehensive list of fees used by providers and payers (like insurance companies) to determine the payment for specific medical services or procedures. It outlines the maximum amount an insurance company will reimburse for a service, or the standard charge a provider might have. Understanding fee schedules can help you anticipate out-of-pocket costs and compare pricing between different providers. Tools like Payerprice offer fee schedule lookup capabilities, allowing you to search by CPT code and location to understand these rates.