CPT 89291 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Pathology and Laboratory Procedures • Reproductive Medicine Procedures |
| Common Place of Service | • 11 - Office • 81 - Independent Laboratory |
| Common Modifiers | • None • 59 - Distinct Procedural Service • TG |
| Complexity Level | Moderate |
National average reimbursement for CPT 89291 by major payers:
$950.44
$1,010.32
$1,027.47
$866.85
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 89291 | ||||||
United | 89291 | $875.00 | 1164724860 - UTAH CENTER FOR REPRODUCTIVE MEDICINE | 870529461 - (UT) UNIVERSITY OF UTAH / UTAH CENTER FOR REPRODUCTIVE MEDICINE | UT | Reproductive Endocrinology Physician (207VE0102X) |
United | 89291 | $2075.31 | 1740642958 - SAMFEE DOE | 135598093 - COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK | NY | Obstetrics & Gynecology Physician (207V00000X) |
United | 89291 | $1432.07 | 1609196344 - ANDREA PELLETIER | 10484903 - INTERMED, P.A. | ME | Obstetrics & Gynecology Physician (207V00000X) |
United | 89291 | $2075.31 | 1285666974 - ANITA LASALA | 135598093 - COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK | NY | Maternal & Fetal Medicine Physician (207VM0101X) |
United | 89291 | $1444.69 | 1699860270 - YORK HOSPITAL DBA COASTAL OB-GYN, LLC | 10212444 - YORK HOSPITAL | ME | Obstetrics & Gynecology Physician (207V00000X) |
United | 89291 | $2157.26 | 1114158383 - MATTHEW CANTOR | 135598093 - COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK | NY | Obstetrics & Gynecology Physician (207V00000X) |
United | 89291 | $2075.31 | 1063703494 - LAUREN BISHOP | 135598093 - COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK | NY | Reproductive Endocrinology Physician (207VE0102X) |
United | 89291 | $2073.54 | 1477757250 - TARAH PUA | 135598093 - COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK | NY | Gynecologic Oncology Physician (207VX0201X) |
United | 89291 | $2577.68 | 1053479832 - DENISE POULIN | 20354549 - CHESHIRE MEDICAL CENTER | NH | Obstetrics & Gynecology Physician (207V00000X) |
United | 89291 | $3304.81 | 1699782979 - MICHELLE RUSSELL | 20222140 - MARY HITCHCOCK MEMORIAL HOSPITAL | NH | Maternal & Fetal Medicine Physician (207VM0101X) |
United | 89291 | $2096.20 | 1740430594 - JESSICA FIORELLI | 135598093 - COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK | NY | Obstetrics & Gynecology Physician (207V00000X) |
United | 89291 | $2096.20 | 1437242807 - ARNOLD ADVINCULA | 135598093 - COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK | NY | Gynecology Physician (207VG0400X) |
United | 89291 | $2135.75 | 1760892301 - IRIS INSOGNA | 135598093 - COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK | NY | Reproductive Endocrinology Physician (207VE0102X) |
United | 89291 | $2157.26 | 1619192911 - JUNE HOU | 135598093 - COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK | NY | Gynecologic Oncology Physician (207VX0201X) |
United | 89291 | $2096.20 | 1578624466 - ROGERIO LOBO | 135598093 - COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK | NY | Reproductive Endocrinology Physician (207VE0102X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
CPT 89291 vs. Other Reproductive Medicine Procedures Codes
The CPT 89291 code is part of the Pathology and Laboratory Procedures services used for Reproductive Medicine 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 89291 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 |
|---|---|---|
| 89280-CPT | Moderate | Assisted Oocyte Fertilization, Microtechnique; Less Than Or Equal To 10 Oocytes |
| 89281-CPT | High | Assisted Oocyte Fertilization, Microtechnique; Greater Than 10 Oocytes |
| 89290-CPT | Moderate | Biopsy, Oocyte Polar Body Or Embryo Blastomere, Microtechnique (For Pre-Implantation Genetic Diagnosis); Less Than Or Equal To 5 Embryos |
| 89291-CPT | Moderate | Biopsy, Oocyte Polar Body Or Embryo Blastomere, Microtechnique (For Pre-Implantation Genetic Diagnosis); Greater Than 5 Embryos |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 89291. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 89291 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.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 89291) and we'll show you how you compare in 15 minutes or less.