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 comparisonHealthcare 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 | 59 - Distinct Procedural Service PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments XU - Unusual Non-Overlapping Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 89356 |
National average reimbursement for CPT 89356 by major payers:

$200.00

$57.50

$7.54

$359.28
Choose a payer to see a sample of rates for CPT 89356.
Spartanburg Medical Center
Tops Specialty Hospital, Ltd., Tops Surgical Specialty Hospital
Tops Specialty Hospital Ltd
Columbia Medical Center Of Lewisville Subsidiary Lp, Medical City Lewisville
De Marketing And Sales
Chca Mainland, L.P., Mainland Medical Center
Lamb Healthcare Center
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 89356 vs. Other Reproductive Medicine Procedures Codes
The CPT 89356 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 89356 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 |
|---|---|---|
| 89346-CPT | Low | Storage, (Per Year); Oocyte |
| 89352-CPT | Moderate | Preserved Embryo Thawing, A Human Embryo That Has Been Preserved By Freezing Is Thawed Using A Precise Temperature Water Bath. |
| 89353-CPT | Low | Sperm Or Semen Thawing, Sperm Or Semen That Has Been Preserved By Freezing Is Thawed In Water That Is Temperature-Controlled. |
| 89356-CPT | Low | Human Egg (Oocyte) Thawing, Human Eggs (Oocytes) That Have Been Preserved By Freezing Are Thawed In Water That Is Temperature-Controlled. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 89356. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 89356 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.
Bring your top codes (like CPT 89356) and we'll show you how you compare in 15 minutes or less.