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 90287 Fee Schedule
Last Verified: October 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.
Botulism Treatment, Treatment For Botulism An Illness Caused By Clostridium Botulinum Bacteria.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Immune Globulins, Serum or Recombinant Products |
| Common Place of Service | 11 - Office 21 - Inpatient Hospital |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 90287 |
| Medicaid Fee Schedule | $6.45 median of the 2 states in the free preview · View Medicaid rates for 90287 |
National average reimbursement for CPT 90287 by major payers:
$78.35
$42.05
$71.61
$176.41
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 90287.
CPT 90287
5 of 25 sample ratesHigher to lower in this preview
Da Pediatric Rehabilitation
$60.00Published rateAll Ways Homecare Inc
$55.00Published rateAll Ways Homecare Inc
$40.00Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$8.98Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$8.98Published 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 90287 vs. Other Immune Globulins, Serum or Recombinant Products Codes
The CPT 90287 code is part of the Medicine Services and Procedures services used for Immune Globulins, Serum or Recombinant Products. 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 90287 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 |
|---|---|---|
| 90287-CPT | Low | Botulism Treatment, Treatment For Botulism An Illness Caused By Clostridium Botulinum Bacteria. |
| 90296-CPT | Low | Diphtheria Immunity Solution, An Antibody Substance (Gamma Globulin Or Immune Globulin) That Helps To Prevent Diphtheria Infection Which Affects The Nose And The Throat And Can Lead To Difficulty Breathing. |
| 90371-CPT | Low | Hepatitis B Immunity Solution, An Antibody Substance (Gamma Globulin Or Immune Globulin) That Helps To Prevent Infection By The Hepatitis B Virus Which Causes A Serious Liver Infection. |
| 90375-CPT | Moderate | Rabies Prevention Medication, An Antibody Substance (Gamma Globulin Or Immune Globulin) That Helps To Prevent Rabies Infection Following Exposure To Rabies. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90287. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90287 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 90287) and we'll show you how you compare in 15 minutes or less.