CPT 90717 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 | • Medicine Services and Procedures • Vaccines, Toxoids |
| Common Place of Service | • 11 - Office • 71 - Public Health Clinic |
| Common Modifiers | • None • 59 - Distinct Procedural Service • GA - Required ABN issued and on file |
| Complexity Level | Low |
National average reimbursement for CPT 90717 by major payers:
$192.94
$227.74
$223.50
$421.57
| 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 90717 | ||||||
United | 90717 | $226.02 | 1225211600 - JOHN MILLICHAP | 460319070 - MONUMENT HEALTH RAPID CITY HOSPITAL INC | CO | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 90717 | $233.47 | 1104046630 - SYED WALIUDDIN | 262522053 - (IL) VALLEY PSYCHIATRY AND COUNSELING LLC | IL | Psychiatry Physician (2084P0800X) |
United | 90717 | $209.58 | 1720087513 - BAYCARE HOME CARE, INC. | 593582520 - (FL) BAYCARE HOME CARE INC | FL | Home Health Agency (251E00000X) |
United | 90717 | $205.47 | 1275564197 - PAUL BERKOWITZ | 363330928 - (IL) PRESENCE HEALTHCARE SERVICES | IL | Psychiatry Physician (2084P0800X) |
United | 90717 | $220.85 | 1700895257 - LARA SEGALITE | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IL | Psychiatry Physician (2084P0800X) |
United | 90717 | $195.69 | 1689166027 - ANIRUDDHA DEKA | 911780160 | IL | Psychiatry Physician (2084P0800X) |
United | 90717 | $271.22 | 1508895897 - SYED IRFAN | 363907436 - ROCKFORD HEALTH PHYSICIANS | IL | Psychiatry Physician (2084P0800X) |
United | 90717 | $246.55 | 1679739395 - BETSY OSTRANDER | 810232122 - BENEFIS HOSPITALS INC | UT | Child & Adolescent Psychiatry Physician (2084P0804X) |
United | 90717 | $246.55 | 1922111657 - CLINT ANTHONY | 860830701 | AZ | Psychiatry Physician (2084P0800X) |
United | 90717 | $269.30 | 1811068554 - JAMES MACKENZIE | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IL | Child & Adolescent Psychiatry Physician (2084P0804X) |
United | 90717 | $215.25 | 1013538636 - OYOYO SAWYER | 208106540 - DISTRICT MEDICAL GROUP INC | IL | Psychiatry Physician (2084P0800X) |
United | 90717 | $195.69 | 1073251229 - BEVERLY UWANAKA | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | MD | Occupational Therapist (225X00000X) |
United | 90717 | $205.47 | 1568752665 - ANDREW KNOX | 362222696 - SWEDISHAMERICAN HOSPITAL | IL | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 90717 | $220.85 | 1780078337 - MATTHEW FILIPPO | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IL | Psychiatry Physician (2084P0800X) |
United | 90717 | $271.22 | 1295991701 - TRILOK SHAH | 465243116 - (IL) IN TOUCH PHYSICIANS LLC | IL | Psychiatry Physician (2084P0800X) |
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 90717 vs. Other Vaccines, Toxoids Codes
The CPT 90717 code is part of the Medicine Services and Procedures services used for Vaccines, Toxoids. 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 90717 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 |
|---|---|---|
| 90702-CPT | Low | Diphtheria And Tetanus Toxoids Adsorbed (Dt) When Administered To Individuals Younger Than 7 Years For Intramuscular Use (Desc Revised 7/1/2015) |
| 90717-CPT | Low | Immunization, Active; Yellow Fever |
| 90732-CPT | Low | Pneumococcal Polysaccharide Vaccine 23-Valent (Ppsv23) Adult Or Immunosuppressed Patient Dosage When Administered To Individuals 2 Years Or Older For Subcutaneous Or Intramuscular Use (Desc Revised 7/1/2015) |
| 90733-CPT | Low | Meningococcal Polysaccharide Vaccine Serogroups A C Y W-135 Quadrivalent (Mpsv4) For Subcutaneous Use (Desc Rsvd (7/1/2015) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90717. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90717 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 90717) and we'll show you how you compare in 15 minutes or less.