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 90750 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.
Zoster (Shingles) Vaccine (Hzv) Recombinant Sub-Unit Adjuvanted For Intramuscular Injection (Reinstated 01/01/2017) Preventive Medicine Adult New Pt (Del 03/31/2003)
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Vaccines, Toxoids |
| Common Place of Service | 11 - Office 60 - Mass Immunization Center |
| Common Modifiers | JZ - Zero drug amount discarded/not administered to any patient UD |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 90750 |
| Medicaid Fee Schedule | $215.51 median of the 8 states in the free preview · View Medicaid rates for 90750 |
National average reimbursement for CPT 90750 by major payers:
$195.11
$221.56
$235.50
$231.30
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 90750.
CPT 90750
5 of 25 sample ratesHigher to lower in this preview
Prospect Imaging Center, LLC
Prospect Imaging Center LLC
$237.47Published rateEast Carolina Health, Vidant Roanoke Chowan Hospital
East Carolina Health
$221.97Published rateElias Valerio
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$215.50Published rateOne Step Diagnostic Xi Lp
$197.89Published rateAmber Lubas
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$183.41Published 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 90750 vs. Other Vaccines, Toxoids Codes
The CPT 90750 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 90750 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 |
|---|---|---|
| 90385-CPT | Low | Preventive For Rh Blood Type, An Iv Treatment To Prevent Complications In A Pregnancy Where The Mother And Fetus Have Rh-Opposite Blood Types. |
| 90471-CPT | Low | Immunization Administration (I, Immunization Administration (Includes Percutaneousintradermal Subcutaneous Intramuscular And Jet Injections Andor Intranasal Or Oral Administration) Single Or |
| 90736-CPT | Low | Shingles Vaccine Solution, Shingles Vaccine. This Vaccine Is Given To Prevent Shingles A Painful Skin Rash That Is Caused By The Same Virus That Causes Chickenpox. |
| 90750-CPT | Low | Zoster (Shingles) Vaccine (Hzv) Recombinant Sub-Unit Adjuvanted For Intramuscular Injection (Reinstated 01/01/2017) Preventive Medicine Adult New Pt (Del 03/31/2003) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90750. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90750 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 90750) and we'll show you how you compare in 15 minutes or less.