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 92998 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.
Percutaneous Transluminal Pulm, Percutaneous Transluminal Pulmonary Artery Balloonangioplasty Each Additional Vessel (List Separately In Addition To Code For Primary Procedure)
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Cardiovascular Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $274.89 national non-facility rate (2026) · View Medicare rates for 92998 |
| Medicaid Fee Schedule | $225.515 median of the 8 states in the free preview · View Medicaid rates for 92998 |
National average reimbursement for CPT 92998 by major payers:
$413.10
$433.71
$439.11
$509.06
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 92998.
CPT 92998
5 of 25 sample ratesHigher to lower in this preview
Sentara Hospitals, Sentara Virginia Beach General Hospital
Sentara Hospitals
$28,611.00Published rateTexas Health Harris Methodist Hospital Azle
$18,756.00Published rateSt Lukes Hospital Of Kansas City, Saint Luke'S Hospital Of Kansas City
St Lukes Hospital Of Kansas City
$11,749.00Published rateJefferson Health, Aria Health Bucks County Campus
Jefferson Health-Northeast
$5,928.00Published rateAmerican Health Imaging Of Georgia LLC, American Health Imaging Of Savannah, LLC
$383.98Published 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 92998 vs. Other Cardiovascular Procedures Codes
The CPT 92998 code is part of the Medicine Services and Procedures services used for Cardiovascular 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 92998 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 |
|---|---|---|
| 92997-CPT | Moderate | Angioplasty To Widen Artery, This Procedure Inserts A Small Tube Into The Artery From The Heart To The Lung. A Balloon Is Inflated To Open And Enlarge The Artery. |
| 92998-CPT | Moderate | Percutaneous Transluminal Pulm, Percutaneous Transluminal Pulmonary Artery Balloonangioplasty Each Additional Vessel (List Separately In Addition To Code For Primary Procedure) |
| 93005-CPT | Low | Electrocardiogram Routine Ecg, Electrocardiogram Routine Ecg With At Least 12 Leadstracing Only Without Interpretation And Report Electrocardiogram Routine Ecg With At Least 12leads |
| 93010-CPT | Low | Heart Test Review And Report, Physician Evaluation And Documentation Of Electrocardiogram (Ecg Or Ekg) Test Results. The Test Is Used To Evaluate Heart Rate Rhythm And Conduction. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92998. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92998 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 92998) and we'll show you how you compare in 15 minutes or less.