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 94664 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.
Drug Delivery Device Use, Instruction In Or Evaluation Of The Use Of A Device For Giving Medication Such As A Nebulizer Inhaler Or Intermittent Positive Breathing Device. These Help To Manage Symptoms That Close Off The Airways.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Pulmonary Procedures |
| Common Place of Service | 11 - Office 20 - Urgent Care Facility |
| Common Modifiers | 59 - Distinct Procedural Service XU - Unusual Non-Overlapping Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $20.04 national non-facility rate (2026) · View Medicare rates for 94664 |
| Medicaid Fee Schedule | $15.75 median of the 8 states in the free preview · View Medicaid rates for 94664 |
National average reimbursement for CPT 94664 by major payers:
$22.96
$21.02
$22.02
$27.57
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 94664.
CPT 94664
5 of 25 sample ratesHigher to lower in this preview
Cyril Appiagyei
Northwestern Memorial Healthcare
$41.72Published rateDavid Banayan
Loyola University Medical Center
$32.38Published rateLubov Romantseva
Rush University Medical Center
$31.02Published rateSyed Khan
Loyola University Medical Center
$26.86Published rateMy Phon Nguyen
Mount Sinai Community Foundation
$17.93Published 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 94664 vs. Other Pulmonary Procedures Codes
The CPT 94664 code is part of the Medicine Services and Procedures services used for Pulmonary 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 94664 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 |
|---|---|---|
| 94664-CPT | Low | Drug Delivery Device Use, Instruction In Or Evaluation Of The Use Of A Device For Giving Medication Such As A Nebulizer Inhaler Or Intermittent Positive Breathing Device. These Help To Manage Symptoms That Close Off The Airways. |
| 94667-CPT | Low | Chest Wall Manipulation, Manipulation Chest Wall Such As Cupping Percussing And Vibration To Facilitate Lung Function Initial Demonstration And Or Evaluation |
| 94668-CPT | Low | Manipulation Chest Wall Such, Manipulation Chest Wall Such As Cupping Percussing Andvibration To Facilitate Lung Function Subsequent |
| 94669-CPT | Low | Mchanic Chst Wall Oscillation To Facilitate Lung Funct Per Ses, Mechanical Chest Wall Oscillation To Facilitate Lung Function Per Ses |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 94664. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 94664 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 94664) and we'll show you how you compare in 15 minutes or less.
Frequently Asked Questions
A fee schedule is a comprehensive list of fees used by healthcare providers and payers to determine the payment for specific medical services, procedures, and supplies. It typically includes CPT (Current Procedural Terminology) codes, descriptions of services, and the corresponding prices or reimbursement amounts.
To find out the cost of a specific medical procedure or service, you generally need to know the CPT code for the service and your geographic location. For precise, real-time pricing information tailored to your specific situation, it is recommended to use a specialized fee schedule lookup tool. Payerprice offers such a tool where you can search with a CPT code and your specific location to get detailed fee schedule information.
CPT stands for Current Procedural Terminology. CPT codes are standardized five-digit alphanumeric codes used by healthcare professionals to report medical, surgical, and diagnostic services. They are crucial for billing, insurance claims, and, importantly, for accurately identifying specific procedures when looking up fee schedules and understanding potential costs.
For specific pricing information based on your location and the CPT code of the procedure, you should utilize a dedicated fee schedule lookup tool. Payerprice provides a fee schedule lookup tool that allows users to search with a CPT code and their specific location to find relevant pricing data. This helps individuals understand potential costs more accurately.
Healthcare costs can be difficult to ascertain beforehand due to several factors, including the complexity of insurance plans, variations in pricing between different providers and locations, negotiated rates between payers and providers, and the potential for additional services or complications during a procedure. Using specialized tools like Payerprice can help bring more transparency to these costs.