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 98009 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.
Synch Audio Only New Low 30, Synchronous Audio Only Visit For The Evaluation And Management Of A New Patient Which Requires A Medically Appropriate History And/Or Examination Low Medical Decision Making And More Than 10 Minutes Of Medical Discussion. When Using Total Time On The Date Of The Encounter For Code Selection 30 Minutes Must Be Met Or Exceeded.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Acupuncture Procedures |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 98009 |
| Medicaid Fee Schedule | $69.365 median of the 8 states in the free preview · View Medicaid rates for 98009 |
National average reimbursement for CPT 98009 by major payers:
$108.43
$106.40
$76.75
$281.68
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 98009.
CPT 98009
5 of 25 sample ratesHigher to lower in this preview
Chun Chan
The Medical College Of Wisconsin Inc
$215.51Published rateBlas Catalani
East Memphis Anesthesia Services, PLLC
$124.41Published rateTrevor Robison
Mount Sinai Community Foundation
$101.50Published rateComprehensive Neurology Center, PLLC
Comprehensive Neurology Center PLLC
$84.72Published ratePaul Lesko
Offor Med Inc
$63.65Published 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 98009 vs. Other Acupuncture Procedures Codes
The CPT 98009 code is part of the Medicine Services and Procedures services used for Acupuncture 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 98009 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 |
|---|---|---|
| 98009-CPT | Low | Synch Audio Only New Low 30, Synchronous Audio Only Visit For The Evaluation And Management Of A New Patient Which Requires A Medically Appropriate History And/Or Examination Low Medical Decision Making And More Than 10 Minutes Of Medical Discussion. When Using Total Time On The Date Of The Encounter For Code Selection 30 Minutes Must Be Met Or Exceeded. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 98009. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 98009 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 98009) and we'll show you how you compare in 15 minutes or less.