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 98927 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.
Osteopathic Manipulative Treat, Osteopathic Manipulative Treatment (Omt) Five To Six Bodyregions Involved Osteopathic Manipulativetreatment (Omt) Five To Six Body
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Osteopathic Manipulative Treatment Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service GC - Service performed by resident under supervision |
| Complexity Level | Low |
| Medicare Fee Schedule | $60.79 national non-facility rate (2026) · View Medicare rates for 98927 |
| Medicaid Fee Schedule | $49.27 median of the 8 states in the free preview · View Medicaid rates for 98927 |
National average reimbursement for CPT 98927 by major payers:
$58.88
$72.84
$64.35
$73.11
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 98927.
CPT 98927
5 of 25 sample ratesHigher to lower in this preview
Lauren Schumacher
$385.01Published rateAliya Hafeez
Advocate Health And Hospitals Corporation
$121.33Published rateHaidar Kabbani
$109.87Published rateJoseph Pepitone
Edward Health Ventures
$94.25Published rateBaptist Health Care, Inc., Baptist Home Healt Care And Medical Equipment
Baptist Health Care Inc
$56.31Published 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 98927 vs. Other Osteopathic Manipulative Treatment Procedures Codes
The CPT 98927 code is part of the Medicine Services and Procedures services used for Osteopathic Manipulative Treatment 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 98927 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 |
|---|---|---|
| 98925-CPT | Low | Osteopathic Manipulative Treat, Osteopathic Manipulative Treatment (Omt) One To Two Bodyregions Involved Osteopathic Manipulative Treatment (Omt) One To Two Body |
| 98926-CPT | Low | Osteopathic Manipulative Treat, Osteopathic Manipulative Treatment (Omt) Three Tofour Bodyregions Involved Osteopathic Manipulati Ve Treatment (Omt) Three To Four Body |
| 98927-CPT | Low | Osteopathic Manipulative Treat, Osteopathic Manipulative Treatment (Omt) Five To Six Bodyregions Involved Osteopathic Manipulativetreatment (Omt) Five To Six Body |
| 98928-CPT | Low | Osteopathic Manipulative Treat, Osteopathic Manipulative Treatment (Omt) Seven Toeightbody Regions Involved Osteopathic Manipulat Ive Treatment (Omt) Seven To Eight |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 98927. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 98927 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 98927) and we'll show you how you compare in 15 minutes or less.