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See a sample rate comparisonCPT 99000 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.
Handling Andor Conveyance Of, Handling Andor Conveyance Of Specimen For Transfer From Thephysicians Office To A Laboratory Handling Andor Conveyance Of Specimen For Transfer From The
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Special Services, Procedures and Reports |
| Common Place of Service | 11 - Office 20 - Urgent Care Facility 81 - Independent Laboratory |
| Common Modifiers | 59 - Distinct Procedural Service 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 99000 |
| Medicaid Fee Schedule | $3.86 median of the 7 states in the free preview · View Medicaid rates for 99000 |
National average reimbursement for CPT 99000 by major payers:
$7.59
$3.80
$8.29
$9.55
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CPT 99000
5 of 25 sample ratesHigher to lower in this preview
Marcus Ortega
Mass General Brigham Incorporated
$24.37Published rateSiobhan Burke
$7.88Published rateKelly Gumbrecht
Beaumont Medical Group - Hospital-Based Services
$4.11Published rateTroy Brothers
Florida Woman Care, LLC
$3.66Published rateDaniel Lopez
$2.24Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 99000 vs. Other Special Services, Procedures and Reports Codes
The CPT 99000 code is part of the Medicine Services and Procedures services used for Special Services, Procedures and Reports. 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 99000 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 |
|---|---|---|
| 97537-CPT | Low | Community Work Reintegration, Community Work Reintegration Training Eg Shopping Transportation Money Management Avocational Activities And Or Work Environment Modification Analysis Work Task Analysis Use Of Assistive Technology Device Adaptive Equipment Direct One On One Contact Each 15 Minutes |
| 97545-CPT | Low | Work Hardening/Condit Initial 2 Hrs |
| 97755-CPT | Low | Assistive Technology Assess, Assistive Technology Assessment Eg To Restore Augment Or Compensate For Existing Function Optimize Functional Tasks And Or Maximize Environmental Accessibility Direct One On One Contact With Written Report Each 15 Minutes |
| 99000-CPT | Low | Handling Andor Conveyance Of, Handling Andor Conveyance Of Specimen For Transfer From Thephysicians Office To A Laboratory Handling Andor Conveyance Of Specimen For Transfer From The |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 99000. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 99000 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.
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Frequently Asked Questions
To get an estimate for a specific medical procedure, you can utilize tools that offer price transparency. For a reliable estimate based on CPT codes and your specific location, we recommend using a service like Payerprice, which offers a fee schedule lookup tool. You should also contact your healthcare provider's billing department or your insurance company directly for a personalized estimate that considers your specific plan and circumstances.
Several factors contribute to the variation in healthcare service prices. These include the type of facility (e.g., hospital vs. outpatient clinic), geographic location, the complexity of the procedure, the technology and equipment used, the physician's expertise, and the negotiated rates between providers and different insurance companies. Market competition and administrative overhead also play significant roles in determining costs.
Price variations for the same procedure are common due to multiple reasons. Hospitals and clinics have different operating costs and overheads. Negotiated rates with various insurance plans differ greatly, leading to different charges. Geographic location, the specialty and reputation of the provider, and the level of care and services bundled with the procedure can also contribute to these disparities in cost.
CPT stands for Current Procedural Terminology. CPT codes are standardized five-digit codes used by healthcare providers and insurers to describe medical, surgical, and diagnostic services. They are crucial for billing and reimbursement processes, ensuring that services are accurately documented and paid for. When looking up healthcare costs, knowing the specific CPT code for a procedure allows for a more precise price lookup, as tools like Payerprice use these codes to provide location-specific fee schedule data.
For a reliable estimate of a specific medical service in your area, your best approach is to use a dedicated fee schedule lookup tool. We highly recommend Payerprice, which provides a tool to search for costs using the CPT code of the service and your specific location. Additionally, you should contact the billing department of the specific healthcare provider you plan to use and your insurance company, as they can provide estimates based on your individual coverage and negotiated rates.