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 comparisonHCPCS E2104 Fee Schedule
Last Verified: September 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.
Home blood glucose monitor for use with integrated lancing/blood sample testing cartridge
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Miscellaneous Pumps and Monitors |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for E2104 |
National average reimbursement for HCPCS E2104 by major payers:
$46.21
$31.76
$N/A
$72.36
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS E2104.
HCPCS E2104
5 of 25 sample ratesHigher to lower in this preview
Emory Crawford Long Hospital
Emory University
$90.23Published rateNavicent Health Oconee, LLC, Navicent Health Baldwin
Navicent Health Oconee LLC
$33.93Published rateTattnall Hospital Company, LLC, Optim Medical Center - Tattnall
$31.31Published rateNorthside Hospital, Inc., Northside Hospital Duluth
$25.46Published rateTanner Medical Center, Inc, Tanner Health System
Tanner Medical Center Inc
$3.14Published 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 proposalHCPCS E2104 vs. Other Miscellaneous Pumps and Monitors Codes
The HCPCS E2104 code is part of the Durable Medical Equipment services used for Miscellaneous Pumps and Monitors. 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 HCPCS E2104 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 |
|---|---|---|
| E2104-HCPCS | Low | Home blood glucose monitor for use with integrated lancing/blood sample testing cartridge |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E2104. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E2104 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 HCPCS E2104) and we'll show you how you compare in 15 minutes or less.