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 V5150 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Binaural, glasses
| Key Fact | Detail |
|---|---|
| Service Type | Hearing Services Hearing Aids |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for V5150 |
National average reimbursement for HCPCS V5150 by major payers:
$1,187.53
$1,606.21
$1,059.95
$1,023.86
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS V5150.
HCPCS V5150
5 of 25 sample ratesHigher to lower in this preview
Carson Medical Group Professional Corporation
Carson Medical Group
$3,409.51Published rateEmory Crawford Long Hospital
Emory University
$2,533.98Published rateThe Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$2,173.82Published rateLower Oconee Community Hospital Inc
$1,819.76Published ratePaulding Medical Center, Inc., Wellstar Paulding Hospital
Paulding Medical Center Inc
$1,489.44Published 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 V5150 vs. Other Hearing Aids Codes
The HCPCS V5150 code is part of the Hearing Services services used for Hearing Aids. 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 V5150 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 |
|---|---|---|
| V5140-HCPCS | High | Binaural, behind the ear |
| V5150-HCPCS | High | Binaural, glasses |
| V5160-HCPCS | Moderate | Dispensing fee, binaural |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS V5150. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the V5150 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 V5150) and we'll show you how you compare in 15 minutes or less.