# RateBench — Codes, settings and modifiers > The 1027 CPT codes a fee schedule starts from, across 21 specialties, and the rule behind every rate: office setting, professional class, plain code before modifier. - Human page: https://ratebench.health/codes - Product (sign up / app): https://app.ratebench.health - This document: https://ratebench.health/codes.md --- ## How a rate is chosen - **Setting.** The rate for care in your office (place of service 11). A rate a payer publishes without a specific setting counts as the office rate. A few payers never use 11 and publish office visits under other codes; for those we use the payer's own codes and name the setting. A rate published only for hospital or facility settings is never shown as an office rate. - **Class.** Professional only — what the clinician is paid. Institutional and facility claims and per-diem arrangements are left out. - **Modifiers.** The plain code's rate is what we show. If a payer publishes only a modified variant (95 telehealth, for example), we show it and name the modifier. - **The figure.** A dollar amount the payer published, negotiated or its own fee schedule. A rate the file marks "derived" is flagged as an estimate. A percentage of charges has no dollar figure, and we say so rather than invent one. Every rate carries its network and the file and month it came from. ## Beyond the list At 65 of 66 payers a lookup answers for whatever codes are asked for. UnitedHealthcare answers from a monthly read that covers the 1,027 codes below; a code outside it comes back empty there and can be added to the next month's read on request. ## The codes, by specialty CPT descriptors belong to the AMA and are not reproduced here. ### Family Medicine 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99211, 99417, G2211, 99385, 99386, 99387, 99395, 99396, 99397, 99391, 99392, 99393, 99394, 99495, 99496, 99497, 99406, 99407, 96127, 96160, 96161, 36415, 81002, 81003, 81025, 82962, 82947, 85025, 80053, 80061, 83036, 84443, 87880, 87804, 87426, 87811, 86580, 82270, 96372, 90471, 90472, J3301, J1100, J1885, J0696, J3420, J1030, J1040, 90686, 90688, 90662, 90715, 90732, 90750, 90677, 69210, 17110, 10060, 11200, 12001, 12002, 11730, 11740, 17000, 17003, 11102, 11104, 20610, 20605, 20600, 20550, 20551, 93000, 94010, 94760, 94640, 94664, 99024, 99000, 90460 ### Internal Medicine 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99211, 99417, G2211, 99385, 99386, 99387, 99395, 99396, 99397, 99495, 99496, 99497, 99406, 99407, 96127, 96160, 96161, 36415, 81002, 81003, 81025, 82962, 82947, 85025, 80053, 80061, 83036, 84443, 87880, 87804, 87426, 87811, 86580, 82270, 96372, 90471, 90472, J3301, J1100, J1885, J0696, J3420, J1030, J1040, 90686, 90688, 90662, 90715, 90732, 90750, 90677, 93000, 93010, 94010, 94060, 94760, 84153, 82306, 85610, 81001, 87086, 69210, 17110, 20610, 20605, 20600, 11730, 99024, 99000 ### Pediatrics 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99211, 99417, G2211, 99381, 99382, 99383, 99384, 99391, 99392, 99393, 99394, 99385, 99395, 90460, 90461, 90471, 90472, 90670, 90677, 90700, 90707, 90710, 90713, 90716, 90723, 90734, 90744, 90651, 90680, 90686, 90688, 90633, 90648, 90619, 96110, 96127, 96160, 96161, 92551, 99173, 94010, 94640, 94664, 94760, 87880, 87804, 87426, 87811, 81002, 36415, 96372, 82962, 85025, 86580, 69210, 17110, 10060, 12001, 12002, 11740, 99401, 99406, 99000, 99024 ### Behavioral Health / Counseling 90791, 90832, 90834, 90837, 90839, 90840, 90845, 90846, 90847, 90849, 90853, 90785, 90875, 90882, 90887, 96127, 96130, 96131, 96136, 96137, 96138, 96139, 96146, 96156, 96158, 96159, 96164, 96165, 96167, 96168, 99404 ### Psychiatry 90792, 90791, 90833, 90836, 90838, 90785, 90839, 90840, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99211, 99417, G2211, 90832, 90834, 90837, 90846, 90847, 90853, 96127, 96116, 96130, 96131, 96136, 96137, 90867, 90868, 90869, 96372, J2794, J2426, J0401, 99495, 99496, 99406, 99407 ### Physical Therapy 97161, 97162, 97163, 97164, 97110, 97112, 97113, 97116, 97124, 97140, 97150, 97530, 97535, 97542, 97750, 97760, 97761, 97763, 97129, 97130, 20560, 20561, 97597, 97598, 97010, 97012, 97014, 97016, 97018, 97022, 97024, 97026, 97032, 97033, 97034, 97035, 97036, G0283, 95851, 95852, 97545, 97546, 97755, 29540, 29530 ### Occupational Therapy 97165, 97166, 97167, 97168, 97110, 97112, 97129, 97130, 97140, 97150, 97530, 97535, 97537, 97542, 97545, 97546, 97750, 97755, 97760, 97761, 97763, 96125, 97597, 97598, 97010, 97012, 97014, 97016, 97018, 97022, 29125, 29126, 29130, 29131, L3908, L3806, L3809 ### Speech-Language Pathology 92507, 92508, 92521, 92522, 92523, 92524, 92526, 92610, 92611, 92612, 92616, 92597, 92605, 92606, 92607, 92608, 92609, 92620, 92621, 92626, 92627, 96105, 96125, 97129, 97130, 92630, 92633 ### Chiropractic 98940, 98941, 98942, 98943, 99202, 99203, 99204, 99212, 99213, 99214, 97110, 97112, 97124, 97140, 97530, 97535, 97750, 97161, 97162, 97163, 20560, 20561, 20552, 20553, 95851, 97010, 97012, 97014, 97016, 97018, 97022, 97024, 97026, 97032, 97033, 97034, 97035, 97036, G0283, 72020, 72040, 72050, 72070, 72072, 72100, 72110, 72170, 73030, 73562, 73610, 73630, S8990 ### Dermatology 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99211, 99417, G2211, 11102, 11103, 11104, 11105, 11106, 11107, 17000, 17003, 17004, 17110, 17111, 17106, 17107, 17108, 17260, 17261, 17262, 17263, 17264, 17270, 17271, 17272, 17273, 17280, 17281, 17282, 17283, 17311, 17312, 17313, 17314, 17315, 11400, 11401, 11402, 11403, 11404, 11420, 11421, 11422, 11423, 11440, 11441, 11442, 11443, 11600, 11601, 11602, 11603, 11620, 11621, 11622, 11623, 11640, 11641, 11642, 11643, 11300, 11301, 11302, 11305, 11306, 11307, 11310, 11311, 11312, 11200, 11201, 11055, 11056, 11057, 11719, 11720, 11721, 10040, 10060, 10061, 10120, 11900, 11901, 17250, 12001, 12002, 12004, 12005, 12011, 12013, 12014, 12031, 12032, 12034, 13100, 13101, 13120, 13121, 14040, 14041, 96567, 96910, 96912, 96920, 96921, 96922, 88305, 88304, 87220, 87101, 96372, J3301, 99024 ### Orthopedics 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99211, 99417, G2211, 20600, 20604, 20605, 20606, 20610, 20611, 20550, 20551, 20552, 20553, 20526, 20612, 20680, 29075, 29085, 29105, 29125, 29126, 29130, 29131, 29405, 29425, 29505, 29515, 29540, 29580, 73030, 73060, 73070, 73080, 73090, 73100, 73110, 73120, 73130, 73140, 73501, 73502, 73552, 73560, 73562, 73564, 73590, 73600, 73610, 73620, 73630, 72020, 72040, 72050, 72070, 72072, 72100, 72110, 72170, 76882, 29881, 29880, 29827, 29826, 29823, 27447, 27130, 64721, 26055, 25607, 25608, 23412, 27446, L1832, L1833, L3908, L4361, L1902, L3670, L0650, 99024, 97110, 97140 ### OB/GYN 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99211, 99417, G2211, 99385, 99386, 99387, 99395, 99396, 99397, 59400, 59409, 59410, 59510, 59514, 59515, 59425, 59426, 59430, 59610, 59618, 59025, 59020, 59200, 76801, 76802, 76805, 76810, 76811, 76812, 76815, 76816, 76817, 76818, 76819, 76830, 76856, 76857, 76942, 81025, 84702, 84703, 87591, 87491, 87661, 87624, 87625, 88141, 88142, 88175, 88305, 87210, 86780, 86703, 85025, 36415, Q0091, G0101, 57454, 57455, 57456, 57460, 57461, 57500, 57505, 58100, 58300, 58301, J7300, J7297, J7298, J7301, J7307, 11981, 11982, 11983, 57160, 57170, 58120, 58555, 58558, 58563, 56501, 56605, 57420, 58150, 58571, 58661, 58670, 96372, 90471, 90715, 90651, 90686, 99024, 99000 ### Cardiology 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99211, 99417, G2211, 99495, 99496, 99497, 93000, 93005, 93010, 93015, 93016, 93017, 93018, 93306, 93307, 93308, 93320, 93321, 93325, 93350, 93351, 93224, 93225, 93226, 93227, 93241, 93242, 93243, 93244, 93245, 93246, 93247, 93248, 93268, 93270, 93271, 93272, 93228, 93229, 93279, 93280, 93281, 93282, 93283, 93284, 93288, 93289, 93294, 93295, 93296, 93297, 93298, 93880, 93882, 93922, 93923, 93924, 93925, 93926, 93930, 93931, 93970, 93971, 93975, 93976, 93978, 93979, 78452, 78451, 93458, 93460, 92928, 93798, 93797, 99453, 99454, 99457, 99458, 99091, 36415, 80061, 80053, 84443, 83036, 85025, 83880, 84484 ### Gastroenterology 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99211, 99417, G2211, 45378, 45380, 45381, 45382, 45384, 45385, 45388, 45390, 45330, 45331, 43235, 43239, 43248, 43249, 43250, 43251, 43255, 43270, 43450, 43453, 43246, 43260, 43261, 43262, 43264, 43265, 43237, 43238, 43259, 46600, 46221, 46320, 91110, 91035, 91037, 91038, 91010, 91122, 91200, 91065, 88305, 88342, 83013, 87338, 99152, 99153, G0105, G0121, G0104, 99024, 96372, 36415 ### Urgent Care 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99211, 99417, G2211, 99050, 99051, 99058, S9083, S9088, 96372, 90471, 90472, J3301, J1100, J1885, J0696, J3420, J1030, J1040, 96374, 96360, 96361, J0171, J2550, J1200, J0690, J2405, J2930, 12001, 12002, 12004, 12005, 12011, 12013, 12014, 12031, 12032, 12034, 13100, 13101, 13120, 13121, 10060, 10061, 10120, 10140, 11740, 11730, 17110, 30300, 65205, 65220, 69200, 69210, 20600, 20604, 20605, 20606, 20610, 29075, 29085, 29105, 29125, 29126, 29130, 29131, 29405, 29425, 29505, 29515, 29540, 29580, 36415, 81002, 81003, 81025, 82962, 82947, 85025, 80053, 80061, 83036, 84443, 87880, 87804, 87426, 87811, 86580, 82270, 87635, 87081, 87086, 87210, 84703, 85610, 86308, 92551, 93000, 94010, 94640, 94664, 94760, 71045, 71046, 73030, 73060, 73090, 73110, 73130, 73140, 73562, 73610, 73630, 72040, 72100, 90715, 90686, 99000 ### Podiatry 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99211, 99417, G2211, 11055, 11056, 11057, 11719, 11720, 11721, 11730, 11732, 11740, 11750, 10060, 17110, 17111, 20550, 20551, 20600, 20605, 20612, 64455, 64450, 28285, 28296, 28292, 28110, 28111, 28080, 28060, 28190, 28192, 28470, 28475, 29405, 29425, 29515, 29540, 29580, 73620, 73630, 73610, 73650, 76881, 76882, 97597, 97598, 11042, 11043, 11045, 11046, 97605, 97606, L3000, L3010, L3020, L3030, L4360, L4361, L4386, L4387, G0127, 96372, J3301, J1100, 99024 ### Pain Management 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99211, 99417, G2211, 20600, 20604, 20605, 20606, 20610, 20611, 20550, 20551, 20552, 20553, 20526, 62320, 62321, 62322, 62323, 62324, 62325, 62326, 62327, 64483, 64484, 64479, 64480, 64490, 64491, 64492, 64493, 64494, 64495, 64633, 64634, 64635, 64636, 64450, 64405, 64520, 27096, 64451, 64625, 64640, 64615, J0585, 63650, 63685, 95970, 95971, 95972, 77003, 77002, 76942, 20560, 20561, 64420, 64421, 64425, 64400, 64505, J3301, J1030, J1040, J1100, J2001, 80305, 80306, 80307, G0480, G0481, G0482, G0483, 96372, 99024 ### ENT (Otolaryngology) 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99211, 99417, G2211, 31231, 31237, 31238, 31240, 31254, 31255, 31256, 31267, 31276, 31287, 31288, 31295, 31296, 31297, 31298, 31575, 31576, 31579, 92511, 92504, 30140, 30901, 30903, 30930, 30520, 30465, 42820, 42821, 42825, 42826, 42830, 42831, 42835, 42836, 42700, 60220, 60240, 60252, 69200, 69209, 69210, 69220, 69420, 69433, 69436, 69631, 92557, 92550, 92567, 92568, 92552, 92553, 92555, 92556, 92558, 92570, 92579, 92587, 92588, 92585, 92586, 92540, 92541, 92542, 92544, 92545, 92546, 92547, 92537, 92538, 95004, 95024, 95115, 95117, 95165, 88305, 96372, J3301, 10060, 99024 ### Ophthalmology / Optometry 92002, 92004, 92012, 92014, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 92015, 92020, 92025, 92081, 92082, 92083, 92132, 92133, 92134, 92136, 92201, 92202, 92227, 92228, 92229, 92235, 92240, 92250, 92283, 92284, 92285, 92286, 92310, 92311, 92312, 92313, 92314, 92315, 92316, 92317, 92340, 92341, 92342, 92352, 92353, 92370, 92371, 92071, 92072, 76510, 76511, 76512, 76513, 76514, 76516, 76519, 65205, 65210, 65220, 65222, 65430, 65435, 65855, 66170, 66172, 66761, 66762, 66821, 66982, 66984, 66987, 66988, 66989, 66991, 67028, J0178, J0179, J2778, J2777, J9035, 67101, 67105, 67108, 67113, 67210, 67228, 67145, 67800, 67801, 67810, 67820, 67900, 67901, 67903, 67904, 15822, 15823, 68761, 68801, 68810, 68811, 68815, 65710, 65730, 65750, 65755, 65756, 67515, 99024, V2020, V2100, V2200, V2300 ### Urology 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99211, 99417, G2211, 51741, 51798, 51728, 51729, 51784, 51797, 51700, 51701, 51702, 51703, 51705, 51720, 52000, 52005, 52204, 52224, 52234, 52235, 52240, 52260, 52265, 52281, 52287, 52310, 52315, 52332, 52341, 52342, 52344, 52345, 52351, 52352, 52353, 52356, 50590, 55700, 76872, 55250, 54150, 54161, 54400, 54405, 54410, 54415, 53850, 53852, 53854, 52441, 52442, 52648, 52601, 52649, 55866, 64561, 64581, 64590, 64566, 57288, J9030, J9217, J9155, J1950, J3315, J9202, J1071, 96372, 81002, 81003, 81001, 81000, 87086, 87088, 84153, 84403, 82570, 88305, 88304, 76770, 76775, 76856, 76857, 76870, 76942, 36415, 99024 ### General Surgery 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99211, 99417, G2211, 10060, 10061, 10120, 10121, 10140, 10160, 11042, 11043, 11045, 11046, 11102, 11104, 11400, 11401, 11402, 11403, 11404, 11406, 11420, 11421, 11422, 11423, 11440, 11441, 11442, 11443, 11600, 11601, 11602, 11603, 11604, 11620, 11621, 11622, 11623, 11640, 11641, 11642, 11643, 11750, 11730, 11740, 26010, 26011, 12001, 12002, 12004, 12005, 12011, 12013, 12014, 12031, 12032, 12034, 13100, 13101, 13120, 13121, 12041, 12042, 12044, 13131, 13132, 19120, 19125, 19081, 19083, 19100, 19101, 19301, 19302, 19303, 38500, 38525, 44970, 44950, 47562, 47563, 49505, 49507, 49520, 49521, 49650, 49651, 49591, 49592, 49593, 49594, 49595, 49596, 49613, 49614, 49615, 49616, 49617, 49618, 44204, 44205, 46221, 46250, 46255, 46260, 46320, 46200, 46600, 46270, 46275, 46280, 46040, 46050, 43644, 43775, 43770, 43281, 43282, 60240, 60220, 60500, 36561, 36556, 36590, 49082, 49083, 32554, 32555, 88305, 96372, 99024 Look one up free: https://ratebench.health/#check