New York
EmblemHealth fee schedule 2026, by CPT code.
EmblemHealth (commercial) publishes the rate it negotiated with each practice it contracts with, by NPI. Enter yours and we read EmblemHealth’s files for your rates.
Covers EmblemHealth’s commercial plans, including GHI.
What you’ll get
| Code | Visit | Your EmblemHealth rate | Source file |
|---|---|---|---|
| Filled in from EmblemHealth’s own file when you enter your NPI. | |||
Need the codes you bill, across your payers? Start a fee schedule from $99/month.
What you get
The number, and everything behind it.
The exact dollar EmblemHealth negotiated for a CPT code and your NPI — the genuinely negotiated figure, chosen by a fixed rule, not the “derived” line beside it.
Which EmblemHealth network the rate sits in (an HMO and a PPO product can pay differently), and that it’s the in-office professional rate.
The source file and its “as of” month, linked — so the number survives being questioned by a contracting manager.
On a paid plan, EmblemHealth becomes one column of a sheet next to every other payer you take, with underpayment checks and change alerts.
After the rate
Is EmblemHealth paying you what it published?
Upload your allowed amounts by code and see which ones EmblemHealth allowed below the rate it published for you, the claims affected and the dollar gap. Totals only, no patient data. →
Fee scheduleEmblemHealth next to every other payer you take, code by code, in one sheet, with the source behind every number and an alert when a rate changes. →
Also in New York
The other payers we read here.
Your state
All the payers we read in New York.
Questions about EmblemHealth’s rates or your contract? Ask us →