Is your CPT code overcharged?
252 codes. Source: CMS PFS & Clinical Lab Fee Schedule, CY2026.
| 10060 | Drainage of a simple skin abscess | $128.59 |
| 10061 | Drainage of a complicated skin abscess | $220.11 |
| 11042 | Wound debridement, skin and tissue under it, first area | $132.60 |
| 11102 | Skin biopsy by shaving, first lesion | $95.53 |
| 11104 | Skin biopsy by punch, first lesion | $121.25 |
| 11106 | Skin biopsy by cutting, first lesion | $151.31 |
| 12001 | Simple stitches for a small wound (2.5 cm or less) | $113.90 |
| 12002 | Simple stitches, wound 2.6 to 7.5 cm | $139.28 |
| 12011 | Simple stitches on the face, small wound | $139.62 |
| 17000 | Destroying a precancerous skin spot, first one | $66.47 |
| 17110 | Removing warts (up to 14) | $111.22 |
| 20552 | Trigger point injection, 1-2 muscles | $51.77 |
| 20610 | Joint injection or drainage, large joint (knee, shoulder) | $68.81 |
| 29881 | Knee arthroscopy with meniscus trimming | $515.71 |
| 31500 | Emergency breathing tube placement | $132.94 |
| 36415 | Routine blood draw from a vein | $9.34 |
| 36556 | Central IV line placement | $237.81 |
| 43239 | Upper GI endoscopy with biopsy | $418.85 |
| 45378 | Diagnostic colonoscopy | $378.10 |
| 45380 | Colonoscopy with biopsy | $479.97 |
| 45385 | Colonoscopy with polyp removal by snare | $500.01 |
| 51702 | Inserting a temporary urinary catheter | $65.47 |
| 64483 | Epidural steroid injection, lower back, image-guided | $264.87 |
| 66984 | Cataract removal with lens implant | $462.60 |
| 70450 | CT scan of head, no contrast | $106.55 |
| 70460 | CT scan of head, with contrast | $148.30 |
| 70470 | CT scan of head, without then with contrast | $173.02 |
| 70486 | CT scan of sinuses/face, no contrast | $128.26 |
| 70490 | CT scan of neck soft tissue, no contrast | $149.64 |
| 70491 | CT scan of neck, with contrast | $183.37 |
| 70496 | CT angiogram of head | $273.89 |
| 70498 | CT angiogram of neck | $273.89 |
| 70544 | MR angiogram of head | $214.77 |
| 70551 | MRI of brain, no contrast | $195.40 |
| 70553 | MRI of brain, without then with contrast | $316.97 |
| 71045 | Chest X-ray, 1 view | $25.38 |
| 71046 | Chest X-ray, 2 views | $33.07 |
| 71047 | Chest X-ray, 3 views | $41.08 |
| 71100 | Rib X-rays, one side | $36.07 |
| 71250 | CT scan of chest, no contrast | $132.60 |
| 71260 | CT scan of chest, with contrast | $166.67 |
| 71271 | Low-dose CT lung cancer screening | $136.28 |
| 71275 | CT angiogram of chest (often for blood clots) | $280.57 |
| 72040 | Neck spine X-ray, 2-3 views | $39.75 |
| 72070 | Mid-back spine X-ray, 3 views | $33.07 |
| 72100 | Lower back spine X-ray, 2-3 views | $40.42 |
| 72110 | Lower back spine X-ray, 4+ views | $53.44 |
| 72125 | CT scan of neck spine, no contrast | $130.60 |
| 72131 | CT scan of lower back spine, no contrast | $129.93 |
| 72141 | MRI of neck spine, no contrast | $190.72 |
| 72146 | MRI of mid-back spine, no contrast | $190.39 |
| 72148 | MRI of lower back spine, no contrast | $191.72 |
| 72158 | MRI of lower back spine, without then with contrast | $318.31 |
| 72170 | Pelvis X-ray, 1-2 views | $28.06 |
| 72192 | CT scan of pelvis, no contrast | $132.60 |
| 73030 | Shoulder X-ray, 2+ views | $35.74 |
| 73060 | Upper arm X-ray | $32.06 |
| 73070 | Elbow X-ray, 2 views | $29.39 |
| 73090 | Forearm X-ray | $29.06 |
| 73110 | Wrist X-ray, 3+ views | $42.75 |
| 73130 | Hand X-ray, 3+ views | $38.08 |
| 73140 | Finger X-ray | $39.41 |
| 73221 | MRI of shoulder or other arm joint, no contrast | $205.08 |
| 73502 | Hip X-ray, one side, 2-3 views | $48.77 |
| 73552 | Thigh bone X-ray | $35.74 |
| 73562 | Knee X-ray, 3 views | $42.42 |
| 73564 | Knee X-ray, 4+ views | $49.43 |
| 73590 | Lower leg X-ray | $31.40 |
| 73610 | Ankle X-ray, 3+ views | $37.07 |
| 73630 | Foot X-ray, 3+ views | $34.07 |
| 73700 | CT scan of leg, no contrast | $130.26 |
| 73721 | MRI of knee or other leg joint, no contrast | $204.41 |
| 74018 | Abdomen X-ray, 1 view | $29.73 |
| 74019 | Abdomen X-ray, 2 views | $36.07 |
| 74150 | CT scan of abdomen, no contrast | $136.28 |
| 74160 | CT scan of abdomen, with contrast | $230.13 |
| 74176 | CT scan of abdomen and pelvis, no contrast | $183.04 |
| 74177 | CT scan of abdomen and pelvis, with contrast | $300.27 |
| 74178 | CT scan of abdomen and pelvis, without then with contrast | $338.02 |
| 74181 | MRI of abdomen, no contrast | $193.73 |
| 76536 | Ultrasound of neck/thyroid | $108.55 |
| 76641 | Breast ultrasound, one side, complete | $100.20 |
| 76700 | Ultrasound of abdomen, complete | $114.23 |
| 76705 | Ultrasound of abdomen, limited | $86.17 |
| 76770 | Ultrasound of kidneys/retroperitoneum, complete | $106.21 |
| 76801 | Pregnancy ultrasound, first trimester | $116.90 |
| 76805 | Pregnancy ultrasound, after first trimester | $135.94 |
| 76815 | Pregnancy ultrasound, limited | $81.50 |
| 76830 | Transvaginal ultrasound | $117.57 |
| 76856 | Pelvic ultrasound, complete | $105.21 |
| 76870 | Scrotal ultrasound | $98.53 |
| 77065 | Diagnostic mammogram, one side | $123.92 |
| 77066 | Diagnostic mammogram, both sides | $156.98 |
| 77067 | Screening mammogram | $126.26 |
| 77080 | Bone density scan (DEXA) | $39.41 |
| 78452 | Nuclear heart stress imaging | $427.87 |
| 80047 | Basic metabolic panel with ionized calcium | $13.73 |
| 80048 | Basic metabolic panel (8 blood chemistry tests) | $8.46 |
| 80051 | Electrolyte panel | $7.01 |
| 80053 | Comprehensive metabolic panel (14 blood chemistry tests) | $10.56 |
| 80055 | Pregnancy (obstetric) blood panel | $47.81 |
| 80061 | Cholesterol (lipid) panel | $13.39 |
| 80069 | Kidney function panel | $8.68 |
| 80074 | Acute hepatitis panel | $47.63 |
| 80076 | Liver function panel | $8.17 |
| 80305 | Drug screen, simple cup or dipstick | $12.60 |
| 80307 | Drug screen by instrument | $62.14 |
| 81001 | Urinalysis, automated, with microscope | $3.17 |
| 81002 | Urinalysis by dipstick, no microscope | $3.48 |
| 81003 | Urinalysis, automated, no microscope | $2.25 |
| 81025 | Urine pregnancy test | $8.61 |
| 82040 | Albumin (blood protein) level | $4.95 |
| 82043 | Urine albumin (microalbumin) | $5.78 |
| 82150 | Amylase (pancreas enzyme) | $6.48 |
| 82247 | Bilirubin, total | $5.02 |
| 82248 | Bilirubin, direct | $5.02 |
| 82306 | Vitamin D level | $29.60 |
| 82310 | Calcium level | $5.16 |
| 82374 | Carbon dioxide (bicarbonate) level | $4.88 |
| 82435 | Chloride level | $4.60 |
| 82550 | CK (muscle enzyme), total | $6.51 |
| 82565 | Creatinine (kidney function) | $5.12 |
| 82607 | Vitamin B12 level | $15.08 |
| 82728 | Ferritin (iron stores) | $13.63 |
| 82947 | Blood glucose (sugar), quantitative | $3.93 |
| 82962 | Fingerstick glucose by home-type meter | $3.28 |
| 83036 | Hemoglobin A1c (3-month blood sugar) | $9.71 |
| 83540 | Iron level | $6.47 |
| 83550 | Iron binding capacity | $8.74 |
| 83605 | Lactate level | $11.57 |
| 83690 | Lipase (pancreas enzyme) | $6.89 |
| 83735 | Magnesium level | $6.70 |
| 83880 | BNP (heart failure marker) | $39.26 |
| 84075 | Alkaline phosphatase | $5.18 |
| 84100 | Phosphorus level | $4.74 |
| 84132 | Potassium level | $4.76 |
| 84153 | PSA (prostate), total | $18.39 |
| 84155 | Total protein | $3.67 |
| 84295 | Sodium level | $4.81 |
| 84439 | Free T4 (thyroid hormone) | $9.02 |
| 84443 | TSH (thyroid stimulating hormone) | $16.80 |
| 84450 | AST (liver enzyme) | $5.18 |
| 84460 | ALT (liver enzyme) | $5.30 |
| 84478 | Triglycerides | $5.74 |
| 84484 | Troponin (heart damage marker), quantitative | $12.47 |
| 84520 | BUN (urea nitrogen, kidney function) | $3.95 |
| 84550 | Uric acid | $4.52 |
| 84702 | hCG pregnancy hormone, quantitative | $15.05 |
| 84703 | hCG pregnancy test, qualitative | $7.52 |
| 85004 | White cell differential, automated | $6.47 |
| 85007 | Blood smear with manual differential | $3.80 |
| 85014 | Hematocrit | $2.37 |
| 85018 | Hemoglobin | $2.37 |
| 85025 | Complete blood count (CBC) with automated differential | $7.77 |
| 85027 | Complete blood count (CBC), no differential | $6.47 |
| 85379 | D-dimer (blood clot screen) | $10.18 |
| 85610 | Prothrombin time (PT/INR clotting test) | $4.29 |
| 85651 | Sed rate (ESR), non-automated | $4.27 |
| 85652 | Sed rate (ESR), automated | $2.70 |
| 85730 | PTT clotting test | $6.01 |
| 86140 | C-reactive protein (CRP) | $5.18 |
| 86141 | High-sensitivity CRP | $12.95 |
| 86308 | Mono spot test | $5.18 |
| 86580 | TB skin test | $11.02 |
| 86592 | Syphilis screen | $4.27 |
| 86803 | Hepatitis C antibody | $14.27 |
| 86850 | Blood antibody screen | $9.77 |
| 86900 | Blood type (ABO) | $2.99 |
| 86901 | Blood type (Rh) | $2.99 |
| 87040 | Blood culture for bacteria | $10.32 |
| 87070 | Bacterial culture, other source | $8.62 |
| 87081 | Bacterial culture screen | $6.63 |
| 87086 | Urine culture, colony count | $8.07 |
| 87088 | Urine culture, identification | $8.09 |
| 87186 | Antibiotic sensitivity test | $8.65 |
| 87340 | Hepatitis B surface antigen | $10.33 |
| 87389 | HIV antigen/antibody screen | $24.08 |
| 87491 | Chlamydia DNA test | $35.09 |
| 87591 | Gonorrhea DNA test | $35.09 |
| 87631 | Respiratory virus panel, 3-5 targets | $142.63 |
| 87635 | COVID-19 PCR test | $51.31 |
| 87804 | Rapid flu test | $16.55 |
| 87880 | Rapid strep test | $16.53 |
| 90471 | Vaccine administration, first shot | $22.04 |
| 90472 | Vaccine administration, each additional shot | $16.03 |
| 90791 | Initial psychiatric evaluation | $173.35 |
| 90832 | Psychotherapy session, about 30 minutes | $85.84 |
| 90834 | Psychotherapy session, about 45 minutes | $113.90 |
| 90837 | Psychotherapy session, about 60 minutes | $167.00 |
| 90846 | Family therapy without the patient | $105.88 |
| 90847 | Family therapy with the patient | $109.55 |
| 90853 | Group therapy session | $30.39 |
| 92950 | CPR | $379.10 |
| 93000 | ECG (heart tracing) with interpretation | $15.36 |
| 93005 | ECG tracing only | $7.01 |
| 93010 | ECG interpretation only | $8.35 |
| 93015 | Cardiac stress test, complete | $73.48 |
| 93224 | 48-hour heart monitor (Holter) | $70.48 |
| 93306 | Echocardiogram (heart ultrasound) with Doppler | $196.73 |
| 93307 | Echocardiogram without Doppler | $137.95 |
| 93308 | Limited echocardiogram | $101.20 |
| 93350 | Stress echocardiogram | $185.37 |
| 93880 | Ultrasound of neck arteries | $189.05 |
| 93970 | Ultrasound of leg or arm veins, both sides | $184.04 |
| 93971 | Ultrasound of leg or arm veins, one side | $116.24 |
| 94640 | Breathing treatment (nebulizer) | $8.68 |
| 94760 | Pulse oximetry (oxygen level check) | $4.01 |
| 96360 | IV fluids for hydration, first hour | $33.40 |
| 96361 | IV hydration, each additional hour | $13.03 |
| 96365 | IV drug infusion, first hour | $67.14 |
| 96366 | IV drug infusion, each additional hour | $21.38 |
| 96372 | Injection into muscle or under the skin | $15.36 |
| 96374 | IV push injection, first drug | $37.74 |
| 96375 | IV push injection, each additional drug | $15.70 |
| 97035 | Ultrasound therapy, each 15 minutes | $14.36 |
| 97110 | Therapeutic exercise, each 15 minutes | $29.06 |
| 97112 | Balance and coordination training, each 15 minutes | $32.73 |
| 97116 | Gait (walking) training, each 15 minutes | $29.06 |
| 97140 | Hands-on manual therapy, each 15 minutes | $27.72 |
| 97161 | Physical therapy evaluation, low complexity | $97.86 |
| 97162 | Physical therapy evaluation, moderate complexity | $97.86 |
| 97163 | Physical therapy evaluation, high complexity | $97.86 |
| 97164 | Physical therapy re-evaluation | $67.47 |
| 97165 | Occupational therapy evaluation, low complexity | $100.54 |
| 97166 | Occupational therapy evaluation, moderate complexity | $100.54 |
| 97530 | Functional activities training, each 15 minutes | $35.07 |
| 97535 | Self-care and home management training, each 15 minutes | $32.40 |
| 99202 | Office visit, new patient, straightforward | $75.15 |
| 99203 | Office visit, new patient, low complexity | $117.57 |
| 99204 | Office visit, new patient, moderate complexity | $177.36 |
| 99205 | Office visit, new patient, high complexity | $236.81 |
| 99211 | Office visit, returning patient, minimal | $24.38 |
| 99212 | Office visit, returning patient, straightforward | $59.45 |
| 99213 | Office visit, returning patient, low complexity | $95.19 |
| 99214 | Office visit, returning patient, moderate complexity | $135.61 |
| 99215 | Office visit, returning patient, high complexity | $192.39 |
| 99221 | Hospital admission visit, low complexity | $74.48 |
| 99222 | Hospital admission visit, moderate complexity | $116.90 |
| 99223 | Hospital admission visit, high complexity | $156.32 |
| 99231 | Daily hospital follow-up visit, low complexity | $44.09 |
| 99232 | Daily hospital follow-up visit, moderate complexity | $70.48 |
| 99233 | Daily hospital follow-up visit, high complexity | $106.88 |
| 99234 | Same-day admit and discharge (observation), low complexity | $88.18 |
| 99235 | Same-day admit and discharge, moderate complexity | $142.96 |
| 99236 | Same-day admit and discharge, high complexity | $189.72 |
| 99238 | Hospital discharge day, 30 minutes or less | $74.82 |
| 99239 | Hospital discharge day, over 30 minutes | $106.55 |
| 99281 | Emergency department visit, minimal complexity | $11.02 |
| 99282 | Emergency department visit, low complexity | $40.42 |
| 99283 | Emergency department visit, moderate complexity | $69.47 |
| 99284 | Emergency department visit, high complexity | $118.24 |
| 99285 | Emergency department visit, highest complexity | $171.35 |