Medical charge and allowed-amount levels
What billed-charge, plan-allowed, and customary medical fee levels apply by procedure, place of service, and geography?
The data that answers it
Ranked by fit · best firstFAIR Health FH Allowed Medical supplies plan-allowed professional-service benchmark percentiles by CPT code and geozip across 493 US areas. FAIR Health documents a recent 12-month claims window and semiannual refresh for FH Allowed Medical, and licenses module files and arbitrary CPT/geozip lookup through FH Online.
FAIR Health FH Charge Medical supplies professional billed-charge benchmark percentiles by CPT code and geozip across 493 US areas. FAIR Health documents a recent 12-month claims window and semiannual refresh for its charge benchmarks, and licenses both module files and arbitrary CPT/geozip lookup through FH Online.
FH Fee Estimator supplies professional billed-charge benchmarks for buyer-selected procedure, specialty, and geozip combinations, including the 50th through 95th percentiles, mean, median, and mode. FAIR Health documents a recent 12-month dates-of-service cohort generally ending three to four months before release, twice-yearly updates, and percentile methodology.
Context4 UCR Fee Data supplies 25th-through-95th-percentile billed-charge benchmarks for buyer-selected procedure codes and ZIP/geozip areas, derived from provider pre-adjudication charges restricted to the two most recent years and refreshed semiannually. The dated release cadence and rolling observation window pin the fee period at capability level.
Related questions
Under Medical treatment cost and course benchmarksNeed Medical charge and allowed-amount levels answered at scale?
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