View contracted rates across multiple schedules for a single procedure code
We recommend leveraging the All Rates page when you want to look up and compare how you're getting paid for a particular procedure code across multiple schedules.
You must first enter the procedure code or procedure code group you want to view rates for. From there, you can narrow down your results by using the following filters on the left-hand bar:
Business unit
Payer and fee schedules belonging to a specific payer
The type of rate (facility, non-facility, ASC)
Modifiers
A specific date for when rates would have been active
Change the layout of the All Rates table by viewing the code as a column or as a row.
Viewing as columns allows you to view all of the payers vertically and the procedure code as a column value
Viewing as rows allows you to view multiple procedure codes vertically and view your payers' rates across as column values
View a procedure code's contracted rate for a single schedule
If you want to look up a specific fee schedule's contracted rate for a procedure code, you can still use All Rates by leveraging the Payer filter or you can find the rate in the fee schedule's rate table.
Navigate to Fee Schedules from your Payers dropdown in the top nav bar, filter or search to find the specific fee schedule, and then search for the code for which you'd like to see contracted rate(s).
Note: When fields have dashes, that means we do not have rates for those fee schedules. This may be because:
Your practice is not contracted for those particular rates
The payer does not cover costs for a particular code and thus they do not appear on payer-provided fee schedules
Our system has not been updated to reflect recent changes to your fee schedules. If this is the case, please upload the payer communication you received regarding these changes to the Rivet files sections in your account.
