1. NPM Knowledge Base
  2. Medical Billing in Dentistry Guides

Find estimated fees for certain CPT (procedure) codes in your area

Estimating fees for procedure codes

Step 1: Go to www.fairhealthconsumer.org

Step 2:
Select the "Medical Costs" icon.

Step 3: Select the radio button for "In-network", "out-of-network", "not sure", or "uninsured" breakdown. Select the "next" icon. (Note: results will show in-network & out-of-network averages when "not sure" is selected)

Step 4: 
Enter zipcode and select the "next" icon.

Step 5
: Enter procedure code and click the search icon to the right of the text box (Note: some code that are common in medical billing in dentistry are not included in this database, such as E0486 for custom made oral appliances for Obstructive Sleep Apnea (OSA) and snoring):

Step 6
: Agree to the disclaimer, click to confirm the procedure, and click "get your cost":

Step 7:
Your results will appear, be sure to look at the figures in the "primary medical procedure" section, as the figures shown in the circles in the upper right will assume other services that are typically included with the service, such as outpatient hospital visits: