Life care planners often use database references to identify the retail cost of medical care, as defined by CPT codes. In this practice exercise, we compared the non-discounted, and geographically modified charges at the 50th and 75th percentiles for selected CPT codes from three commonly used data sources to evaluate variability among the three sources. The three references used in the comparison were Physician Fee Reference (Wasserman Medical Publishers, 2025), PMIC Medical Fees in the U.S. (Practice Management Information Corporation, 2025) and FAIRHealth Benchmarks (FAIR Health, Inc., 2025).

This comparison identified the geographically adjusted cost data per CPT code and then averaged the data obtained from the three references. The comparison is shown as a percentage of the average of the three. The comparison then provides a variation percentile for each reference’s reported price point. A variation from the average of the three references. A negative percentage suggests that that particular reference’s GAF adjusted data for that particular CPT code was below the average reported for the three references utilized in this comparison.

A review of the data presented revealed that that no one source was consistently higher or consistently lower than the average of all three. One resource might provide the highest price point for one CPT code and the lowest price point for another CPT code. Additionally, this exercise revealed variation at each CPT code, as well as variation at the different percentiles (50th vs 75th).

This approach of using all three references to report a “range” of retail cost for medical costs (per CPT code), by definition incorporates all three data references, without suggesting one is better or more reliable than another. This approach may increase the probability of accurate cost projections.

Further comparisons are recommended, including adding other resources, and perhaps other percentiles.

50th percentile 75th percentile
Variation from average Variation from average
PMIC Med
Fees
FH PMIC Med
Fees
FH
-36% -36% 73% -18% -17% 35% 99213 Est Pt OV 20
-34% -35% 69% -12% -11% 22% 99214 Est Pt OV 30
-34% -33% 67% -19% -18% 36% 99215 Est Pt OV 40
 
26% -35% 9% 9% -16% 7% 72148 L/⁠S MRI
22% -33% 12% 6% -15% 8% 72141 C/⁠S MRI
21% -38% 17% 19% -9% -10% 72100 X-Ray L/S 2-3 views
22% -45% 23% 19% -19% 0% 72040 X-Ray C/S 2-3 views
 
60% -52% -8% 62% -35% -27% 80305 UDS - Presumptive
86% -49% -37% 81% -24% -57% 80306 UDS - Definitive
26% -55% 29% 28% -35% 8% 80307 UDS - Quantitative
 
-2% -9% 11% -17% 30% -14% 64490 1st level facet C/S
11% -32% 21% 8% 5% -12% 64491 2nd level facet C/S
11% -35% 24% 10% 1% -10% 64492 3rd + level facet inj
 
-10% 11% -1% -27% 54% -27% 64493 1st level facet L/S
11% -28% 17% 8% 9% -17% 64494 add'l level facet L/S
11% -36% 25% 10% 0% -10% 64495 3rd + level facet inj L/S
 
0% -27% 28% -22% 7% 15% 64633 1st level RFA C/S
-4% -43% 46% -11% -2% 13% 64634 add'l level RFA C/S
 
-6% -20% 25% -25% 18% 7% 64635 1st level RFA L/S
-1% -34% 35% -13% 0% 12% 64636 add'l level RFA L/S
 
24% -46% 22% 20% -5% -14% 22630 Posterior L/S fusion
38% -47% 9% 36% -10% -26% 22632 Add'l level
 
28% -42% 14% 20% -4% -16% 22551 ACDF 1st level
36% -46% 9% 35% -9% -26% 22552 ACDF add'l level

Negative % numbers indicate that the reference’s cost is lower than the average of the three