What is the standard insurance baseline for HCPCS 0507T?

The standard insurance baseline reimbursement rate is $26.65. This represents the customary allowable amount established across standard fee schedules.

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HCPCS 0507TMedical Service

Near Infrared Dual Imaging of Tear Glands with Interpretation and Report

Q: What do doctors typically charge for Near Infrared Dual Imaging of Tear Glands with Interpretation and Report?

The nationwide median physician charge for Near Infrared Dual Imaging of Tear Glands with Interpretation and Report (HCPCS 0507T) is $55.50. Doctor billed charges vary based on geographic region, setting, and overhead.

Near infrared dual imaging of tear glands with interpretation and report. Clinical pricing breakdown and utilization metrics across 50 practicing doctors nationwide.

$55.50

Peer Median Charge

Gross billed rate

$26.65

Standard Baseline

Customary allowable

2.1x

National Markup

Charge vs baseline

Active Physicians

Billing this code

Planning care or already received a bill for CPT 0507T?Calculate total facility bundle costs or generate an assertive dispute settlement offer.

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Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $55.50. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $26.65 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:

"Does Dr. [Name] participate in my specific insurance plan network?"
"What is the total self-pay or cash rate for code 0507T if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"