What do doctors typically charge for Acupuncture with Electrical Stimulation?

The nationwide median physician charge for Acupuncture with Electrical Stimulation (CPT 97813) is $100.00. Doctor billed charges vary based on geographic region, setting, and overhead.

What is the standard insurance baseline for CPT 97813?

The standard insurance baseline reimbursement rate is $46.58. This represents the customary allowable amount established across standard fee schedules.

Home/Procedures/Acupuncture with Electrical Stimulation

CPT 97813Medical Service

Acupuncture with Electrical Stimulation

Acupuncture with electrical stimulation, initial 15 minutes. Clinical pricing breakdown and utilization metrics across 280 practicing doctors nationwide.

$100.00

Peer Median Charge

Gross billed rate

$46.58

Standard Baseline

Customary allowable

2.1x

National Markup

Charge vs baseline

280

Active Physicians

Billing this code

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Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $100.00. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $46.58 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 97813 if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"