CPT 99056 is a medical and therapeutic services code that no 2026 Medicare fee schedule prices. Commercial payers may still reimburse it.
Medicare rates for this code are not published on a 2026 Medicare fee schedule.
A Medicare rate is not one number — it is several, combined. Here is what each part of the CPT 99056 rate above actually means.
Not every billing code has a national Medicare rate. Some are priced locally by each Medicare contractor, some are paid at a state Medicaid rate, and some are reimbursed only by commercial payers.
Commercial payers negotiate their own rate for codes Medicare doesn't price, independent of any federal fee schedule. See what payers negotiate for 99056.
This page reflects the 2026-01-01 CMS fee schedules. Want the full story behind why this data is public at all — the rules, the deadlines, the penalties? Read the price transparency law guide.
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.