What is a Fee Schedule?

A fee schedule is a complete listing of fees that healthcare providers or insurers use to determine payment amounts for medical services. These predetermined rates vary by procedure code, geographic location, and type of provider. Insurance companies maintain fee schedules to establish maximum allowable payments, while providers use them to set their standard charges for services.

Why fee schedules matter

• Sets payment rates: Determines how much providers are paid for services
• Affects patient costs: Influences out-of-pocket expenses for medical care
• Creates transparency: Helps patients understand potential costs before treatment

How Solace can help

A Solace advocate can help you understand fee schedules for planned procedures, compare rates between providers, and identify potential cost-saving opportunities. Advocates can also assist with negotiating fees when paying out-of-pocket or using out-of-network providers.

‍