Commercial In-Network Reimbursement Across AI-Enabled Medical Devices, March 2026

In-network rates in the upper percentiles of cost are often 2-3 times higher than median in-network rate levels.

Serif Health analysis of Transparency in Coverage files posted by US commercial payers, March 2026. Includes AI-enabled medical device and related CPT/HCPCS codes: 0501T-0504T, 0623T-0626T, 0648T-0649T, 0689T-0690T, 0691T, 0697T-0698T, 0710T-0713T, 0716T, 0721T-0724T, 0731T, 0740T-0741T, 0749T, 0764T-0765T, 0777T, 0794T, 0877T-0880T, 0898T, 0902T, 0932T, 92229, and 75580. Limited to valid in-network negotiated, derived, or fee schedule rates in March 2026 (N=11,256,407 total observations). X-axis shows median negotiated rates, separately by billing class, as well as 10th, 25th, 75th, and 90th percentiles across payer networks reporting the code.
Source: Serif HealthCreated with Datawrapper