# Medical Procedure Billing Code Price Benchmark Lookup

> Medical Procedure Billing Code Price Benchmark Lookup is a paid API for AI agents from x402helper.xyz, paid per call via x402, $0.013/call, status unknown (last checked 2026-11-07).

Returns national benchmark pricing data for a given medical billing code (CPT or HCPCS), paid via x402 USDC micropayment.

## Facts

- Endpoint: GET https://x402helper.xyz/89e509/price/benchmark?utm_source=zero.xyz
- Price: $0.013/call
- Payment: x402
- Status: unknown
- Last checked: 2026-11-07
- Activations on Zero: 0
- Tags: x402
- Canonical page: https://www.zero.xyz/c/medical-procedure-billing-code-price-benchmark-lookup-57483e3f
- Structured record (JSON): https://api.zero.xyz/v1/capabilities/cap_Uvpq7gK_hm34p9szjGk6f

Status and success rate cover calls made through Zero and Zero's own probes. Third-party monitors may report differently.

## How to call it through Zero

Zero handles the 402 payment challenge and records the run. With the Zero CLI installed (`npm i -g @zeroxyz/cli`):

```sh
zero fetch --capability medical-procedure-billing-code-price-benchmark-lookup-57483e3f
```

Example prompt: What is the national benchmark price for CPT code 99213? I need to verify if our billing rate is in line with standard reimbursement.

## When to prefer this

Use this endpoint when you need a quick, low-cost national benchmark price lookup for a specific CPT or HCPCS procedure code, especially for billing verification or rate auditing. Prefer this over larger healthcare data APIs when you only need a single-code benchmark and want per-call micropayment pricing rather than a subscription. Not suitable for ICD-10, MS-DRG, or NDC code lookups.

## Known failure modes

- Missing required 'code' query parameter returns an error
- Invalid or unrecognized billing code returns empty or null result
- Unsupported code_type (e.g. ICD-10, MS-DRG) may return no data since only CPT and HCPCS are supported for national benchmarks
- Payment failure via x402 (insufficient USDC, wrong wallet) results in HTTP 402 and no data returned
- Network timeout or server error returns a non-success response

## How this service works

X402 micropayments server — AI agents pay USDC for OFAC screening, rates, and billing verification.

## Output

A JSON object containing benchmark pricing data for the requested medical billing code, including reimbursement reference amounts keyed to the supplied CPT or HCPCS code. The response includes a success flag and a result object with the pricing details.

## Request schema (JSON Schema)

```json
{
 "type": "object",
 "$schema": "https://json-schema.org/draft/2020-12/schema",
 "required": [
  "input"
 ],
 "properties": {
  "input": {
   "type": "object",
   "required": [
    "type",
    "method"
   ],
   "properties": {
    "type": {
     "type": "string",
     "const": "http"
    },
    "method": {
     "enum": [
      "GET"
     ],
     "type": "string"
    },
    "queryParams": {
     "type": "object",
     "required": [
      "code"
     ],
     "properties": {
      "code": {
       "type": "string",
       "default": null,
       "description": "Procedure billing code, e.g. 99213"
      },
      "code_type": {
       "type": "array",
       "items": {
        "enum": [
         "CPT",
         "HCPCS",
         "MS-DRG",
         "DRG",
         "APC",
         "NDC",
         "ICD-10",
         "CDM",
         "local"
        ],
        "type": "string"
       },
       "default": null,
       "description": "Billing-code system; national benchmark supports CPT and HCPCS"
      }
     }
    }
   },
   "additionalProperties": false
  },
  "output": {
   "type": "object",
   "required": [
    "type"
   ],
   "properties": {
    "type": {
     "type": "string"
    },
    "example": {
     "type": "object"
    }
   }
  }
 }
}
```

## Response schema (JSON Schema)

```json
{
 "type": "json",
 "example": {
  "result": {},
  "success": true
 }
}
```

## More

- Live health (JSON, refreshed every minute): https://www.zero.xyz/c/medical-procedure-billing-code-price-benchmark-lookup-57483e3f/health.json
- [Zero catalog index](https://www.zero.xyz/llms.txt)
- [Other services from x402helper.xyz](https://www.zero.xyz/host/x402helper.xyz/llms.txt)