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See a sample rate comparisonCPT 10007 Fee Schedule
Medicare rates as of October 2026
CPT 10007 is classified under Surgery, in the General Surgical Procedures subgroup.
Sample Tissue Using A Needle, Removal Of Body Fluid Or Tissue By Aspiration (Suction) Using A Fine Needle.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery General Surgical Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $344.36 national non-facility rate (2026) · View Medicare rates for 10007 |
| Medicaid Fee Schedule | $269.485 median of the 8 states in the free preview · View Medicaid rates for 10007 |
National average reimbursement for CPT 10007 by major payers:
$319.47
BCBS / Anthem
$378.97
UnitedHealthcare
$327.74
Aetna
$200.24
Cigna
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CPT 10007
5 of 25 sample ratesHigher to lower in this preview
Manatee Surgicare Ltd
$4,215.00Published rateThe Surgery Center At Lone Tree, LLC
$900.00Published rateMaryland Specialty Surgery Center, LLC
$552.00Published rateWest Clinic Astc, West Clinic, PC
The West Clinic, PLLC
$420.00Published rateButler Ambulatory Surgery Center L L C
Butler Ambulatory Surgery Center, LLC
$206.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 10007 vs. Other General Surgical Procedures Codes
The table lists codes related to 10007. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 10004-CPT | Low | Fine Needle Aspiration Biopsy, Fine Needle Aspiration Biopsy Without Imaging Guidance Each Additional Lesion (List Separately In Addition To Code For Primary Procedure) |
| 10005-CPT | Low | Obtain Tissue Through A Needle, Biopsy In Which A Thin Hollow Needle Is Inserted Through The Skin Guided By Ultrasound Into A Mass Or Fluid To Collect A Sample. |
| 10006-CPT | Low | Fine Needle Aspiration Biopsy, Fine Needle Aspiration Biopsy Including Ultrasound Guidance Each Additional Lesion (List Separately In Addition To Code For Primary Procedure) |
| 10007-CPT | Moderate | Sample Tissue Using A Needle, Removal Of Body Fluid Or Tissue By Aspiration (Suction) Using A Fine Needle. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 10007. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 10007 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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