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See a sample rate comparisonCPT 10060 Fee Schedule
Medicare rates as of October 2026
CPT 10060 is classified under Surgery, in the Surgical Procedures on the Integumentary System subgroup.
I D Abscess Simple Single, Incision And Drainage Of Abscess Eg Carbuncle Suppurative Hidradenitis Cutaneous Or Subcutaneous Abscess Cyst Furuncle Or Paronychia Simple Or Single
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 11 - Office 23 - Emergency Room |
| Common Modifiers | 59 - Distinct Procedural Service UA |
| Complexity Level | Low |
| Medicare Fee Schedule | $128.59 national non-facility rate (2026) · View Medicare rates for 10060 |
| Medicaid Fee Schedule | $103.405 median of the 8 states in the free preview · View Medicaid rates for 10060 |
National average reimbursement for CPT 10060 by major payers:
$137.56
BCBS / Anthem
$148.03
UnitedHealthcare
$156.35
Aetna
$194.22
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 10060.
CPT 10060
5 of 25 sample ratesHigher to lower in this preview
Aria Health Bucks County Spu
Jefferson Health-Northeast
$1,127.00Published rateTadashi Miya
University Physicians Incorporated
$403.48Published rateLisa Kosmiski
University Physicians Incorporated
$322.79Published rateJaren Quigle
Poudre Valley Medical Group LLC
$198.63Published rateWanda Good
$142.02Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 10060 vs. Other Surgical Procedures on the Integumentary System Codes
The table lists codes related to 10060. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 10030-CPT | Moderate | Surgery To Drain Fluid, Ultrasound Or Ct Scan Is Used To Locate A Fluid Collection (Abscess Cyst Etc) And To Provide Guidance For The Insertion Of A Needle Into The Affected Area. A Thin Tube (Catheter) Is Then Inserted And Used To Drain The Fluid. |
| 10035-CPT | Moderate | Plmt Sft Tiss Loclzj Dev 1st, Placement Of Soft Tissue Localization Device S Eg Clip Metallic Pellet Wire Needle Radioactive Seeds Percutaneous Including Imaging Guidance First Lesion |
| 10036-CPT | Moderate | Plmt Sft Tiss Loclzj Dev Ea, Placement Of Soft Tissue Localization Device S Eg Clip Metallic Pellet Wire Needle Radioactive Seeds Percutaneous Including Imaging Guidance Each Additional Lesion List Separately In Addition To Code For Primary Procedure |
| 10060-CPT | Low | I D Abscess Simple Single, Incision And Drainage Of Abscess Eg Carbuncle Suppurative Hidradenitis Cutaneous Or Subcutaneous Abscess Cyst Furuncle Or Paronychia Simple Or Single |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 10060. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 10060 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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Frequently Asked Questions
To find the cost of a specific medical procedure, especially when you know the CPT code or have a general idea of the service, you should use a price transparency tool. For accurate and specific pricing information based on your location and the CPT code, we recommend using Payerprice. They offer a fee schedule lookup tool that allows you to search with a CPT code and specific location to get detailed pricing.
CPT stands for Current Procedural Terminology. CPT codes are standardized five-digit codes used by healthcare providers, payers, and government agencies to describe medical, surgical, and diagnostic services. They are essential for billing and for communicating precisely about the services provided to a patient.
Medical costs can vary significantly due to several factors, including the type of facility (hospital vs. outpatient clinic), geographic location, insurance company negotiations, the specific provider's fees, and whether the provider is in-network or out-of-network. Different payers also have different negotiated rates for the same service. To understand specific costs for a procedure in your area, tools like Payerprice can help by providing localized fee schedule information.
An 'in-network' provider has a contract with your health insurance company, agreeing to accept a certain negotiated rate for services. Using in-network providers generally results in lower out-of-pocket costs for you because your insurer covers a larger portion of the cost. An 'out-of-network' provider does not have a contract with your insurance company, meaning they can charge more, and your insurance plan may cover a smaller percentage of the cost, or none at all, leading to higher out-of-pocket expenses for you.
Understanding your medical bill can be complex. Key elements to look for include the provider's name, date of service, description of services (often listed with CPT codes), the total charge, the amount your insurance covered, and the amount you owe. If you have questions about specific charges or CPT codes, don't hesitate to contact your provider's billing department or your insurance company. For proactive understanding of potential costs, using a tool like Payerprice before a procedure can help clarify expected charges.