What is CPT 10060 used for?

CPT 10060 is used to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management. It represents an Incision And Drainage Of Abscess (Eg, Carbuncle, Suppurative Hidradenitis, Cutaneous Or Subcutaneous Abscess, Cyst, Furuncle, Or Paronychia); Simple Or Single.

How does PayerPrice help with managed care contracts?

PayerPrice helps renegotiate managed care contracts by allowing users to benchmark their current rates against market averages to identify opportunities for rate optimization.

What is price transparency in healthcare?

Price transparency refers to federal rules that require insurers to publish exact negotiated rates. PayerPrice displays this raw data directly from insurers' files, giving users the same public information.

How can I find the cost of a specific medical procedure?

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.

Why do medical costs vary so much?

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.

What is the difference between an in-network and out-of-network provider?

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.

How do I understand my medical bill?

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.

CPT 10060 Fee Schedule

Q: What factors affect fee schedules?

Factors that affect fee schedules include 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), and Provider Type (Hospital providers may have different rates than private practice).

Last Verified: September 2026

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

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	None 59 - Distinct Procedural Service UA
Complexity Level	Low
Medicare Fee Schedule	View Medicare rates for 10060
Medicaid Fee Schedule	View Medicaid rates for 10060

National average reimbursement for CPT 10060 by major payers:

$137.56

$148.03

$156.35

$194.22

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
PAAmbulatory Surgical Clinic/CenterNPI 1932234853Tax ID 23-0596940
$1,127.00Published rate
Tadashi Miya
University Physicians Incorporated
COPediatric Critical Care Medicine PhysicianNPI 1144676479Tax ID 74-2161737
$403.48Published rate
Lisa Kosmiski
University Physicians Incorporated
COEndocrinology, Diabetes & Metabolism PhysicianNPI 1336239011Tax ID 74-2161737
$322.79Published rate
Jaren Quigle
Poudre Valley Medical Group LLC
IAFamily Nurse PractitionerNPI 1245754175Tax ID 80-0348943
$198.63Published rate
Wanda Good
COSurgery PhysicianNPI 1417286386Tax ID 36-4850536
$142.02Published rate

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Summit Women's CareDenver, Colorado

September 2, 2026

Contracting Manager
UnitedHealthcare
Commercial PPO

Re: Request for fee schedule renegotiation

We request a formal review of our Commercial PPO fee schedule. The comparison below summarizes our current rate alongside published rates for comparable Denver-area practices.

Market evidence · CPT 59485

Current rate: $152.40
Market median: $147.00
Market position: 61st percentile

The comparison includes 1,284 published rates from 96 provider groups, scoped to OB/GYN providers in a professional, office-based setting.

We would welcome a discussion of our fee schedule and the supporting July 2026 market analysis. Please let us know a suitable time to review the comparison together.

Sincerely,
Summit Women's Care

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CPT 10060 vs. Other Surgical Procedures on the Integumentary System Codes

The CPT 10060 code is part of the Surgery services used for Surgical Procedures on the Integumentary System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 10060 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

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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CPT 10060 Fee Schedule

Compare published rates across providers.

Aria Health Bucks County Spu

Tadashi Miya

Lisa Kosmiski

Jaren Quigle

Wanda Good