Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 10061 Fee Schedule
Last Verified: October 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 Comp Multiple, Incision And Drainage Of Abscess Eg Carbuncle Suppurative Hidradenitis Cutaneous Or Subcutaneous Abscess Cyst Furuncle Or Paronychia Complicated Or Multiple
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 23 - Emergency Room 11 - Office |
| Common Modifiers | None AG - Primary physician 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 10061 |
| Medicaid Fee Schedule | View Medicaid rates for 10061 |
National average reimbursement for CPT 10061 by major payers:
$239.05
$257.18
$273.03
$330.78
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 10061.
CPT 10061
5 of 25 sample ratesHigher to lower in this preview
Roc Surgery LLC, Riley Outpatient Surgery Center
Roc Surgery LLC
$4,613.00Published rateNorth Denver Musculoskeletal Surgical Partners LLC
$688.00Published rateHenry'S Fork Surgery Center PLLC
Henrys Fork Surgery Center PLLC
$365.00Published rateConroe Asc, Lp, College Park Heart & Vascular Surgery Center
$200.00Published rateCasc Aquisition Inc, Carolina Ambulatory Surgery Center
Casc Aquisition Inc
$66.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 10061 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 10061 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 10061 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 |
| 10061-CPT | Moderate | I D Abscess Comp Multiple, Incision And Drainage Of Abscess Eg Carbuncle Suppurative Hidradenitis Cutaneous Or Subcutaneous Abscess Cyst Furuncle Or Paronychia Complicated Or Multiple |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 10061. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 10061 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 10061) and we'll show you how you compare in 15 minutes or less.