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 10121 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.
Incision And Removal Of Foreig, Incision And Removal Of Foreign Body Subcutaneoustissues Complicated Incision And Removal Of For Eign Body Subcutaneous Tissues
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 10121 |
| Medicaid Fee Schedule | View Medicaid rates for 10121 |
National average reimbursement for CPT 10121 by major payers:
$314.31
$341.31
$352.81
$311.58
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 10121.
CPT 10121
5 of 25 sample ratesHigher to lower in this preview
Saint Vincent Hlth Ctr Spu
Highmark Health
$4,048.28Published rateOdessa Endoscopy Center LLC
$1,528.00Published ratePhoenix Spine And Joint Gilbert Asc, LLC
$939.00Published rateBaptist Health Surgery Center, LLC
Baptist Health Surgery Center LLC
$803.00Published rateMidland Ambulatory Surgery Center, LLC, Anand Cholia Mbr
Midland Ambulatory Surgery Center LLC
$464.00Published 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 10121 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 10121 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 10121 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 |
|---|---|---|
| 10080-CPT | Moderate | Inc & Drain Pilonidal Cyst Simple |
| 10081-CPT | Moderate | I&D Pilonidal Cyst Complicated |
| 10120-CPT | Low | Incision And Removal Of Forei, Incision And Removal Of Foreign Body Subcutaneous Tissuessimple Incision And Removal Of Foreignbody Subcutaneous Tissues |
| 10121-CPT | Moderate | Incision And Removal Of Foreig, Incision And Removal Of Foreign Body Subcutaneoustissues Complicated Incision And Removal Of For Eign Body Subcutaneous Tissues |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 10121. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 10121 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 10121) and we'll show you how you compare in 15 minutes or less.