CPT (Current Procedural Terminology) codes are a standardized set of medical codes used by healthcare professionals and facilities to describe medical, surgical, and diagnostic services provided to patients. They are essential for accurate medical billing and insurance claims processing.

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

The cost of medical procedures can vary significantly based on the provider, location, and your insurance coverage. To find an estimated fee schedule for a specific CPT code in your location, you can utilize tools like Payerprice. Payerprice allows users to search for pricing information, helping you understand potential costs before a service. It's also advisable to contact your insurance company directly for details on your specific plan's coverage and out-of-pocket expenses.

What factors influence the cost of medical services?

Several factors contribute to the variation in medical service costs, including the type of facility (e.g., hospital, outpatient clinic, urgent care), geographic location, the specific healthcare provider's fees, the complexity of the procedure, negotiated rates with different insurance plans, and whether the service is considered in-network or out-of-network.

What is the difference between a deductible, co-pay, and coinsurance?

A **deductible** is the amount you must pay out-of-pocket for covered healthcare services before your insurance plan begins to pay. A **co-pay** is a fixed amount you pay for a covered healthcare service after your deductible has been met (though some plans may have co-pays that apply before the deductible for certain services). **Coinsurance** is your share of the costs of a healthcare service, calculated as a percentage (e.g., 20%) of the allowed amount for the service, after you've met your deductible.

How can I get an estimate for healthcare costs before receiving a service?

You can request a 'Good Faith Estimate' from your healthcare provider for scheduled services. For a general understanding of pricing for specific CPT codes in your area, resources like Payerprice can provide valuable insights into fee schedules. Additionally, always contact your insurance company to understand your specific benefits, coverage limits, and potential out-of-pocket costs for any planned medical service.

CPT 10140 Fee Schedule

Q: What factors affect fee schedules?

Fee schedules are affected by 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: 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.

Drain Fluid From Under Skin, Procedure To Remove Blood (Hematoma) Or Other Fluid (Seroma) From Under The Skin. The Fluid May Be Drained With A Needle Or By Cutting The Skin.

Key Fact	Detail
Service Type	Surgery Surgical Procedures on the Integumentary System
Common Place of Service	11 - Office 21 - Inpatient Hospital
Common Modifiers	None 78 - Return to OR - related procedure RT - Right side of body
Complexity Level	Low
Medicare Fee Schedule	View Medicare rates for 10140
Medicaid Fee Schedule	View Medicaid rates for 10140

National average reimbursement for CPT 10140 by major payers:

$189.01

$206.51

$218.39

$260.22

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 10140.

CPT 10140

5 of 25 sample ratesHigher to lower in this preview

Hss Asc Of Manhattan LLC, Hss Asc Of Manhattan
NYAmbulatory Surgical Clinic/CenterNPI 1346792165Tax ID 47-1353602
$4,229.00Published rate
Ehi Surgery Center Austin, LLC
Ehi Surgery Center Austin LLC
TXAmbulatory Surgical Clinic/CenterNPI 1326469172Tax ID 46-4266877
$1,000.00Published rate
Persepolis Group LLC
CAAmbulatory Surgical Clinic/CenterNPI 1801185665Tax ID 27-3653631
$780.00Published rate
Amin Surgery Center For Women LLC
GAAmbulatory Surgical Clinic/CenterNPI 1518579903Tax ID 84-3102358
$592.00Published rate
Irtaza Khan
Deaconess Hospital Inc
ILCritical Care Medicine (Internal Medicine) PhysicianNPI 1538346200Tax ID 35-0593390
$134.89Published 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 10140 vs. Other Surgical Procedures on the Integumentary System Codes

The CPT 10140 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 10140 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
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
10140-CPT	Low	Drain Fluid From Under Skin, Procedure To Remove Blood (Hematoma) Or Other Fluid (Seroma) From Under The Skin. The Fluid May Be Drained With A Needle Or By Cutting The Skin.

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 10140. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 10140 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 10140 Fee Schedule

Compare published rates across providers.

Hss Asc Of Manhattan LLC, Hss Asc Of Manhattan

Ehi Surgery Center Austin, LLC

Persepolis Group LLC

Amin Surgery Center For Women LLC

Irtaza Khan