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 12021 Fee Schedule
Medicare rates as of October 2026
CPT 12021 is classified under Surgery, in the Surgical Procedures on the Integumentary System subgroup.
Re-Close Surgical Opening, Procedure To Close A Surgical Cut That Has Opened Up. Techniques That May Be Used Include Stitching The Wound Or Inserting A Packing Material For Drainage.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 11 - Office 21 - Inpatient Hospital |
| Common Modifiers | 58 - Staged or related procedure during postoperative period 79 - Unrelated procedure - postop period |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $185.71 national non-facility rate (2026) · View Medicare rates for 12021 |
| Medicaid Fee Schedule | $145.375 median of the 8 states in the free preview · View Medicaid rates for 12021 |
National average reimbursement for CPT 12021 by major payers:
$203.54
BCBS / Anthem
$212.56
UnitedHealthcare
$220.83
Aetna
$274.03
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 12021.
CPT 12021
5 of 25 sample ratesHigher to lower in this preview
Alaska Surgery Center, Limited Partnership
Alaska Surgery Center Limited Partnership
$1,122.00Published rateCoast Surgery Center L P, Coast Surgery Center Of South Bay
Coast Surgery Center L P
$688.00Published rateCenterview Surgery Center, LLC
Centerview Surgery Center LLC
$225.00Published rateDialysis Access Center Of Cincinnati, Inc.
Dialysis Access Center Of Cincinnati Inc
$150.00Published rateMississippi Urology Outpatient Surgery Center, LLC
Mississippi Urology Outpatient Surgery Center LLC
$54.00Published 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 12021 vs. Other Surgical Procedures on the Integumentary System Codes
The table lists codes related to 12021. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 12020-CPT | Moderate | Re-Close Surgical Opening, Procedure To Close A Surgical Cut That Has Opened Up. Techniques That May Be Used Include Stitching The Wound Or Inserting A Packing Material For Drainage. |
| 12021-CPT | Moderate | Re-Close Surgical Opening, Procedure To Close A Surgical Cut That Has Opened Up. Techniques That May Be Used Include Stitching The Wound Or Inserting A Packing Material For Drainage. |
| 12031-CPT | Moderate | Intmd Rpr S A T Ext 2 5 Cm, Repair Intermediate Wounds Of Scalp Axillae Trunk And Or Extremities Excluding Hands And Feet 2 5 Cm Or Less |
| 12041-CPT | Moderate | Rpair Intermed Wounds Of Nck Hands Feet &/Or Xtrnal Geni, Repair Intermediate Wounds Of Neck Hands Feet And/Or External Geni |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 12021. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 12021 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 12021) and we'll show you how you compare in 15 minutes or less.