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 15004 Fee Schedule
Medicare rates as of October 2026
CPT 15004 is classified under Surgery, in the Surgical Procedures on the Integumentary System subgroup.
Wound Prep F N Hf G, Surgical Preparation Or Creation Of Recipient Site By Excision Of Open Wounds Burn Eschar Or Scar Including Subcutaneous Tissues Or Incisional Release Of Scar Contracture Face Scalp Eyelids Mouth Neck Ears Orbits Genitalia Hands Feet And Or Multiple Digits First 100 Sq Cm Or 1 Of Body Area Of Infants And Children
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | 58 - Staged or related procedure during postoperative period 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $404.49 national non-facility rate (2026) · View Medicare rates for 15004 |
| Medicaid Fee Schedule | $314.53 median of the 8 states in the free preview · View Medicaid rates for 15004 |
National average reimbursement for CPT 15004 by major payers:
$439.75
BCBS / Anthem
$508.53
UnitedHealthcare
$526.02
Aetna
$437.36
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 15004.
CPT 15004
5 of 25 sample ratesHigher to lower in this preview
Alaska Surgery Center, Limited Partnership
Alaska Surgery Center Limited Partnership
$1,122.00Published rateLakewood Ranch Surgical Suites, LLC
Lakewood Ranch Surgical Suites LLC
$566.00Published rateCatalina Surgery Center, LLC
Catalina Surgery Center LLC
$317.00Published rateMunster Surgery Center LLC
$175.00Published ratePhysicians Surgery Center LLC
$65.00Published 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 15004 vs. Other Surgical Procedures on the Integumentary System Codes
The table lists codes related to 15004. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 15004-CPT | Moderate | Wound Prep F N Hf G, Surgical Preparation Or Creation Of Recipient Site By Excision Of Open Wounds Burn Eschar Or Scar Including Subcutaneous Tissues Or Incisional Release Of Scar Contracture Face Scalp Eyelids Mouth Neck Ears Orbits Genitalia Hands Feet And Or Multiple Digits First 100 Sq Cm Or 1 Of Body Area Of Infants And Children |
| 15005-CPT | Low | Wnd Prep F N Hf G Addl Cm, Surgical Preparation Or Creation Of Recipient Site By Excision Of Open Wounds Burn Eschar Or Scar Including Subcutaneous Tissues Or Incisional Release Of Scar Contracture Face Scalp Eyelids Mouth Neck Ears Orbits Genitalia Hands Feet And Or Multiple Digits Each Additional 100 Sq Cm Or Part Thereof Or Each Additional 1 Of Body Area Of Infants And Children List Separately In Addition To Code For Primary Procedure |
| 15115-CPT | Moderate | Epidrm A Grft Face Nck Hf G, Epidermal Autograft Face Scalp Eyelids Mouth Neck Ears Orbits Genitalia Hands Feet And Or Multiple Digits First 100 Sq Cm Or Less Or 1 Of Body Area Of Infants And Children |
| 15155-CPT | Moderate | Single-Layer Skin Graft, Surgery To Attach (Graft) Tissue To The Head Face Genitals Hands Feet Fingers Or Toes. The Grafted Tissue Is Grown (Cultured) Using A Sample From The Top Layer Of Skin (Epidermis). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 15004. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 15004 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 15004) and we'll show you how you compare in 15 minutes or less.