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See a sample rate comparisonCPT 20102 Fee Schedule
Medicare rates as of October 2026
CPT 20102 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Explora Of Penetrat Wound (Sepa Proc); Abdom/Flank/B, Exploration Of Penetrating Wound (Separate Procedure); Abdomen/Flank/B
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21Inpatient Hospital 22On Campus Outpatient Hospital |
| Common Modifiers | 51Multiple procedures GCService performed by resident under supervision |
| Hospital Outpatient Group (APC) | APC 5054 - Level 4 Skin Procedures |
| Surgery Center Payment (ASC) | G2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 04500360Sign up to view all 8 |
| Medicare Fee Schedule | $662.01 national non-facility rate (2026)View Medicare rates for 20102 |
| Medicaid Fee Schedule | $512.71 median of the 8 states in the free previewView Medicaid rates for 20102 |
National average reimbursement for CPT 20102 by major payers:
$648.48
BCBS / Anthem
$655.68
UnitedHealthcare
$767.66
Aetna
$432.84
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 20102.
CPT 20102
5 of 25 sample ratesHigher to lower in this preview
St. Mary'S Surgical Center LLC, St. Mary'S Surgical Center
St Marys Surgical Center LLC
$2,912.00Published rateSalmon Surgery Center LLC
$1,233.00Published ratePatrick Duffy
Deaconess Hospital Inc
$849.34Published rateHershey Endoscopy Center, LLC
$515.00Published rateSt Lukes Surgical Center Inc, St. Luke'S Surgical At Wesley Chapel
St Lukes Surgical Center Inc
$350.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 20102 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 20102. Select one to see its fee schedule.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 20102. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 20102 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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Frequently Asked Questions
What APC is CPT 20102 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 20102 to APC 5054 (Level 4 Skin Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 20102 in an ambulatory surgery center?
CMS lists CPT 20102 with ASC payment indicator G2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 20102?
Hospital price transparency files list CPT 20102 under these revenue codes: including 0450, 0360, 0361, 0981 and 0761. A revenue code names the hospital department or charge category for the line; it does not change what the service is.