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 20912 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.
Collect Cartilage For Graft, Surgery To Take Healthy Cartilage From Nasal Septum Or Rib For Reconstruction Of Another Area.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 51 - Multiple procedures 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 20912 |
| Medicaid Fee Schedule | View Medicaid rates for 20912 |
National average reimbursement for CPT 20912 by major payers:
$604.07
$645.58
$679.30
$794.61
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 20912.
CPT 20912
5 of 25 sample ratesHigher to lower in this preview
Hhc Hartford Surgery Center, LLC
$5,310.00Published rateAdventhealth Surgery Center Davenport LLC
$3,500.00Published rateValley Surgical Center Ltd, Valley Surgery Center
Valley Surgical Center Ltd
$1,984.00Published rateFounders Surgery Center, LLC
$1,293.00Published rateSaint Joseph Health Asc LLC
The Pain Treatment Center, Inc. Dba Stone Road S
$612.00Published 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 20912 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 20912 code is part of the Surgery services used for Surgical Procedures on the Musculoskeletal 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 20912 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 |
|---|---|---|
| 20910-CPT | Moderate | Collect Cartilage For Graft, Surgery To Take Healthy Cartilage From Nasal Septum Or Rib For Reconstruction Of Another Area. |
| 20912-CPT | Moderate | Collect Cartilage For Graft, Surgery To Take Healthy Cartilage From Nasal Septum Or Rib For Reconstruction Of Another Area. |
| 20930-CPT | Low | Sp Bone Algrft Morsel Add On, Allograft Morselized Or Placement Of Osteopromotive Material For Spine Surgery Only List Separately In Addition To Code For Primary Procedure |
| 20931-CPT | Low | Sp Bone Algrft Struct Add On, Allograft Structural For Spine Surgery Only List Separately In Addition To Code For Primary Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 20912. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 20912 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 20912) and we'll show you how you compare in 15 minutes or less.