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See a sample rate comparisonCPT 21014 Fee Schedule
Medicare rates as of October 2026
CPT 21014 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Excision Tumor Soft Tissue O, Excision Tumor Soft Tissue Of Face And Scalp Subfascial (Eg Subgaleal Intramuscular) 2 Cm Or Greater
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22On Campus Outpatient Hospital 24Ambulatory Surgical Center |
| Common Modifiers | ASPA/NP/CNS assistant at surgery 59Distinct Procedural Service |
| Hospital Outpatient Group (APC) | APC 5073 - Level 3 Excision/ Biopsy/ Incision and Drainage |
| Surgery Center Payment (ASC) | R2 - Office-based; paid from the OPPS relative weight |
| Common Revenue Codes | 03600361Sign up to view all 7 |
| Medicare Fee Schedule | $480.31 national non-facility rate (2026)View Medicare rates for 21014 |
| Medicaid Fee Schedule | $380.035 median of the 8 states in the free previewView Medicaid rates for 21014 |
National average reimbursement for CPT 21014 by major payers:
$740.81
BCBS / Anthem
$712.58
UnitedHealthcare
$749.13
Aetna
$874.58
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 21014.
CPT 21014
5 of 25 sample ratesHigher to lower in this preview
Disc Surgery Center At Marina Del Rey LLC
$3,000.00Published rateMidtown Surgery Center Lp
$951.00Published rateInfirmary Asc
$570.00Published rateAdvanced Surgery Center LLC
$404.00Published rateCommunity Surgery & Laser Center, LLC
Community Surgery Laser Center LLC
$180.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 21014 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 21014. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 21013-CPT | Exc Face Tum Deep 2 Cm, Excision Tumor Soft Tissue Of Face And Scalp Subfascial Eg Subgaleal Intramuscular Less Than 2 Cm |
| 21014-CPT | Excision Tumor Soft Tissue O, Excision Tumor Soft Tissue Of Face And Scalp Subfascial (Eg Subgaleal Intramuscular) 2 Cm Or Greater |
| 21015-CPT | Radical Resct Of Tumor (Eg Sarcom) Sft Tissue Of Face Or Scalp, Radical Resection Of Tumor (Eg Sarcoma) Soft Tissue Of Face Or Scalp |
| 21016-CPT | Radical Resct Of Tumor (Eg Sarcom) Sft Tissue Of Face Or Scalp, Radical Resection Of Tumor (Eg Sarcoma) Soft Tissue Of Face Or Scalp |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 21014. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 21014 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 21014 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 21014 to APC 5073 (Level 3 Excision/ Biopsy/ Incision and Drainage). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 21014 in an ambulatory surgery center?
CMS lists CPT 21014 with ASC payment indicator R2: Office-based; paid from the OPPS relative weight.
Which revenue codes are billed with CPT 21014?
Hospital price transparency files list CPT 21014 under these revenue codes: including 0360, 0361, 0761, 0960 and 0975. A revenue code names the hospital department or charge category for the line; it does not change what the service is.