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 21032 Fee Schedule
Medicare rates as of October 2026
CPT 21032 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Excision Maxillary Torus Palatinus
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11Office 22On Campus Outpatient Hospital |
| Common Modifiers | 51Multiple procedures GCService performed by resident under supervision |
| Hospital Outpatient Group (APC) | APC 5164 - Level 4 ENT Procedures |
| Surgery Center Payment (ASC) | P3 - Office-based; paid from physician fee schedule practice expense |
| Common Revenue Codes | 0360 |
| Medicare Fee Schedule | $383.78 national non-facility rate (2026)View Medicare rates for 21032 |
| Medicaid Fee Schedule | $308.015 median of the 8 states in the free previewView Medicaid rates for 21032 |
National average reimbursement for CPT 21032 by major payers:
$482.52
BCBS / Anthem
$510.70
UnitedHealthcare
$511.94
Aetna
$460.93
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 21032.
CPT 21032
5 of 25 sample ratesHigher to lower in this preview
Saint Francis Surgery Center, LLC, Saint Francis Surgery Center
Saint Francis Surgery Center LLC
$3,752.00Published rateSurgery Center Of Coral Gables LLC, Coral Gables Surgery Center
Surgery Center Of Coral Gables LLC
$2,353.00Published rateHumble Vascular Surgical Center LLC
$1,645.00Published rateRwmc Ambulatory Surgery Center, LLC, Scottsbluff Surgery Center
Rwmc Ambulatory Surgery Center LLC
$1,375.00Published rateWest Chase Surgery Center Ltd
$950.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Looking for other data?
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 21032 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 21032. 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 21032. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 21032 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 21032) and we'll show you how you compare in 15 minutes or less.
Frequently Asked Questions
What APC is CPT 21032 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 21032 to APC 5164 (Level 4 ENT Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 21032 in an ambulatory surgery center?
CMS lists CPT 21032 with ASC payment indicator P3: Office-based; paid from physician fee schedule practice expense.
Which revenue codes are billed with CPT 21032?
Hospital price transparency files list CPT 21032 under these revenue codes: 0360. A revenue code names the hospital department or charge category for the line; it does not change what the service is.