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 21137 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.
Corrective Shaping Of Forehead, Surgery To Correct The Shape Of The Forehead.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None 51 - Multiple procedures 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 21137 |
| Medicaid Fee Schedule | View Medicaid rates for 21137 |
National average reimbursement for CPT 21137 by major payers:
$924.44
$1,000.98
$1,057.78
$1,219.38
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 21137.
CPT 21137
5 of 25 sample ratesHigher to lower in this preview
Spring Hill Surgery Center, LLC
Spring Hill Surgery Center LLC
$5,274.00Published rateAtlantic Coast Surgical Suites, LLC
Atlantic Coast Surgical Suites LLC
$2,101.00Published rateAtlanta Premier Foot And Ankle Surgery
$1,445.00Published rateGreen Surgery Center LLC
$969.00Published rateThe Overland Park Ks Endoscopy Asc LLC, Endoscopic Imaging Center
The Overland Park Ks Endoscopy Asc LLC
$515.00Published 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 21137 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 21137 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 21137 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 |
|---|---|---|
| 21137-CPT | Moderate | Corrective Shaping Of Forehead, Surgery To Correct The Shape Of The Forehead. |
| 21138-CPT | High | Reduction Forehead Contouring, Reduction Forehead Contouring And Application Of Prostheticmaterial Or Bone Graft (Includes Obtaining Autograft) |
| 21139-CPT | High | Reduct Forehead; Contour & Setback Of Anterio Frntal Sinus, Reduction Forehead; Contouring And Setback Of Anterior Frontal Sinus W |
| 21141-CPT | High | Reconstruction Midface, Lefort I; Single Piece Segment Movement In Any Direction Without Bone Graft -Commercial Rn Review>=1/1/1996: Medicaid Rn Review=1/1/1996-9/30/2020 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 21137. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 21137 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 21137) and we'll show you how you compare in 15 minutes or less.