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 21208 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Osteoplast Facial Bones; Augment (Autogr Allogrft Or Pros, Osteoplasty Facial Bones; Augmentation (Autograft Allograft Or Pros
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 21208 |
| Medicaid Fee Schedule | View Medicaid rates for 21208 |
National average reimbursement for CPT 21208 by major payers:
$1,841.20
$2,233.96
$2,283.94
$1,415.58
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 21208.
CPT 21208
5 of 25 sample ratesHigher to lower in this preview
Pinnacle Surgery Center, Inc
Pinnacle Surgery Center Inc
$15,000.00Published rateTuscan Surgery Center At Las Colinas, LLC, Tuscan Surgery Center At Las Colinas
$4,704.00Published rateBrookings Ambulatory Surgery Center, LLP
Brookings Ambulatory Surgery Center LLP
$2,790.00Published rateNorman Regional Hospital Authority, West Norman Endoscopy
$1,700.00Published rateRochester Endoscopy & Surgery Center, L.L.C.
Rochester Endoscopy Surgery Center LLC
$896.00Published 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 21208 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 21208 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 21208 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 |
|---|---|---|
| 21188-CPT | High | Surgery To Reshape The Face, Surgery To Reconstruct The Bones In The Center Of The Face. The Procedure Corrects Abnormalities Of The Head And Face. |
| 21208-CPT | High | Osteoplast Facial Bones; Augment (Autogr Allogrft Or Pros, Osteoplasty Facial Bones; Augmentation (Autograft Allograft Or Pros |
| 21209-CPT | Moderate | Osteoplasty Facial Reduction |
| 21210-CPT | High | Reconstruction With Bone Graft, Surgery To Reconstruct The Nose Jaw Or Cheek With A Bone Graft. The Procedure Repairs The Bone After An Injury Infection Or Tumor. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 21208. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 21208 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 21208) and we'll show you how you compare in 15 minutes or less.