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 21450 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.
Closed Treatment Of Mandibular, Closed Treatment Of Mandibular Fracture Withoutmanipulation Closed Treatment Of Mandibular Fracture Without
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 23 - Emergency Room 11 - Office |
| Common Modifiers | None 54 - Surgical Care Only RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 21450 |
| Medicaid Fee Schedule | View Medicaid rates for 21450 |
National average reimbursement for CPT 21450 by major payers:
$759.20
$749.01
$800.36
$940.40
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 21450.
CPT 21450
5 of 25 sample ratesHigher to lower in this preview
South Jersey Musculoskeletal Institute, LLC, Advanced Surgical Institute
South Jersey Musculoskeletal Institute, LLC
$1,886.00Published rateSurgcenter Of Orange Park, LLC, Orange Park Endoscopy Center
Surgcenter Of Orange Park LLC
$688.00Published rateValley Baptist Ambulatory Surgery Center, LLC, Platinum Surgery Center
$566.00Published ratePiney Orchard Surgery Center, LLC.
Piney Orchard Surgery Center
$207.00Published rateGurley Surgery Center, The Gyn Center
Gurley Surgery Center
$62.00Published 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 21450 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 21450 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 21450 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 |
|---|---|---|
| 21440-CPT | Moderate | Closed Treatment Of Mandibular, Closed Treatment Of Mandibular Or Maxillary Alveolar Ridgefracture (Separate Procedure) Closed Treatment Of Mandibular Or Maxillary Alveolar Ridge |
| 21450-CPT | Moderate | Closed Treatment Of Mandibular, Closed Treatment Of Mandibular Fracture Withoutmanipulation Closed Treatment Of Mandibular Fracture Without |
| 21451-CPT | Moderate | Closed Treatment Of Mandibular, Closed Treatment Of Mandibular Fracture With Manipulationclosed Treatment Of Mandibular Fracture With Manipulation |
| 21452-CPT | Moderate | Percutaneous Treatment Of Mand, Percutaneous Treatment Of Mandibular Fracture With Externalfixation Percutaneous Treatment Of Mandibular Fracture With External |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 21450. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 21450 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 21450) and we'll show you how you compare in 15 minutes or less.