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 comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 25107 |
| Medicaid Fee Schedule | View Medicaid rates for 25107 |
National average reimbursement for CPT 25107 by major payers:

$875.73

$827.90

$875.52

$1,019.40
Choose a payer to see a sample of rates for CPT 25107.
Temple University Hospital Inc
Surgical Institute LLC
Millman-Derr Center For Eye Care, P.C.
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 25107 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 25107 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 25107 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 |
|---|---|---|
| 25100-CPT | Moderate | Exploratory Surgery Of Wrist, Surgery To Explore The Wrist Joint And Remove A Sample Of Tissue For Testing (Biopsy). The Procedure May Include Removing Bone Chips Or Loose Cartilage. |
| 25101-CPT | Moderate | Exploratory Surgery Of Wrist, Surgery To Explore The Wrist Joint And Remove A Sample Of Tissue For Testing (Biopsy). The Procedure May Include Removing Bone Chips Or Loose Cartilage. |
| 25105-CPT | Moderate | Exploratory Surgery Of Wrist, Exploration Of Wrist Joint. Procedure Includes Removal Of Inflamed Joint Lining To Alleviate Pain. |
| 25107-CPT | Moderate | Surgical Repair Of Wrist Bones, Joint Surgery To Repair The Small Piece Of Cartilage And Ligament On The Little Finger Side Of The Wrist (Triangular Fibrocartilage Complex). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25107. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25107 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.
Bring your top codes (like CPT 25107) and we'll show you how you compare in 15 minutes or less.