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 25125 Fee Schedule
Last Verified: September 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.
Remove Noncancerous Growth, Surgery To Remove A Pocket Of Fluid (Cyst) Or A Noncancerous Growth (Tumor) From A Bone Of The Lower Arm (Radius Or Ulna). The Procedure Uses A Bone Graft To Repair The Area.
| 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 LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 25125 |
| Medicaid Fee Schedule | View Medicaid rates for 25125 |
National average reimbursement for CPT 25125 by major payers:
$850.26
$843.48
$828.05
$1,013.38
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 25125.
CPT 25125
5 of 25 sample ratesHigher to lower in this preview
Hallandale Outpatient Surgical Center,Ltd
Hallandale Outpatient Surgical Centerltd
$22,586.00Published rateWindhaven Surgery Center, LLC
Windhaven Surgery Center LLC
$1,900.00Published rateGrossmont Outpatient Surgical Center
Grossmont Outpatient Surgical Ce
$1,555.00Published rateOhi West, Inc, Bayfront Health Ambulatory Surgery Center
Ohi West Inc
$1,177.00Published rateAsc Development Company, LLC
Asc Development Company LLC
$691.00Published 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 25125 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 25125 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 25125 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 |
|---|---|---|
| 25120-CPT | Moderate | Excision Or Curettage Of Bone, Excision Or Curettage Of Bone Cyst Or Benign Tumorof Radiusor Ulna (Excluding Head Or Neck Of Radiu S And Olecranon Process) |
| 25125-CPT | Moderate | Remove Noncancerous Growth, Surgery To Remove A Pocket Of Fluid (Cyst) Or A Noncancerous Growth (Tumor) From A Bone Of The Lower Arm (Radius Or Ulna). The Procedure Uses A Bone Graft To Repair The Area. |
| 25126-CPT | Moderate | Remove Noncancerous Growth, Surgery To Remove A Pocket Of Fluid (Cyst) Or A Noncancerous Growth (Tumor) From A Bone Of The Lower Arm (Radius Or Ulna). The Procedure Uses A Bone Graft To Repair The Area. |
| 25350-CPT | Moderate | Surgery To Align Arm Bone, Surgery To Cut One Or More Bones In The Lower Arm (Radius Or Ulna). This Procedure Is Usually Done To Correct Positioning Of A Previously Broken Bone. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25125. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25125 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 25125) and we'll show you how you compare in 15 minutes or less.