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 25151 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.
Partial Removal Of Radius, Partial Excision Craterization Saucerization Or Diaphysectomy Of Bone Eg For Osteomyelitis Radius
| 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 25151 |
| Medicaid Fee Schedule | View Medicaid rates for 25151 |
National average reimbursement for CPT 25151 by major payers:
$842.21
$831.37
$846.05
$997.32
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 25151.
CPT 25151
5 of 25 sample ratesHigher to lower in this preview
Proliance Surgeons, Inc., P.S., Proliance Eastside Surgery Center
Proliance Surgeons, Inc., P.S.
$3,623.00Published rateAsc Surgical Ventures, LLC
$3,008.00Published ratePersepolis Group LLC
$2,300.00Published ratePanama City Surgery Center,LLC
Panama City Surgery Center, LLC
$1,429.00Published rateDigestive Healthcare Of Georgia Endoscopy Center Mountainside
$500.00Published 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 25151 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 25151 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 25151 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 |
|---|---|---|
| 25145-CPT | Moderate | Removal Of Dead Bone, Surgery To Remove A Piece Of Dead Bone From A Diseased Section Of Any Of The Bones In The Arm Shoulder Or Collarbone. |
| 25150-CPT | Moderate | Partial Excision (Craterizatio, Partial Excision (Craterization Saucerization Ordiaphysectomy) Of Bone (Eg For Osteomyelitis) Ulna |
| 25151-CPT | Moderate | Partial Removal Of Radius, Partial Excision Craterization Saucerization Or Diaphysectomy Of Bone Eg For Osteomyelitis Radius |
| 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 25151. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25151 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 25151) and we'll show you how you compare in 15 minutes or less.