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 25446 Fee Schedule
Medicare rates as of October 2026
CPT 25446 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Arthroplst W/ Prosthet Replac; Distal Radius & Partial Or, Arthroplasty With Prosthetic Replacement; Distal Radius And Partial Or
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22On Campus Outpatient Hospital 24Ambulatory Surgical Center |
| Common Modifiers | RTRight side of body LTLeft side of body |
| Hospital Outpatient Group (APC) | APC 5116 - Level 6 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | J8 - Device-intensive procedure, paid at an adjusted rate |
| Common Revenue Codes | 0360 |
| Medicare Fee Schedule | $1,051.79 national non-facility rate (2026)View Medicare rates for 25446 |
| Medicaid Fee Schedule | $838.96 median of the 8 states in the free previewView Medicaid rates for 25446 |
National average reimbursement for CPT 25446 by major payers:
$1,599.33
BCBS / Anthem
$1,587.57
UnitedHealthcare
$1,600.05
Aetna
$1,922.60
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 25446.
CPT 25446
5 of 25 sample ratesHigher to lower in this preview
Northwest Spine And Laser Surgery Center LLC
$19,250.00Published rateThe Maryland Center For Digestive Health LLC
$9,510.00Published rateCentral Jersey Ambulatory Surgical Center, LLC
Central Jersey Ambulatory Surgical Center LLC
$5,539.00Published ratePark Ventura Endoscopy Center, LLC, Digestive Health Center Of Plano
Park Ventura Endoscopy Center LLC
$2,180.00Published rateOutpatient Surgical Care Ltd
$833.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Looking for other data?
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 25446 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 25446. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 25443-CPT | Arthroplst W/ Prosthet Replac; Scaphoid Carpal (Navicular), Arthroplasty With Prosthetic Replacement; Scaphoid Carpal (Navicular) |
| 25444-CPT | Wrist Joint Replacement, Surgery To Replace Worn Out Ends Of Wrist Joint With An Artificial Part (Prosthesis). |
| 25445-CPT | Arthropl.W/Prosth Replac;Trapezium |
| 25446-CPT | Arthroplst W/ Prosthet Replac; Distal Radius & Partial Or, Arthroplasty With Prosthetic Replacement; Distal Radius And Partial Or |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25446. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25446 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 25446) and we'll show you how you compare in 15 minutes or less.
Frequently Asked Questions
What APC is CPT 25446 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 25446 to APC 5116 (Level 6 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 25446 in an ambulatory surgery center?
CMS lists CPT 25446 with ASC payment indicator J8: Device-intensive procedure, paid at an adjusted rate.
Which revenue codes are billed with CPT 25446?
Hospital price transparency files list CPT 25446 under these revenue codes: 0360. A revenue code names the hospital department or charge category for the line; it does not change what the service is.