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 25525 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Treat Fracture Of Radius, Open Treatment Of Radial Shaft Fracture Includes Internal Fixation When Performed And Closed Treatment Of Distal Radioulnar Joint Dislocation Galeazzi Fracture Dislocation Includes Percutaneous Skeletal Fixation When Performed
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 25525 |
| Medicaid Fee Schedule | View Medicaid rates for 25525 |
National average reimbursement for CPT 25525 by major payers:
$1,060.67
$1,085.62
$1,100.64
$1,317.05
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 25525.
CPT 25525
5 of 25 sample ratesHigher to lower in this preview
Rsc Illinois LLC, Regional Surgicenter
$6,588.00Published rateGastroenterology Diagnostics Of Northern New Jersey, PA
Gastroenterology Diagnostics Of Northern New Jersey, P.A.
$5,330.00Published rateArthur N Donaldson M D Inc, Sonora Eye Surgery Center
Arthur N Donaldson Md Inc
$3,704.00Published rateSan Diego Ca Multi Specialty Asc LLC, Mission Valley Heights Surgery Center
Poway Ca Multi-Specialty Asc LLC
$2,800.00Published ratePremier Endoscopy Center LLC
$383.00Published 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 25525 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 25525 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 25525 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 |
|---|---|---|
| 25500-CPT | Moderate | Closed Treatment Of Radial Sha, Closed Treatment Of Radial Shaft Fracture Withoutmanipulation Closed Treatment Of Radial Shaft Fracture Without |
| 25505-CPT | Moderate | Closed Treatment Of Radial Sha, Closed Treatment Of Radial Shaft Fracture With Manipulationclosed Treatment Of Radial Shaft Fracture With Manipulation |
| 25515-CPT | Moderate | Repair And Secure Arm Break, Surgery To Repair A Broken Lower Arm Bone (Radius). The Broken Bone May Be Stabilized With Wires Pins Plates Or Screws. |
| 25525-CPT | High | Treat Fracture Of Radius, Open Treatment Of Radial Shaft Fracture Includes Internal Fixation When Performed And Closed Treatment Of Distal Radioulnar Joint Dislocation Galeazzi Fracture Dislocation Includes Percutaneous Skeletal Fixation When Performed |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25525. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25525 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 25525) and we'll show you how you compare in 15 minutes or less.