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 25624 Fee Schedule
Last Verified: October 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.
Closed Treatment Of Carpal Sca, Closed Treatment Of Carpal Scaphoid (Navicular) Fracturewith Manipulation Closed Treatment Of Carpal Scaphoid (Navicular) Fracture
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 23 - Emergency Room 11 - Office |
| Common Modifiers | None 54 - Surgical Care Only LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 25624 |
| Medicaid Fee Schedule | View Medicaid rates for 25624 |
National average reimbursement for CPT 25624 by major payers:
$646.33
$633.08
$663.25
$787.05
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 25624.
CPT 25624
5 of 25 sample ratesHigher to lower in this preview
San Francisco Surgery Center, Lp
$2,174.00Published rateDoctors Outpatient Surgery Center Of Jupiter, LLC, Laser & Surgery Center Of The Palm Beaches
Drs. Outpatient Surgery Center Of Jupiter, LLC
$893.00Published rateThe Glendale Az Endoscopy Asc LLC, Thunderbird Endoscopy Center
$506.00Published rateDierdre Payne
Deaconess Hospital Inc
$384.67Published ratePikesville Md Endoscopy Asc LLC, Endocentre Of Baltimore
$231.00Published 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 25624 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 25624 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 25624 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 |
|---|---|---|
| 25624-CPT | Moderate | Closed Treatment Of Carpal Sca, Closed Treatment Of Carpal Scaphoid (Navicular) Fracturewith Manipulation Closed Treatment Of Carpal Scaphoid (Navicular) Fracture |
| 25628-CPT | Moderate | Surgery To Repair Broken Wrist, Surgery To Repair A Broken Bone In The Wrist. Pins Wires Or Screws May Be Used To Hold The Bones In Place. |
| 25630-CPT | Moderate | Closed Treatment Of Carpal Bon, Closed Treatment Of Carpal Bone Fracture (Excluding Carpalscaphoid (Navicular)) Without Manipulation Each Bone Closed Treatment Of Carpal Bone Fracture (Excluding Carpal |
| 25635-CPT | Moderate | Closed Treatment Of Carpal Bon, Closed Treatment Of Carpal Bone Fracture (Excluding Carpalscaphoid (Navicular)) With Manipulation Each Bone Closed Treatment Of Carpal Bone Fracture (Excluding Carpal |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25624. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25624 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 25624) and we'll show you how you compare in 15 minutes or less.