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 26010 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.
Drain Finger Abscess
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 23 - Emergency Room 20 - Urgent Care Facility |
| Common Modifiers | None F7 - Right hand, third digit F6 - Right hand, second digit |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 26010 |
| Medicaid Fee Schedule | View Medicaid rates for 26010 |
National average reimbursement for CPT 26010 by major payers:
$367.74
$375.58
$435.67
$524.42
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 26010.
CPT 26010
5 of 25 sample ratesHigher to lower in this preview
National Ambulatory Surgery Center, LLC
$1,675.00Published rateChippenham Ambulatory Surgery Center, LLC
Chippenham Ambulatory Surgery Center LLC
$427.00Published rateEast Tennessee Ambulatory Surgery Center LLC
East Tennessee Ambulatory Surgery Center
$186.00Published rateElkridge Asc LLC
$110.00Published rateEndo-Surgical Center Of Florida
Endosurgical Center Of Florida
$49.00Published 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 26010 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26010 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 26010 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.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 26010. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26010 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 26010) and we'll show you how you compare in 15 minutes or less.