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See a sample rate comparisonCPT 26010 Fee Schedule
Medicare rates as of October 2026
CPT 26010 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
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 | F7 - Right hand, third digit F6 - Right hand, second digit |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $375.09 national non-facility rate (2026) · View Medicare rates for 26010 |
| Medicaid Fee Schedule | $294.435 median of the 8 states in the free preview · View Medicaid rates for 26010 |
National average reimbursement for CPT 26010 by major payers:
$367.74
BCBS / Anthem
$375.58
UnitedHealthcare
$435.67
Aetna
$524.42
Cigna
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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
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Payer Contract Negotiation
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See a sample payer proposalCPT 26010 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 26010. Select one to see its fee schedule.
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.
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