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See a sample rate comparisonCPT 26020 Fee Schedule
Medicare rates as of October 2026
CPT 26020 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Drain Tendon Sheath Digit/Palm
| 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 | RT - Right side of body F7 - Right hand, third digit |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $532.08 national non-facility rate (2026) · View Medicare rates for 26020 |
| Medicaid Fee Schedule | $421.535 median of the 8 states in the free preview · View Medicaid rates for 26020 |
National average reimbursement for CPT 26020 by major payers:
$715.30
BCBS / Anthem
$663.20
UnitedHealthcare
$707.47
Aetna
$847.95
Cigna
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CPT 26020
5 of 25 sample ratesHigher to lower in this preview
Lone Star Endoscopy Center LLC
$2,172.00Published rateGeorgia Surgical Center On Peachtree, LLC
Georgia Surgical Center On Peachtree LLC
$1,024.00Published rateWatauga Surgical Partners PLLC
$794.00Published rateBolsa Outpatient Surgery Center A Medical Corporation
$515.00Published rateAmbulatory Foot And Ankle Center, Inc.
Ambulatory Foot And Ankle Center Inc
$229.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 26020 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 26020. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 26020-CPT | Moderate | Drain Tendon Sheath Digit/Palm |
| 26025-CPT | Moderate | I & D Palmar Bursa;Single,Ulnaror Radia |
| 26030-CPT | Moderate | Drain Palm Bursa Mult/Complicated |
| 26034-CPT | Moderate | Ncision Bone Cortex Hand/ Finger (Eg Osteomyeli Or Bone Absce, Incision Bone Cortex Hand Or Finger (Eg Osteomyelitis Or Bone Absce |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 26020. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26020 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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