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See a sample rate comparisonCPT 26030 Fee Schedule
Medicare rates as of October 2026
CPT 26030 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Drain Palm Bursa Mult/Complicated
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $465.94 national non-facility rate (2026) · View Medicare rates for 26030 |
| Medicaid Fee Schedule | $373.615 median of the 8 states in the free preview · View Medicaid rates for 26030 |
National average reimbursement for CPT 26030 by major payers:
$676.19
BCBS / Anthem
$661.35
UnitedHealthcare
$685.98
Aetna
$814.98
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 26030.
CPT 26030
5 of 25 sample ratesHigher to lower in this preview
South Campus Surgery Center
$3,994.00Published rateMinnesota Eye Laser & Surgery Centers, LLC, Minnesota Eye Laser & Surgery Centers
Minnesota Eye Laser Surgery Centers LLC
$993.00Published rateSurgery Center Of Southern Oregon, LLC
Surgery Center Of Southern Oregon, L.L.C.
$798.00Published rateWilmington Gastroenterology Endoscopy Center, Inc
Wilmington Gastroenterology Endoscopy Center Inc
$523.00Published rateMsc Ambulatory Surgical Center
$341.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 26030 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 26030. 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 26030. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26030 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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