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 26040 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.
Remove Extra Tissue In Hand, Surgery To Cut Or Remove The Abnormally Thick Tissue Underneath The Skin Of The Palm And Fingers To Relieve Contracture.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11 - Office 24 - Ambulatory Surgical Center |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 26040 |
| Medicaid Fee Schedule | View Medicaid rates for 26040 |
National average reimbursement for CPT 26040 by major payers:
$429.84
$418.35
$440.07
$531.77
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 26040.
CPT 26040
5 of 25 sample ratesHigher to lower in this preview
Rocky Hill Surgery Center, LLC
$2,573.00Published rateUniversity Of Miami, Umiami Medicine - Ophthalmology (Naples Bascom Palmer - Asc)
University Of Miami
$1,181.00Published rateLa/Oc Surgical Center, Inc.
Laoc Surgical Center Inc
$935.00Published rateOphthalmology Surgery Center Of Illinois, LLC
Ophthalmology Surgery Center Of Illinois LLC
$606.00Published rateFilutowski Eye Institute PA, Sunrise Surgical Center
Filutowski Eye Institute, P.A.
$380.00Published 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 26040 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26040 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 26040 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 |
|---|---|---|
| 26040-CPT | Moderate | Remove Extra Tissue In Hand, Surgery To Cut Or Remove The Abnormally Thick Tissue Underneath The Skin Of The Palm And Fingers To Relieve Contracture. |
| 26045-CPT | Moderate | Remove Extra Tissue In Hand, Surgery To Cut Or Remove The Abnormally Thick Tissue Underneath The Skin Of The Palm And Fingers To Relieve Contracture. |
| 26055-CPT | Moderate | Surgery For Trigger Finger, Surgery To Release A Tendon In The Finger That Is Causing The Finger To Lock In A Bent Position. |
| 26060-CPT | Moderate | Surgery On Finger Tendon, Surgery To Cut The Tendon In The Finger. The Procedure Lengthens The Tendon Or Releases A Contracted Tendon. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 26040. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26040 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 26040) and we'll show you how you compare in 15 minutes or less.