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See a sample rate comparisonCPT 26055 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.
Surgery For Trigger Finger, Surgery To Release A Tendon In The Finger That Is Causing The Finger To Lock In A Bent Position.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None F7 - Right hand, third digit F8 - Right hand, fourth digit |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 26055 |
| Medicaid Fee Schedule | View Medicaid rates for 26055 |
National average reimbursement for CPT 26055 by major payers:
$650.39
$747.31
$829.55
$510.67
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CPT 26055
5 of 25 sample ratesHigher to lower in this preview
Lauren Shapiro
$3,852.08Published rateJames Zucherman
$891.98Published rateWilliam Murrell
New York City Health And Hospitals Corporation
$742.83Published rateCrystal Langholff
Mendelson Orthopedics, P.C.
$479.16Published rateAnthony Fenison
Anthony T Fenison Md Inc
$406.11Published rate
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See a sample payer proposalCPT 26055 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26055 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 26055 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 26055. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26055 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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