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 26370 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Repair Of Tendon In Hand, Surgery To Repair Or Reattach The Profundus Tendon To Improve Joint Function. This Tendon Extends From The Outside Of The Lower Arm To The Index Finger.
| 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 F9 - Right hand, fifth digit F8 - Right hand, fourth digit |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 26370 |
| Medicaid Fee Schedule | View Medicaid rates for 26370 |
National average reimbursement for CPT 26370 by major payers:
$1,039.06
$1,042.95
$1,087.61
$1,299.92
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 26370.
CPT 26370
5 of 25 sample ratesHigher to lower in this preview
Surgery Center Of Port Charlotte Ltd
$6,734.00Published rateAmarillo Endoscopy Center, Lp
Amarillo Endoscopy Center Lp
$3,570.00Published rateRenal Associates, P.A.
Renal Associates, PA
$1,685.00Published rateDoctors Surgical Partnership LLC, Melbourne Same Day Surgery
Doctors Surgical Partnership LLC
$1,346.00Published rateMacomb Endoscopy Center Plc
$640.00Published 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 26370 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26370 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 26370 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 |
|---|---|---|
| 26185-CPT | Moderate | Sesamoidectomy, Thumb Or Finger |
| 26356-CPT | High | Repair Finger Hand Tendon, Repair Or Advancement Flexor Tendon In Zone 2 Digital Flexor Tendon Sheath Eg No Man S Land Primary Without Free Graft Each Tendon |
| 26357-CPT | High | Repair Finger Hand Tendon, Repair Or Advancement Flexor Tendon In Zone 2 Digital Flexor Tendon Sheath Eg No Man S Land Secondary Without Free Graft Each Tendon |
| 26370-CPT | High | Repair Of Tendon In Hand, Surgery To Repair Or Reattach The Profundus Tendon To Improve Joint Function. This Tendon Extends From The Outside Of The Lower Arm To The Index Finger. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 26370. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26370 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 26370) and we'll show you how you compare in 15 minutes or less.