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 26686 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 To Correct Dislocation, Surgery To Correct A Dislocated Hand Or Finger Joint. Pins Wires Or Screws May Be Used To Hold The Bones In Place.
| 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 RT - Right side of body F9 - Right hand, fifth digit |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 26686 |
| Medicaid Fee Schedule | View Medicaid rates for 26686 |
National average reimbursement for CPT 26686 by major payers:
$837.03
$838.83
$850.21
$1,025.88
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 26686.
CPT 26686
5 of 25 sample ratesHigher to lower in this preview
Anchorage Surgicenter, LLC
$9,475.00Published rateAlabama Digestive Health Endoscopy Center, LLC
Alabama Digestive Health
$6,365.00Published rateChino Premier Surgery Center Limited Partnership
$3,600.00Published rateMae Physicians Surgery Center, LLC
Mae Physician'S Surgery Center, LLC
$2,005.93Published rateDeer Creek Surgery Center, LLC
$823.00Published 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 26686 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26686 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 26686 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 |
|---|---|---|
| 26641-CPT | Moderate | Closed Treatment Of Carpometac, Closed Treatment Of Carpometacarpal Dislocation Thumb Withmanipulation Closed Treatment Of Carpometacarpal Dislocation Thumb With |
| 26645-CPT | Moderate | Closed Treatment Of Carpometac, Closed Treatment Of Carpometacarpal Fracture Dislocationthumb (Bennett Fracture) With Manipulationclosed Treatment Of Carpometacarpal Fracture Dis Location |
| 26665-CPT | Moderate | Surgery For Broken Thumb, Surgery To Correct A Broken And Dislocated Joint In The Thumb. Pins Wires Or Screws May Be Used To Hold The Bones In Place. A Splint Is Applied To The Hand. |
| 26686-CPT | Moderate | Surgery To Correct Dislocation, Surgery To Correct A Dislocated Hand Or Finger Joint. Pins Wires Or Screws May Be Used To Hold The Bones In Place. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 26686. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26686 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 26686) and we'll show you how you compare in 15 minutes or less.