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 comparisonHealthcare 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.
| 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 F2 - Left hand, third digit |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 26776 |
| Medicaid Fee Schedule | View Medicaid rates for 26776 |
National average reimbursement for CPT 26776 by major payers:

$627.04

$595.67

$622.01

$741.82
Choose a payer to see a sample of rates for CPT 26776.
St Clair Health Corporation
Bloomington-Normal Healthcare, L.L.C.
North Care Asc LLC
Ophthalmic Surgery Center LLC
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 26776 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26776 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 26776 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 |
|---|---|---|
| 26775-CPT | Moderate | Closed Treatment Of Interphala, Closed Treatment Of Interphalangeal Joint Dislocationsingle With Manipulation Requiring Anesthesia Closed Treatment Of Interphalangeal Joint Dislocation |
| 26776-CPT | Moderate | Percutaneous Skeletal Fixation, Percutaneous Skeletal Fixation Of Interphalangeal Jointdislocation Single With Manipulation Percutaneous Skeletal Fixation Of Interphalangeal Joint |
| 26785-CPT | Moderate | Surgery On Dislocated Finger, Surgery To Correct A Dislocated Finger Joint. Pins Wires Or Screws May Be Used To Hold The Bones In Place. A Splint Is Applied To The Hand. |
| 26820-CPT | High | Fuse Thumb Joint Together, Surgery To Fuse The Thumb In Opposition. Opposition Means Movement Toward The Palm Of The Hand. Fusing The Thumb Joint Relieves Pain From The Bones Moving. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 26776. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26776 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.
Bring your top codes (like CPT 26776) and we'll show you how you compare in 15 minutes or less.