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 26862 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.
Fuse Bones Of Finger Joint, Surgery To Join Together Two Or More Bones Of Finger Joint. The Procedure Is Done To Relieve Pain By Eliminating Motion Between The Bones.
| 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 F6 - Right hand, second digit F1 - Left hand, second digit |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 26862 |
| Medicaid Fee Schedule | View Medicaid rates for 26862 |
National average reimbursement for CPT 26862 by major payers:
$1,054.74
$990.16
$1,027.20
$1,248.33
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 26862.
CPT 26862
5 of 25 sample ratesHigher to lower in this preview
Gab Endoscopy Center LLC
$4,339.00Published rateNorthwest Community Foot And Ankle Center LLC
$2,538.00Published rateLegacy Surgery Center LLC
$1,896.00Published rateMosc, LLC
Mosc LLC
$1,545.00Published rateMidsouth Interventional Pain Institute, LLC
Midsouth Interventional Pain Institute LLC
$897.00Published 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 26862 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26862 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 26862 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 |
|---|---|---|
| 26860-CPT | Moderate | Fuse Bones Of Finger Joint, Surgery To Join Together Two Or More Bones Of Finger Joint. The Procedure Is Done To Relieve Pain By Eliminating Motion Between The Bones. |
| 26861-CPT | Low | Fusion Of Finger Jnt Add On, Arthrodesis Interphalangeal Joint With Or Without Internal Fixation Each Additional Interphalangeal Joint List Separately In Addition To Code For Primary Procedure |
| 26862-CPT | High | Fuse Bones Of Finger Joint, Surgery To Join Together Two Or More Bones Of Finger Joint. The Procedure Is Done To Relieve Pain By Eliminating Motion Between The Bones. |
| 26863-CPT | Moderate | Fuse Graft Added Joint, Arthrodesis Interphalangeal Joint With Or Without Internal Fixation With Autograft Includes Obtaining Graft Each Additional Joint List Separately In Addition To Code For Primary Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 26862. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26862 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 26862) and we'll show you how you compare in 15 minutes or less.