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 28072 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.
Remove Foot Joint Lining, Surgery To Remove Lining Of Foot Joint. The Procedure Is Done To Relieve Pain And Increase Joint Mobility.
| 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 | 59 - Distinct Procedural Service None RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 28072 |
| Medicaid Fee Schedule | View Medicaid rates for 28072 |
National average reimbursement for CPT 28072 by major payers:
$596.04
$650.13
$668.77
$557.12
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 28072.
CPT 28072
5 of 25 sample ratesHigher to lower in this preview
Surgery Center At Pelham, LLC
$2,900.00Published rateGastrointestinal Medical Center Asc
$2,044.00Published ratePain Centers Of Minnesota
$1,530.00Published rateOrthopaedic Development Partners LLC, Orthopaedic Medical Group Surgery Center
Orthopaedic Development Partners LLC
$1,200.00Published rateWest Wichita Family Physicians, P.A., West Wichita Surgery Center
West Wichita Family Physicians, P.A.
$505.00Published 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 28072 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28072 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 28072 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 |
|---|---|---|
| 28050-CPT | Moderate | Biopsy Of Joint In Foot, Surgery To Explore A Foot Joint. The Procedure Includes Removing A Tissue Sample For Testing (Biopsy). |
| 28052-CPT | Moderate | Biopsy Of Joint In Foot, Surgery To Explore A Foot Joint. The Procedure Includes Removing A Tissue Sample For Testing (Biopsy). |
| 28070-CPT | Moderate | Synovectomy Intertarsal Or Ta, Synovectomy Intertarsal Or Tarsometatarsal Jointeachsynovectomy Intertarsal Or Tarsometatarsal J Oint Each |
| 28072-CPT | Moderate | Remove Foot Joint Lining, Surgery To Remove Lining Of Foot Joint. The Procedure Is Done To Relieve Pain And Increase Joint Mobility. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28072. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28072 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 28072) and we'll show you how you compare in 15 minutes or less.