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See a sample rate comparisonCPT 28106 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.
Excision Or Curettage Of Bone, Excision Or Curettage Of Bone Cyst Or Benign Tumor Tarsalor Metatarsal Bones Except Talus Or Calcaneus With Iliac Or Other Autograft (Includes Obtaining Graft)
| 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 LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 28106 |
| Medicaid Fee Schedule | View Medicaid rates for 28106 |
National average reimbursement for CPT 28106 by major payers:
$625.61
$599.93
$590.90
$722.74
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CPT 28106
5 of 25 sample ratesHigher to lower in this preview
Endoscopy Asc Of Middle Georgia LLC
$6,588.00Published rateNorth Dakota Surgery Center, LLC
North Dakota Surgery Center, LLP
$5,751.00Published rateCoastal Cardiovascular Center, LLC, Coastal Cardiovascular Center
Coastal Cardiovascular Center LLC
$4,219.00Published rateAsc Development Company, LLC
Asc Development Company LLC
$3,474.00Published rateCenter For Pain And Spine, LLC
$1,500.00Published rate
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See a sample payer proposalCPT 28106 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28106 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 28106 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 |
|---|---|---|
| 28100-CPT | Moderate | Remove Noncancerous Growth, Surgery To Remove A Pocket Of Fluid (Cyst) Or A Noncancerous Growth (Tumor) From One Or More Bones Of The Ankle Or Heel. |
| 28104-CPT | Moderate | Remove Noncancerous Growth, Surgery To Remove A Pocket Of Fluid (Cyst) Or A Noncancerous Growth (Tumor) From One Or More Bones Of The Foot. |
| 28106-CPT | Moderate | Excision Or Curettage Of Bone, Excision Or Curettage Of Bone Cyst Or Benign Tumor Tarsalor Metatarsal Bones Except Talus Or Calcaneus With Iliac Or Other Autograft (Includes Obtaining Graft) |
| 28107-CPT | Moderate | Remove Noncancerous Growth, Surgery To Remove A Pocket Of Fluid (Cyst) Or A Noncancerous Growth (Tumor) From One Or More Bones Of The Foot. The Area Is Repaired With A Bone Graft. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28106. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28106 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.
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