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See a sample rate comparisonCPT 28110 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
| 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 | RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $467.28 national non-facility rate (2026) · View Medicare rates for 28110 |
| Medicaid Fee Schedule | $366.70 median of the 8 states in the free preview · View Medicaid rates for 28110 |
National average reimbursement for CPT 28110 by major payers:

$574.31
BCBS / Anthem

$604.90
UnitedHealthcare

$629.33
Aetna

$498.14
Cigna
Choose a payer to see a sample of rates for CPT 28110.
St Joseph Center For Outpatient Surgery, LLC
St Joseph Center For Outpatient Surgery LLC
Silver Cross Ambulatory Surgery Center, LLC, Silver Cross Surgery Center
Silver Cross Ambulatory Surgery Center LLC
Asc Development Company LLC
San Antonio Surgery Center, The Center For Special Surgery @ Tca
Mountain West Derm
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 28110 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 28110. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 28110-CPT | Moderate | Ostectomy Partial Xcision Fifth Metatarsal Head (Bunionette), Ostectomy Partial Excision Fifth Metatarsal Head (Bunionette) (Separ |
| 28111-CPT | Moderate | Ostectmy,Complete Exc;1st Meta.Head |
| 28113-CPT | Moderate | Ostectomy,Complet Exc;5th Meta.Head |
| 28114-CPT | High | Removal Of Metatarsal Heads, Ostectomy Complete Excision All Metatarsal Heads With Partial Proximal Phalangectomy Excluding First Metatarsal Eg Clayton Type Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28110. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28110 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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