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 28250 Fee Schedule
Medicare rates as of October 2026
CPT 28250 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Split Tissue On Sole Of Foot, Surgery To Divide Fascia (Strong Connective Tissue That Surrounds Muscle Bone And Organs) On Bottom Of Foot.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22On Campus Outpatient Hospital 24Ambulatory Surgical Center |
| Common Modifiers | LTLeft side of body RTRight side of body |
| Hospital Outpatient Group (APC) | APC 5113 - Level 3 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | A2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 03600761 |
| Medicare Fee Schedule | $599.21 national non-facility rate (2026)View Medicare rates for 28250 |
| Medicaid Fee Schedule | $467.07 median of the 8 states in the free previewView Medicaid rates for 28250 |
National average reimbursement for CPT 28250 by major payers:
$736.17
BCBS / Anthem
$757.92
UnitedHealthcare
$802.47
Aetna
$685.08
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 28250.
CPT 28250
5 of 25 sample ratesHigher to lower in this preview
Aurora Gi Asc LLC, Wisconsin Digestive Health Center
Aurora Gi Asc LLC
$7,081.00Published ratePhysician'S Surgery Center Of Knoxville LLC
Physicians Surgery Center Of Knoxville LLC
$2,206.00Published rateMurrieta Valley Surgery Center, Inc.A Professional Corporation
Murrieta Valley Surgery Center Inca Professional Corporation
$1,600.00Published rateModesto Specialty Surgery Center, PC
Modesto Specialty Surgery Center PC
$1,300.00Published rateKristine Hays
Deaconess Hospital Inc
$472.98Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Looking for other data?
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 28250 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 28250. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 28240-CPT | Cut Tendon Of Big Toe, Surgery To Cut Tendon-Muscle Unit Attached To Bone Of The Big Toe. The Procedure Allows Big Toe To Move Back Into Proper Position. |
| 28250-CPT | Split Tissue On Sole Of Foot, Surgery To Divide Fascia (Strong Connective Tissue That Surrounds Muscle Bone And Organs) On Bottom Of Foot. |
| 28260-CPT | Release Mid-Foot Restriction, Surgery To Release Mid-Foot Contracture By Cutting The Capsule That Encases The Foot Joint. |
| 28262-CPT | Revision Of Foot And Ankle, Capsulotomy Midfoot Extensive Including Posterior Talotibial Capsulotomy And Tendon S Lengthening Eg Resistant Clubfoot Deformity |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28250. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28250 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 28250) and we'll show you how you compare in 15 minutes or less.
Frequently Asked Questions
What APC is CPT 28250 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 28250 to APC 5113 (Level 3 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 28250 in an ambulatory surgery center?
CMS lists CPT 28250 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 28250?
Hospital price transparency files list CPT 28250 under these revenue codes: 0360 and 0761. A revenue code names the hospital department or charge category for the line; it does not change what the service is.