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 40510 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.
Xcision Of Lip; Transvers Wedge Xcision W/ Primar Closur, Excision Of Lip; Transverse Wedge Excision With Primary Closure
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | GC - Service performed by resident under supervision 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $498.34 national non-facility rate (2026) · View Medicare rates for 40510 |
| Medicaid Fee Schedule | $390.985 median of the 8 states in the free preview · View Medicaid rates for 40510 |
National average reimbursement for CPT 40510 by major payers:
$606.14
$640.86
$681.93
$596.01
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 40510.
CPT 40510
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center, Memorial Hermann Surgery Center, The Woodlands
Memorial Hermann Surgery Center
$5,729.00Published rateCorpus Christi Surgicare Ltd, Christus Spohn Texas Orthopedic Center Of Excellence
Corpus Christi Surgicare Ltd
$2,353.00Published rateGolden Triangle Surgery Center, LLC, Baptist Beaumont Surgical Affiliates
Beaumont Surgical Affiliates
$1,645.00Published rateArthroscopic Surgery Center, LLC
Arthroscopic Surgery Center LLC
$1,171.00Published rateAndre J Golino Md And Associates PA, Palm Beach Eye Clinic
Andre J Golino Md And Associates PA
$775.00Published 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 40510 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 40510 code is part of the Surgery services used for Surgical Procedures on the Digestive 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 40510 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 |
|---|---|---|
| 40500-CPT | Moderate | Vermilionectomy (Lip Shave) W/ Mucosal Advancem, Vermilionectomy (Lip Shave) With Mucosal Advancement |
| 40510-CPT | Moderate | Xcision Of Lip; Transvers Wedge Xcision W/ Primar Closur, Excision Of Lip; Transverse Wedge Excision With Primary Closure |
| 40520-CPT | Moderate | Xcision Of Lip; V-Xcision W/ Primar Direct Linear Closur, Excision Of Lip; V-Excision With Primary Direct Linear Closure |
| 40525-CPT | Moderate | Xcision Of Lip; Full Thickns Reconstr W/ Local Flap, Excision Of Lip; Full Thickness Reconstruction With Local Flap (Eg E |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 40510. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 40510 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 40510) and we'll show you how you compare in 15 minutes or less.