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CPT 41017 Fee Schedule

Last Verified: December 2025

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.

Extraoral I&D Cyst,Etc-Mouth Floor;Subma
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Digestive System

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

Common Modifiers

None

GC - Service performed by resident under supervision

51 - Multiple procedures

Complexity LevelModerate

National average reimbursement for CPT 41017 by major payers:

bcbs

$541.19

uhc

$585.20

aetna

$634.67

cigna

$756.23

Preview provider-level rates for...
For billing codeCPT 41017
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 41017

United
41017$1233.001649707324 - SUMMIT AMBULATORY SURGICAL CENTER, LLC522148280MDAmbulatory Surgical Clinic/Center (261QA1903X)
United
41017$1276.001790093813 - AZ WEST ENDOSCOPY CENTER LLC272343469 - (AZ) AZ WEST ENDOSCOPY CENTER LLCAZAmbulatory Surgical Clinic/Center (261QA1903X)
United
41017$543.001356429765 - ASC OF GEORGIA DERMATOLOGIC SURGERY, ASC OF BAUCOM & MINA DERM SURGERY550892029 - (GA) ASC OF GEORGIA DERMATOLOGIC SURGERYGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
41017$3024.001053770149 - AURORA SURGERY CENTERS, LLC811401714 - (WI) AURORA SURGERY CENTERS LLCWIAmbulatory Surgical Clinic/Center (261QA1903X)
United
41017$1190.001992707855 - VESC LLC, ADVENTHEALTH SURGERY CENTER ORMOND BEACH593415079 - (FL) VESC LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
41017$1281.001972532539 - WILTON SURGERY CENTER LLC30496951 - (CT) WILTON SURGERY CENTER LLCCTAmbulatory Surgical Clinic/Center (261QA1903X)
United
41017$2426.001356124309 - SAINT LUKE'S NORTH SURGERY CENTER, LLC920591506 - (MO) SAINT LUKES NORTH SURGERY CENTER LLCMOAmbulatory Surgical Clinic/Center (261QA1903X)
United
41017$903.001013425933 - REX SURGERY CENTER OF WAKEFIELD, LLC465511168 - (NC) REX SURGERY CENTER OF WAKEFIELD LLCNCAmbulatory Surgical Clinic/Center (261QA1903X)
United
41017$531.001194233189 - CHAPIN ORTHOPEDIC SURGERY CENTER473916029 - (SC) CHAPIN ORTHOPEDIC SURGERY CENTERSCAmbulatory Surgical Clinic/Center (261QA1903X)
United
41017$1928.001316395270 - IRVINE SURGICAL PARTNERS LLC812776218 - (CA) IRVINE SURGICAL PARTNERS LLCCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
41017$780.001578073631 - IREDELL PHYSICIAN NETWORK LLC, IREDELL AMBULATORY SURGERY CENTER263853529NCAmbulatory Surgical Clinic/Center (261QA1903X)
United
41017$734.001427017813 - WESTERN WASHINGTON ENDOSCOPY CENTERS LLC, PENINSULA ENDOSCOPY CENTER200289310 - (WA) WESTERN WASHINGTON ENDOSCOPY CENTERS LLCWAAmbulatory Surgical Clinic/Center (261QA1903X)
United
41017$498.001033426580 - ADVANCED AMBULATORY SURGERY CENTER, LLC271607092 - (IN) ADVANCED AMBULATORY SURGERY CENTER LLCINAmbulatory Surgical Clinic/Center (261QA1903X)
United
41017$1276.001831489335 - HAGERSTOWN SURGERY CENTER,LLC274935096 - (MD) HAGERSTOWN SURGERY CENTER, LLCMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
41017$950.001689332959 - BOISE ENDOSCOPY CENTER, LLC, CANYON COUNTY ENDOSCOPY CENTER820506078 - (ID) BOISE ENDOSCOPY CENTER LLCIDAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 41017 vs. Other Surgical Procedures on the Digestive System Codes

The CPT 41017 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 41017 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.

CodeComplexityDescription
41015-CPTModerateI&D Les Extraoral Sublingual
41016-CPTModerateI&D Les Extraoral Submental
41017-CPTModerateExtraoral I&D Cyst,Etc-Mouth Floor;Subma
41018-CPTModerateI&D Les Extraoral Masticator

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 41017. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 41017 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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