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 41115 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.
Surgery For Tongue Mobility, Surgery To Cut Into Remove Or Reconstruct The Lingual Frenum. This Is A Vertical Piece Of Tissue That Attaches The Tongue To The Floor Of The Mouth. The Surgery Improves Mobility Of The Tongue.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 11 - Office 24 - Ambulatory Surgical Center |
| Common Modifiers | 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $255.85 national non-facility rate (2026) · View Medicare rates for 41115 |
| Medicaid Fee Schedule | $200.38 median of the 8 states in the free preview · View Medicaid rates for 41115 |
National average reimbursement for CPT 41115 by major payers:
$288.79
$323.88
$364.91
$405.04
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 41115.
CPT 41115
5 of 25 sample ratesHigher to lower in this preview
Carris Health LLC, Centracare Willmar Surgery Center
Carris Health LLC
$2,967.00Published rateMillennium Surgical Center LLC
Millennium Surgical Center, LLC
$1,258.00Published rateCentral Ga Head &Neck Surgery Center
Central Ga Head Neck Surgery Center
$800.00Published ratePacific Gastro Health PLLC, Pacific Gastro Health
Pacific Gastroenterology, PLLC
$650.00Published rateJason Meckler
Deaconess Hospital Inc
$439.63Published 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 41115 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 41115 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 41115 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 |
|---|---|---|
| 41010-CPT | Moderate | Surgery For Tongue Mobility, Surgery To Cut Into Remove Or Reconstruct The Lingual Frenum. This Is A Vertical Piece Of Tissue That Attaches The Tongue To The Floor Of The Mouth. The Surgery Improves Mobility Of The Tongue. |
| 41100-CPT | Moderate | Biopsy Tongue; Anterior Two-Thirds |
| 41115-CPT | Moderate | Surgery For Tongue Mobility, Surgery To Cut Into Remove Or Reconstruct The Lingual Frenum. This Is A Vertical Piece Of Tissue That Attaches The Tongue To The Floor Of The Mouth. The Surgery Improves Mobility Of The Tongue. |
| 41520-CPT | Moderate | Surgery For Tongue Mobility, Surgery To Cut Into Remove Or Reconstruct The Lingual Frenum. This Is A Vertical Piece Of Tissue That Attaches The Tongue To The Floor Of The Mouth. The Surgery Improves Mobility Of The Tongue. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 41115. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 41115 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 41115) and we'll show you how you compare in 15 minutes or less.