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 comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $430.87 national non-facility rate (2026) · View Medicare rates for 41510 |
| Medicaid Fee Schedule | $352.835 median of the 8 states in the free preview · View Medicaid rates for 41510 |
National average reimbursement for CPT 41510 by major payers:

$584.61

$578.53

$612.13

$731.28
Choose a payer to see a sample of rates for CPT 41510.
Hss Asc Of Manhattan LLC, Hss Asc Of Manhattan
Summit Ambulatory Surgical Center, LLC
Chicago Prostate Cancer Surgery Center, LLC, Dupage Medical Group Surgery Center, Westmont
Chicago Prostate Cancer Surgery Center LLC
The Center For Specialized Surgery, Lp
System Optics LLC
System Optics, Inc.
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 41510 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 41510 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 41510 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 |
|---|---|---|
| 41100-CPT | Moderate | Biopsy Tongue; Anterior Two-Thirds |
| 41510-CPT | Moderate | Surgery To Sew Tongue To Lip, Surgery To Attach The Tongue To The Lip. The Procedure May Correct Difficulty When Eating Due To An Undersized Lower Jaw. |
| 41512-CPT | Moderate | Tongue Support Surgery, Surgery To Insert A Permanent System That Supports The Tongue So That It Does Not Collapse Backward And Block The Airway. |
| 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 41510. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 41510 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.
Bring your top codes (like CPT 41510) and we'll show you how you compare in 15 minutes or less.