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See a sample rate comparisonCPT 41874 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.
Alveoplasty
| 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 | 59 - Distinct Procedural Service GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $390.46 national non-facility rate (2026) · View Medicare rates for 41874 |
| Medicaid Fee Schedule | $305.745 median of the 8 states in the free preview · View Medicaid rates for 41874 |
National average reimbursement for CPT 41874 by major payers:
$461.85
$497.73
$525.81
$424.51
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CPT 41874
5 of 25 sample ratesHigher to lower in this preview
Thr/Stt Southlake Asc, LLC
Thrstt Southlake Asc LLC
$2,392.00Published rateAsc Of Trinity, Comprehensive Outpatient Joint And Spine Institute
Asc Of Trinity
$1,258.00Published ratePaoli Surgery Center LLC
$1,075.00Published rateBay Area Laser Surgery Center, A Medical Corporation
Bay Area Laser Surgery Center A Medical Corporation
$660.00Published rateRori Spray
Deaconess Hospital Inc
$314.04Published rate
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See a sample payer proposalCPT 41874 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 41874 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 41874 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 |
|---|---|---|
| 41850-CPT | Moderate | Remove Abnormal Mouth Tissue, Removal Of Abnormal Tissue That Has Developed In The Bony Ridge Of The Mouth That Supports The Teeth And Gums. |
| 41870-CPT | Moderate | Mouth Tissue Grafting, Surgery To Remove Tissue From One Location Within The Mouth And Graft (Transfer) It To Another Location Within The Mouth. |
| 41872-CPT | Moderate | Gingivoplasty |
| 41874-CPT | Moderate | Alveoplasty |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 41874. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 41874 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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