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 44130 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Surgery On Intestines, Surgery To Remove A Section Of The Intestines. The Procedure Attaches The Resulting Open Ends Together And May Include Additional Reconstruction Of The Structures.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | 58 - Staged or related procedure during postoperative period 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | $1,230.82 national non-facility rate (2026) · View Medicare rates for 44130 |
| Medicaid Fee Schedule | $956.515 median of the 8 states in the free preview · View Medicaid rates for 44130 |
National average reimbursement for CPT 44130 by major payers:
$1,591.33
$1,704.26
$1,893.41
$2,056.05
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 44130.
CPT 44130
5 of 25 sample ratesHigher to lower in this preview
Sky Ridge Surgery Center Lp
$2,785.00Published rateSurgcenter Of San Diego, LLC, Advanced Surgery Center Of North County
Surgcenter Of San Diego
$1,274.00Published rateAlliance Surgical Center LLC
$840.00Published rateTexas Midwest Surgery Center, LLC
Texas Midwest Surgery Center LLC
$417.00Published rateCarter Real Estate Properties Inc, North Dallas Surgicare
Carter Real Estate Properties Inc
$112.00Published 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 44130 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44130 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 44130 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 |
|---|---|---|
| 44120-CPT | High | Surgery On Intestines, Surgery To Remove A Section Of The Intestines. The Procedure Attaches The Resulting Open Ends Together And May Include Additional Reconstruction Of The Structures. |
| 44121-CPT | Moderate | Surgery On Intestines, Surgery To Remove A Section Of The Intestines. The Procedure Attaches The Resulting Open Ends Together And May Include Additional Reconstruction Of The Structures. |
| 44125-CPT | High | Surgery On Intestines, Surgery To Remove A Section Of The Intestines. The Procedure Attaches The Resulting Open Ends Together And May Include Additional Reconstruction Of The Structures. |
| 44130-CPT | High | Surgery On Intestines, Surgery To Remove A Section Of The Intestines. The Procedure Attaches The Resulting Open Ends Together And May Include Additional Reconstruction Of The Structures. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 44130. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44130 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 44130) and we'll show you how you compare in 15 minutes or less.