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 46050 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.
I&D Abscess Perianal Superficial
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 23 - Emergency Room 11 - Office |
| Common Modifiers | None AG - Primary physician GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 46050 |
| Medicaid Fee Schedule | View Medicaid rates for 46050 |
National average reimbursement for CPT 46050 by major payers:
$242.69
$267.23
$315.63
$352.38
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 46050.
CPT 46050
5 of 25 sample ratesHigher to lower in this preview
Kc Pain Asc, LLC
Kc Pain Asc LLC
$1,981.00Published rateJohnston Memorial Hospital, Inc, Johnston Memorial Surgery Center
Johnston Memorial Hospital Inc
$1,230.00Published rateGrand Rapids Surgical Suites LLC
Grand Rapids Surgical Suites, PLLC
$934.00Published rateMidwest Eye Surgery Center, LLC
Midwest Eye Surgery Center LLC
$603.00Published rateDelmar Surgical Center LLC
$242.00Published 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 46050 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 46050 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 46050 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 |
|---|---|---|
| 45910-CPT | Moderate | Dilation Of Rectal Stricture (Sepa Proc) Under Anesthe Oth, Dilation Of Rectal Stricture (Separate Procedure) Under Anesthesia Oth |
| 45999-CPT | Moderate | Unlisted Procedure Rectum |
| 46045-CPT | Moderate | Incision Of Rectal Abscess, Incision And Drainage Of Intramural Intramuscular Or Submucosal Abscess Transanal Under Anesthesia |
| 46050-CPT | Moderate | I&D Abscess Perianal Superficial |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 46050. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 46050 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 46050) and we'll show you how you compare in 15 minutes or less.