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See a sample rate comparisonCPT 60281 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.
Exc Thyroglossal Duct Cyst Repeat
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Endocrine System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None 80 - Assistant surgeon 22 - Increased Procedural Services |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 60281 |
| Medicaid Fee Schedule | View Medicaid rates for 60281 |
National average reimbursement for CPT 60281 by major payers:
$768.83
$773.09
$817.98
$971.62
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CPT 60281
5 of 25 sample ratesHigher to lower in this preview
Gab Endoscopy Center LLC
$7,888.00Published rateFroedtert Surgery Center, LLC
$5,317.00Published rateFranciscan Medical Group, The Doctors Clinic Ambulatory Surgical Center, A Part Of The Francisca
Franciscan Medical Group
$3,396.00Published rateBox Hill Surgery Center LLC
$2,324.00Published rateGlastonbury Endoscopy Center, LLC
Glastonbury Endoscopy Center LLC
$1,103.00Published rate
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See a sample payer proposalCPT 60281 vs. Other Surgical Procedures on the Endocrine System Codes
The CPT 60281 code is part of the Surgery services used for Surgical Procedures on the Endocrine 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 60281 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 |
|---|---|---|
| 60000-CPT | Moderate | I & D Thyroglossal Cyst, Infected |
| 60280-CPT | Moderate | Excision Of Thyroglossal Duct Cystor Si |
| 60281-CPT | Moderate | Exc Thyroglossal Duct Cyst Repeat |
| 60300-CPT | Low | Treat Cyst Of Thyroid Gland, Treatment To Remove A Fluid-Filled Pocket (Cyst) From The Thyroid Gland. The Cyst May Be Injected Or The Fluid May Be Drained With A Needle. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 60281. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 60281 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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