CPT 10010 Surgery - Integumentary

Fna bx w/ct gdn ea addl Cost

Body System: Integumentary

Medicare Facility Rate
$66
CMS PFS CY2026
Medicare Non-Facility Rate
$235
Office/clinic setting

Relative Value Units (RVUs)

Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)

1.61
Work RVU
0.15
Facility PE RVU
0.21
Malpractice RVU
7.04
Total RVU

Frequently Asked Questions

How much does Fna bx w/ct gdn ea addl cost?

The Medicare facility rate is $66. Commercial insurance typically pays 150-250% of Medicare rates (varies).

How much does Fna bx w/ct gdn ea addl cost without insurance?

Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $66.

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