CPT 21931 Surgery - Musculoskeletal
Exc back les sc 3 cm/> Cost
Body System: Musculoskeletal
Medicare Facility Rate
$454
CMS PFS CY2026
Medicare Non-Facility Rate
$454
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
6.71
Work RVU
5.21
Facility PE RVU
1.66
Malpractice RVU
13.58
Total RVU
Frequently Asked Questions
How much does Exc back les sc 3 cm/> cost?
The Medicare facility rate is $454. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Exc back les sc 3 cm/> 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 $454.