CPT 10060: Incision and Drainage of Simple Skin Abscess
Medicare pays $133 and commercial payers pay $237 on average nationally for this procedure.
CPT code 10060 describes a simple incision and drainage procedure in which the provider uses surgical instruments to incise an abscess or similar lesion (e.g., furuncle, cyst, carbuncle, paronychia) and drain the collection of pus; service type: minor surgical procedure; typical site of service: office, urgent care, or emergency department for a superficial cutaneous abscess located just below the skin surface.
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National Reimbursement Benchmarks
Nationally, Medicare's mean reimbursement for CPT 10060 sits at $133.10, while BUCA’s average commercial mean is substantially higher at $236.60, reflecting a spread of $103.50 between public and the BUCA commercial benchmark. This gap highlights the typical structural difference between Medicare and average commercial commercial rates for this code.
Dispersion measured by the interquartile range (P75 minus P25) varies notably across payers: Blue Cross Blue Shield shows one of the widest spreads at $120.20 (P75 $353.70 minus P25 $233.50), while Aetna is much tighter with a spread of $95.00 (P75 $172.50 minus P25 $72.80). UnitedHealth Group and Cigna have similar dispersion at $119.70 and $116.60 respectively, and BUCA’s IQR is $115.90, indicating relatively broad commercial variability compared with Aetna’s tighter band; Medicare’s IQR is narrow at $14.00.