CPT 12051 Surgery - Integumentary
Intmd rpr face/mm 2.5 cm/< Cost
Body System: Integumentary
Medicare Facility Rate
$149
CMS PFS CY2026
Medicare Non-Facility Rate
$283
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
2.27
Work RVU
1.91
Facility PE RVU
0.29
Malpractice RVU
8.47
Total RVU
Frequently Asked Questions
How much does Intmd rpr face/mm 2.5 cm/< cost?
The Medicare facility rate is $149. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Intmd rpr face/mm 2.5 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 $149.