CPT code 21811: Rib fixation, unilateral, 1-3 ribs2026 Medicare rate & RVUs in Delaware

In Delaware, Medicare pays $536.48 for 21811 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 21811 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 21811 covers

The surgeon stabilizes one to three fractured ribs on one side with internal fixation, commonly when operative stabilization is selected for substantially displaced fractures or flail chest. Thoracoscopic visualization may be used and is included in the service. Thoracic or trauma surgeons typically perform the operation in an operating room, often during hospital or trauma-center care.

Select the code by the number of ribs treated with fixation on that side, and document the side, ribs stabilized, and fixation performed. The service has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures at 50%. For bilateral treatment, modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Delaware compares for 21811

Across 109 of 109 payment localities, the facility rate for 21811 runs from $480.20 in Wisconsin to $688.39 in Alaska. Delaware pays $536.48. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

21811 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 21811 in every payment locality

How the 21811 rate is calculated

Each of 21811’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 21811

The CMS indicators that decide how 21811 is paid alongside other services.

What modifiers do to the payment

When to use modifier 50

Codes related to 21811

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 21811 has changed in Delaware

Price 21811 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

• Arden
• Ardencroft
• Ardentown
• Bear
• Bellefonte
• Bethany Beach
• Bethel
• Blades

Browse all communities in Delaware

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates