CPT code 60281: Duct lesion excision, with hyoid bone resection2026 Medicare rate & RVUs in Modesto, CA
Sistrunk-type removal of a thyroglossal duct cyst or sinus, including the central hyoid segment, is reported for congenital midline neck lesions.
In Modesto, CA, Medicare pays $529.57 for 60281 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 60281 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 60281 covers
This operation removes a thyroglossal duct cyst or sinus and its tract along with the central portion of the hyoid bone. It is commonly performed by an otolaryngologist or head and neck surgeon for a congenital midline neck lesion, often near the hyoid; patients may be children or adults. The procedure is typically performed in an operating room, with the extent documented in the operative report.
Report this code when the duct lesion is excised with hyoid bone resection; a simple lesion excision without that step is distinguished by 60280. Documentation should identify the lesion and describe removal of the tract and central hyoid segment. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is 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 Modesto, CA compares for 60281
Across 109 of 109 payment localities, the facility rate for 60281 runs from $477.34 in Arkansas to $662.87 in Alaska. Modesto, CA pays $529.57. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Modesto, CA · this page$529.57
- Bakersfield, CA · California$533.22+$3.65
- Chico, CA · California$529.57
- El Centro, CA · California$529.78+$0.21
- Fresno, CA · California$529.57
- Hanford, CA · California$529.57
- Los Angeles, CA · California$558.91+$29.34
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Madera, CACalifornia | — | $529.57 |
| Merced, CACalifornia | — | $529.57 |
| Napa, CACalifornia | — | $585.14 |
| Oxnard, CACalifornia | — | $553.26 |
| Redding, CACalifornia | — | $529.57 |
| Rest of CaliforniaCalifornia | — | $529.57 |
| Riverside, CACalifornia | — | $543.20 |
| Sacramento, CACalifornia | — | $548.17 |
| Salinas, CACalifornia | — | $545.95 |
| San Diego, CACalifornia | — | $553.17 |
| Marin County, CACalifornia | — | $610.30 |
| San Francisco, CACalifornia | — | $608.87 |
| San Benito County, CACalifornia | — | $624.13 |
| Santa Clara County, CACalifornia | — | $618.28 |
| San Luis Obispo, CACalifornia | — | $538.00 |
| Santa Cruz, CACalifornia | — | $554.05 |
| Santa Maria, CACalifornia | — | $546.46 |
| Santa Rosa, CACalifornia | — | $559.19 |
| Stockton, CACalifornia | — | $529.57 |
| Vallejo, CACalifornia | — | $583.07 |
| Visalia, CACalifornia | — | $529.57 |
| Yuba City, CACalifornia | — | $529.57 |
| Washington, DC areaDistrict of Columbia | — | $580.56 |
| Miami, FLFlorida | — | $597.78 |
| Chicago, ILIllinois | — | $582.89 |
| Manhattan, NYNew York | — | $600.20 |
| AlaskaAlaska | — | $662.87 |
| AlabamaAlabama | — | $482.62 |
| ArkansasArkansas | — | $477.34 |
| ArizonaArizona | — | $513.26 |
| ColoradoColorado | — | $532.17 |
| ConnecticutConnecticut | — | $555.08 |
| DelawareDelaware | — | $520.23 |
| Fort Lauderdale, FLFlorida | — | $561.95 |
| Rest of FloridaFlorida | — | $537.94 |
| Atlanta, GAGeorgia | — | $537.85 |
| Rest of GeorgiaGeorgia | — | $512.30 |
| Hawaii, Guam, HIHawaii | — | $534.54 |
| IowaIowa | — | $483.35 |
| IdahoIdaho | — | $487.53 |
| East St. Louis, ILIllinois | — | $552.39 |
| Rest of IllinoisIllinois | — | $532.03 |
| Suburban Chicago, ILIllinois | — | $565.19 |
| IndianaIndiana | — | $489.45 |
| KansasKansas | — | $485.70 |
| KentuckyKentucky | — | $500.06 |
| New Orleans, LALouisiana | — | $519.55 |
| Rest of LouisianaLouisiana | — | $501.08 |
| Metropolitan Boston, MAMassachusetts | — | $570.58 |
| Rest of MassachusettsMassachusetts | — | $531.84 |
| Baltimore area, MDMaryland | — | $554.28 |
| Rest of MarylandMaryland | — | $527.17 |
| Rest of MaineMaine | — | $493.80 |
| Southern Maine, MEMaine | — | $508.10 |
| Detroit, MIMichigan | — | $547.40 |
| Rest of MichiganMichigan | — | $513.77 |
| MinnesotaMinnesota | — | $501.45 |
| Metropolitan Kansas City, MOMissouri | — | $512.47 |
| Metropolitan St. Louis, MOMissouri | — | $516.07 |
| Rest of MissouriMissouri | — | $497.25 |
| MississippiMississippi | — | $487.16 |
| MontanaMontana | — | $525.31 |
| North CarolinaNorth Carolina | — | $497.07 |
| North DakotaNorth Dakota | — | $500.40 |
| NebraskaNebraska | — | $484.12 |
| New HampshireNew Hampshire | — | $528.17 |
| Northern New JerseyNew Jersey | — | $577.72 |
| Rest of New JerseyNew Jersey | — | $559.01 |
| New MexicoNew Mexico | — | $517.58 |
| NevadaNevada | — | $518.56 |
| NYC suburbs and Long Island, NYNew York | — | $616.90 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $565.79 |
| Queens, NYNew York | — | $598.07 |
| Rest of New YorkNew York | — | $503.09 |
| OhioOhio | — | $508.68 |
| OklahomaOklahoma | — | $495.03 |
| Portland, OROregon | — | $540.98 |
| Rest of OregonOregon | — | $512.11 |
| Metropolitan Philadelphia, PAPennsylvania | — | $546.73 |
| Rest of PennsylvaniaPennsylvania | — | $507.00 |
| Puerto RicoPuerto Rico | — | $526.92 |
| Rhode IslandRhode Island | — | $532.78 |
| South CarolinaSouth Carolina | — | $504.18 |
| South DakotaSouth Dakota | — | $497.45 |
| TennesseeTennessee | — | $488.07 |
| Austin, TXTexas | — | $532.54 |
| Beaumont, TXTexas | — | $504.76 |
| Brazoria, TXTexas | — | $516.67 |
| Dallas, TXTexas | — | $521.22 |
| Fort Worth, TXTexas | — | $519.81 |
| Galveston, TXTexas | — | $519.08 |
| Houston, TXTexas | — | $542.15 |
| Rest of TexasTexas | — | $511.31 |
| UtahUtah | — | $509.34 |
| VirginiaVirginia | — | $509.69 |
| Virgin Islands, VIUnited States Virgin Islands | — | $526.92 |
| VermontVermont | — | $502.65 |
| Rest of WashingtonWashington | — | $529.46 |
| King County, WAWashington | — | $576.56 |
| WisconsinWisconsin | — | $488.04 |
| West VirginiaWest Virginia | — | $517.85 |
| WyomingWyoming | — | $514.45 |
60281 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 60281 rate is calculated
Each of 60281’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.
How the rate is built · 60281
RVUs × geographic indexes × conversion factor
Work8.60
8.60 RVUs× 1.000 GPCI
Practice expense5.87
5.87 RVUs× 1.000 GPCI
Malpractice1.26
1.26 RVUs× 1.000 GPCI
Adjusted RVUs
15.7300
Conversion factor
$33.4009
Medicare rate
$525.40
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Modesto, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,709
- Code
- 60281
- Physician work
- 8.60
- Practice expense
- 5.87
- Malpractice
- 1.26
GPCI2026.csv
16
- Locality
- Modesto, CA
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.60 | × 1.017 | 8.7462 |
| Practice expense | 5.87 | × 1.096 | 6.4335 |
| Malpractice | 1.26 | × 0.536 | 0.6754 |
| Total RVUs | 15.8551 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Modesto, CA$529.57
Facility: (8.6 × 1.017 + 5.87 × 1.096 + 1.26 × 0.536) × $33.4009 = $529.57
Payment rules and modifiers for 60281
60281 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 60281
Duct lesion excision, with hyoid bone resection
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.82/0.09 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 60281
Duct lesion excision, with hyoid bone resection
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
60281 without 51 · national facility
$525.40
Duct lesion excision, with hyoid bone resection
60281-51 · Second procedure: 50%
$262.70
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 60281 has changed in Modesto, CA
60281 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $529.57 | RVU26D |
| 2026-07-01 | Not available in this setting | $529.57 | RVU26C |
| 2026-04-01 | Not available in this setting | $529.57 | RVU26B |
| 2026-01-01 | Not available in this setting | $529.57 | RVU26A |
| 2025-10-01 | Not available in this setting | $594.61 | RVU25D |
| 2025-07-01 | Not available in this setting | $594.61 | RVU25C |
| 2025-04-01 | Not available in this setting | $594.61 | RVU25B |
| 2025-01-01 | Not available in this setting | $594.61 | RVU25A |
| 2024-10-01 | Not available in this setting | $610.09 | RVU24D |
| 2024-07-01 | Not available in this setting | $610.09 | RVU24C |
| 2024-04-01 | Not available in this setting | $610.09 | RVU24B |
| 2024-03-09 | Not available in this setting | $610.09 | RVU24AR |
| 2024-01-01 | Not available in this setting | $600.13 | RVU24A |
| 2023-10-01 | Not available in this setting | $617.28 | RVU23D |
| 2023-07-01 | Not available in this setting | $617.28 | RVU23C |
| 2023-04-01 | Not available in this setting | $617.28 | RVU23B |
| 2023-01-01 | Not available in this setting | $617.28 | RVU23A |
| 2022-10-01 | Not available in this setting | $618.86 | RVU22D |
| 2022-07-01 | Not available in this setting | $618.86 | RVU22C |
| 2022-04-01 | Not available in this setting | $618.86 | RVU22B |
| 2022-01-01 | Not available in this setting | $618.86 | RVU22A |
| 2021-10-01 | Not available in this setting | $610.32 | RVU21D |
| 2021-07-01 | Not available in this setting | $610.32 | RVU21C |
| 2021-04-01 | Not available in this setting | $610.32 | RVU21B |
| 2021-01-01 | Not available in this setting | $610.32 | RVU21A |
| 2020-10-01 | Not available in this setting | $615.02 | RVU20D |
| 2020-07-01 | Not available in this setting | $615.02 | RVU20C |
| 2020-04-01 | Not available in this setting | $615.02 | RVU20B |
| 2020-01-01 | Not available in this setting | $615.02 | RVU20A |
| 2019-10-01 | Not available in this setting | $610.62 | RVU19D |
| 2019-07-01 | Not available in this setting | $610.62 | RVU19C |
| 2019-04-01 | Not available in this setting | $610.62 | RVU19B |
| 2019-01-01 | Not available in this setting | $610.62 | RVU19A |
| 2018-10-01 | Not available in this setting | $602.42 | RVU18D |
| 2018-07-01 | Not available in this setting | $602.42 | RVU18C |
| 2018-04-01 | Not available in this setting | $602.42 | RVU18B |
| 2018-01-01 | Not available in this setting | $602.42 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $613.43 | RVU17D |
| 2017-07-01 | Not available in this setting | $613.43 | RVU17C |
| 2017-04-01 | Not available in this setting | $613.43 | RVU17B |
| 2017-01-01 | Not available in this setting | $613.43 | RVU17A |
| 2016-10-01 | Not available in this setting | Rate data unavailable | RVU16D |
| 2016-07-01 | Not available in this setting | Rate data unavailable | RVU16C |
| 2016-04-01 | Not available in this setting | Rate data unavailable | RVU16B |
| 2016-01-01 | Not available in this setting | Rate data unavailable | RVU16A |
| 2015-10-01 | Not available in this setting | Rate data unavailable | RVU15D |
| 2015-07-01 | Not available in this setting | Rate data unavailable | RVU15C |
| 2015-04-01 | Not available in this setting | Rate data unavailable | RVU15B |
| 2015-01-01 | Not available in this setting | Rate data unavailable | RVU15A |
| 2014-10-01 | Not available in this setting | Rate data unavailable | RVU14D |
| 2014-07-01 | Not available in this setting | Rate data unavailable | RVU14C |
| 2014-04-01 | Not available in this setting | Rate data unavailable | RVU14B |
| 2014-01-01 | Not available in this setting | Rate data unavailable | RVU14A |
| 2013-10-01 | Not available in this setting | Rate data unavailable | RVU13D |
| 2013-07-01 | Not available in this setting | Rate data unavailable | RVU13C |
| 2013-04-01 | Not available in this setting | Rate data unavailable | RVU13B |
| 2013-01-01 | Not available in this setting | Rate data unavailable | RVU13AR |
Where the Modesto, CA rate applies
Modesto, CA is a Medicare payment area, not a city. Our Census mapping connects it to 33 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Modesto
- Airport
- Bret Harte
- Bystrom
- Ceres
- Cowan
- Crows Landing
- Del Rio
60281 billing questions
How does 60281 differ from 60280?
60281 represents removal of the thyroglossal duct lesion with the central hyoid segment. Use 60280 for the simpler excision without hyoid bone removal.
Can modifier 50 be reported for a lesion on one side?
No. The anatomy and descriptor make bilateral adjustment inappropriate for this code.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What operative documentation supports 60281?
Document the thyroglossal duct lesion and the operative removal of its tract with the central hyoid segment. The operative details distinguish this service from simple lesion excision.
How are other procedures in the same session paid?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.
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
Show the CMS file lines behind this rate
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