Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 20690 Fee Schedule
Medicare rates as of October 2026
CPT 20690 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Install Hardware To Hold Bones, Application Of External Fixation System (Metal Hardware Placed Outside Of The Skin To Stabilize Broken Bones).
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21Inpatient Hospital 22On Campus Outpatient Hospital |
| Common Modifiers | RTRight side of body LTLeft side of body |
| Hospital Outpatient Group (APC) | APC 5114 - Level 4 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | J8 - Device-intensive procedure, paid at an adjusted rate |
| Add-on Codes | 20702 |
| Common Revenue Codes | 03600975Sign up to view all 5 |
| Medicare Fee Schedule | $545.77 national non-facility rate (2026)View Medicare rates for 20690 |
| Medicaid Fee Schedule | $429.91 median of the 8 states in the free previewView Medicaid rates for 20690 |
National average reimbursement for CPT 20690 by major payers:
$770.80
BCBS / Anthem
$745.59
UnitedHealthcare
$812.96
Aetna
$926.30
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 20690.
CPT 20690
5 of 25 sample ratesHigher to lower in this preview
Mid-State Endoscopy Center LLC
Midstate Endoscopy Center LLC
$3,623.00Published rateSurgery Center At River Road, LLC, Aesthetic Surgery At Hacienda Del Sol
Surgery Center At River Road, LLC
$2,799.00Published rateCoastal Cardiovascular Center, LLC, Coastal Cardiovascular Center
Coastal Cardiovascular Center LLC
$2,000.00Published rateVascare
Vascare Mayfair LLC
$1,195.00Published rateGastroenterology Specialists Inc, Endoscopy Center
Gastroenterology Specialists, Inc.
$627.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Looking for other data?
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 20690 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 20690. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 20650-CPT | Pin Insertion With Traction, Insertion Of A Pin Through The Broken Bone So That An End Pokes Through The Skin From Either Side. Weighted Traction Is Attached To The Pin To Keep The Bone Stable. |
| 20670-CPT | Removal Of Implant Superfici, Removal Of Implant Superficial (Eg Buried Wire Pin Orrod) (Separate Procedure) Removal Of Implant Superficial (Eg Buried Wire Pin Or |
| 20690-CPT | Install Hardware To Hold Bones, Application Of External Fixation System (Metal Hardware Placed Outside Of The Skin To Stabilize Broken Bones). |
| 20692-CPT | Application Of A Multiplane (P, Application Of A Multiplane (Pins Or Wires In Morethan One Plane) Unilateral External Fixation Sy Stem (E.G. Ilizarov Monticelli Type) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 20690. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 20690 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 20690) and we'll show you how you compare in 15 minutes or less.
Frequently Asked Questions
What APC is CPT 20690 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 20690 to APC 5114 (Level 4 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 20690 in an ambulatory surgery center?
CMS lists CPT 20690 with ASC payment indicator J8: Device-intensive procedure, paid at an adjusted rate.
Which add-on codes are billed with CPT 20690?
CMS add-on code edits list CPT 20690 as a primary code for these add-on codes: 20702.
Which revenue codes are billed with CPT 20690?
Hospital price transparency files list CPT 20690 under these revenue codes: 0360, 0975, 0960, 0761 and 0361. A revenue code names the hospital department or charge category for the line; it does not change what the service is.