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See a sample rate comparisonCPT 20697 Fee Schedule
Medicare rates as of October 2026
CPT 20697 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
App Mltpln Uni Xtrnl Fix Xch, Application Of Multiplane Pins Or Wires In More Than 1 Plane Unilateral External Fixation With Stereotactic Computer Assisted Adjustment Eg Spatial Frame Including Imaging Exchange Ie Removal And Replacement Of Strut Each
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11Office 21Inpatient Hospital 22On Campus Outpatient Hospital |
| Common Modifiers | 58Staged or related procedure during postoperative period RTRight side of body |
| Hospital Outpatient Group (APC) | APC 5112 - Level 2 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | P2 - Office-based; paid from the OPPS relative weight |
| Common Revenue Codes | 03600361Sign up to view all 3 |
| Medicare Fee Schedule | $1,910.53 national non-facility rate (2026)View Medicare rates for 20697 |
| Medicaid Fee Schedule | $1,515.975 median of the 8 states in the free previewView Medicaid rates for 20697 |
National average reimbursement for CPT 20697 by major payers:
$2,180.78
BCBS / Anthem
$2,448.40
UnitedHealthcare
$2,569.30
Aetna
$3,057.97
Cigna
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CPT 20697
5 of 25 sample ratesHigher to lower in this preview
Aurora Surgery Centers, LLC, Aurora Pleasant Prairie Ambulatory Surgery Center
Aurora Surgery Centers LLC
$2,292.00Published rateLee Summit Asc Kc LLC, Beacon Surgery Center
Lee Summit Asc Kc LLC
$671.00Published rateGadsden Surgery Center Lp
$432.00Published rateBerks Center For Digestive Health, Lp
$371.00Published rateSouth Pointe Surgical Center
South Pointe Surgical Center, LLC
$250.00Published rate
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See a sample payer proposalCPT 20697 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 20697. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 20697-CPT | App Mltpln Uni Xtrnl Fix Xch, Application Of Multiplane Pins Or Wires In More Than 1 Plane Unilateral External Fixation With Stereotactic Computer Assisted Adjustment Eg Spatial Frame Including Imaging Exchange Ie Removal And Replacement Of Strut Each |
| 20700-CPT | Manual Preparation And Inserti, Manual Preparation And Insertion Of Drug-Delivery Device(S) Deep (Eg Subfascial) (List Separately In Addition To Code For Primary Procedure) |
| 20701-CPT | Removal Of Drug-Delivery Devic, Removal Of Drug-Delivery Device(S) Deep (Eg Subfascial) (List Separately In Addition To Code For Primary Procedure) |
| 20974-CPT | Electronic Fracture Therapy, Therapy Using Electrodes Placed Over The Skin And Administration Of Low Voltage Current To Stimulate Bone Healing. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 20697. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 20697 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.
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Frequently Asked Questions
What APC is CPT 20697 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 20697 to APC 5112 (Level 2 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 20697 in an ambulatory surgery center?
CMS lists CPT 20697 with ASC payment indicator P2: Office-based; paid from the OPPS relative weight.
Which revenue codes are billed with CPT 20697?
Hospital price transparency files list CPT 20697 under these revenue codes: 0360, 0361 and 0761. A revenue code names the hospital department or charge category for the line; it does not change what the service is.