PayerPrice
Data Platform
More
Check Local Rates

CPT 20700 Fee Schedule

Medicare rates as of October 2026

CPT 20700 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.

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)
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Musculoskeletal System

Common Place of Service

21Inpatient Hospital

22On Campus Outpatient Hospital

Common Modifiers

58Staged or related procedure during postoperative period

59Distinct Procedural Service

Surgery Center Payment (ASC)N1 - Packaged; no separate payment
Add-on Code For1101011011Sign up to view all 76
Common Revenue Codes03600960
Medicare Fee Schedule$84.84 national non-facility rate (2026)View Medicare rates for 20700
Medicaid Fee Schedule$67.045 median of the 8 states in the free previewView Medicaid rates for 20700

National average reimbursement for CPT 20700 by major payers:

BCBS / Anthem logo

$110.49

BCBS / Anthem

UnitedHealthcare logo

$117.43

UnitedHealthcare

Aetna logo

$115.95

Aetna

Cigna logo

$146.68

Cigna

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 20700.

CPT 20700
5 of 25 sample ratesHigher to lower in this preview
  1. Greater Dayton Surgery Center LLC

    Greater Dayton Surgery Center

    OHAmbulatory Surgical Clinic/CenterNPI 1104996768Tax ID 20-2913367

    $3,843.00Published rate
  2. Lake Endoscopy Center, LLC

    Lake Endoscopy Center LLC

    FLAmbulatory Surgical Clinic/CenterNPI 1750823886Tax ID 81-4225104

    $574.00Published rate
  3. Fredericksburg Ambulatory Surgery Center, LLC

    Fredericksburg Ambulatory Surgery Center LLC

    VAAmbulatory Surgical Clinic/CenterNPI 1326097981Tax ID 56-2322548

    $375.00Published rate
  4. Advanced Surgical Care Of Maryland, LLC

    Advanced Surgical Care Of Maryland LLC

    MDAmbulatory Surgical Clinic/CenterNPI 1679149330Tax ID 86-1991275

    $115.00Published rate
  5. Coppel Surgical Solutions, Nevada Surgical Suites

    Coppel Surgical Solutions

    NVAmbulatory Surgical Clinic/CenterNPI 1225440969Tax ID 46-0641933

    $40.00Published rate

National sample. Rates vary by location, specialty, and contract.

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.

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 comparison

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 proposal

CPT 20700 vs. Other Surgical Procedures on the Musculoskeletal System Codes

The table lists codes related to 20700. Select one to see its fee schedule.

CodeDescription
20700-CPTManual 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-CPTRemoval Of Drug-Delivery Devic, Removal Of Drug-Delivery Device(S) Deep (Eg Subfascial) (List Separately In Addition To Code For Primary Procedure)
20702-CPTManual Preparation And Inserti, Manual Preparation And Insertion Of Drug-Delivery Device(S) Intramedullary (List Separately In Addition To Code For Primary Procedure)
20936-CPTSp Bone Agrft Local Add On, Autograft For Spine Surgery Only Includes Harvesting The Graft Local Eg Ribs Spinous Process Or Laminar Fragments Obtained From Same Incision List Separately In Addition To Code For Primary Procedure

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 20700. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 20700 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 20700) and we'll show you how you compare in 15 minutes or less.

Frequently Asked Questions

How does Medicare pay for CPT 20700 in an ambulatory surgery center?


CMS lists CPT 20700 with ASC payment indicator N1: Packaged; no separate payment.

Is CPT 20700 an add-on code?


Yes. CMS add-on code edits list CPT 20700 as an add-on code, billed with a primary code. Its primary codes: including 11010, 11011, 11012, 11043 and 11044.

Which revenue codes are billed with CPT 20700?


Hospital price transparency files list CPT 20700 under these revenue codes: 0360 and 0960. A revenue code names the hospital department or charge category for the line; it does not change what the service is.

Book a live rate review

Tell us the market and codes. You'll pick a time next, and we'll pull the rates live on the call.

Add an NPI or Tax ID to match a specific provider.

· Skip to the calendar