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See a sample rate comparisonCPT 20701 Fee Schedule
Medicare rates as of October 2026
CPT 20701 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Removal Of Drug-Delivery Devic, Removal Of Drug-Delivery Device(S) Deep (Eg Subfascial) (List Separately In Addition To Code For Primary Procedure)
| Key Fact | Detail |
|---|---|
| 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 GCService performed by resident under supervision |
| Add-on Code For | 1101011011Sign up to view all 42 |
| Common Revenue Codes | 0360 |
| Medicare Fee Schedule | $65.80 national non-facility rate (2026)View Medicare rates for 20701 |
| Medicaid Fee Schedule | $51.885 median of the 8 states in the free previewView Medicaid rates for 20701 |
National average reimbursement for CPT 20701 by major payers:
$89.77
BCBS / Anthem
$87.69
UnitedHealthcare
$86.44
Aetna
$113.32
Cigna
Compare published rates across providers.
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CPT 20701
5 of 25 sample ratesHigher to lower in this preview
Ambulatory Surgery Center Group Ltd
$2,965.00Published rateMid-State Endoscopy Center LLC
Midstate Endoscopy Center LLC
$566.00Published rateMinnesota Valley Surgery Center LLC
$350.00Published rateHea Gramercy Surgery Center, PLLC, Hea Surgery Center
$200.00Published rateCei Physicians Psc, LLC, Cvp Surgery Center
Cincinnati Eye Institute
$67.00Published rate
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See a sample payer proposalCPT 20701 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 20701. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 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) |
| 20703-CPT | Removal Of Drug-Delivery Devic, Removal Of Drug-Delivery Device(S) Intramedullary(List Separately In Addition To Code For Primary Procedure) |
| 20936-CPT | Sp 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 20701. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 20701 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
Is CPT 20701 an add-on code?
Yes. CMS add-on code edits list CPT 20701 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 20701?
Hospital price transparency files list CPT 20701 under these revenue codes: 0360. A revenue code names the hospital department or charge category for the line; it does not change what the service is.