CPT 20705 Fee Schedule

Medicare rates as of October 2026

CPT 20705 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.

Removal Of Drug-Delivery Devic, Removal Of Drug-Delivery Device(S) Intra-Articular (List Separately In Addition To Code For Primaryprocedure)

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 RTRight side of body
Add-on Code For	22532 22533Sign up to view all 99
Common Revenue Codes	0360
Medicare Fee Schedule	$128.26 national non-facility rate (2026)View Medicare rates for 20705
Medicaid Fee Schedule	$100.87 median of the 8 states in the free previewView Medicaid rates for 20705

National average reimbursement for CPT 20705 by major payers:

$165.20

BCBS / Anthem

$167.77

UnitedHealthcare

$166.02

Aetna

$208.36

Cigna

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CPT 20705

5 of 25 sample ratesHigher to lower in this preview

Hamilton Surgery Center L.L.C., Surger Center At Hamilton
Hamilton Surgery Center, LLC
NJAmbulatory Surgical Clinic/CenterNPI 1528016789Tax ID 83-0358914
$849.00Published rate
Capitol Street Surgery Center LLC
Capitol Street Surgery Center Ll
INAmbulatory Surgical Clinic/CenterNPI 1962815746Tax ID 46-5061657
$520.00Published rate
The Surgery Center At Sacred Heart Medical Park, Destin, LLC
The Surgery Center At Sacred Heart Medical Park Destin LLC
FLAmbulatory Surgical Clinic/CenterNPI 1639164916Tax ID 56-2315052
$253.00Published rate
Modesto Surgery Center
CAAmbulatory Surgical Clinic/CenterNPI 1346287232Tax ID 77-0394007
$129.00Published rate
Virginia Surgery Center, LLC, Cvp Surgery Center
Virginia Surgery Center LLC
VAAmbulatory Surgical Clinic/CenterNPI 1366496143Tax ID 54-1922041
$68.00Published rate

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Summit Women's CareDenver, Colorado

September 2, 2026

Contracting Manager
UnitedHealthcare
Commercial PPO

Re: Request for fee schedule renegotiation

We request a formal review of our Commercial PPO fee schedule. The comparison below summarizes our current rate alongside published rates for comparable Denver-area practices.

Market evidence · CPT 59485

Current rate: $152.40
Market median: $147.00
Market position: 61st percentile

The comparison includes 1,284 published rates from 96 provider groups, scoped to OB/GYN providers in a professional, office-based setting.

We would welcome a discussion of our fee schedule and the supporting July 2026 market analysis. Please let us know a suitable time to review the comparison together.

Sincerely,
Summit Women's Care

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CPT 20705 vs. Other Surgical Procedures on the Musculoskeletal System Codes

The table lists codes related to 20705. 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)
20704-CPT	Manual Preparation And Inserti, Manual Preparation And Insertion Of Drug-Delivery Device(S) Intra-Articular (List Separately In Addition To Code For Primary Procedure)
20705-CPT	Removal Of Drug-Delivery Devic, Removal Of Drug-Delivery Device(S) Intra-Articular (List Separately In Addition To Code For Primaryprocedure)
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 20705. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 20705 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 20705 an add-on code?

Yes. CMS add-on code edits list CPT 20705 as an add-on code, billed with a primary code. Its primary codes: including 22532, 22533, 22534, 22548 and 22551.

Which revenue codes are billed with CPT 20705?

Hospital price transparency files list CPT 20705 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.