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 20802 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Replant Arm (Inclu Surg Nck Humerus Through Elbow Joi, Replantation Arm (Includes Surgical Neck Of Humerus Through Elbow Joi
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital |
| Common Modifiers | None RT - Right side of body 22 - Increased Procedural Services AS - PA/NP/CNS assistant at surgery 82 - Assistant surgeon - no qualified resident LT - Left side of body AG - Primary physician |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 20802 |
| Medicaid Fee Schedule | View Medicaid rates for 20802 |
National average reimbursement for CPT 20802 by major payers:
$3,598.93
$3,560.70
$3,619.43
$4,448.36
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 20802.
CPT 20802
5 of 25 sample ratesHigher to lower in this preview
Munster Surgery Center LLC
$14,000.00Published ratePima Heart Asc LLC, Pima Heart Asc LLC
Pima Heart Asc LLC
$7,500.00Published rateWest Las Vegas Surgery Center,LLC, Valley View Surgery Center
West Las Vegas Surgery Center LLC D/B/A Valley View Surgery Center
$4,647.00Published rateBaywood Medical Associates, PLLC, Desert Pain Institute - Asc
Baywood Medical Associates, PLLC Dba Desert Pain Institute
$1,161.00Published rateIowa Endoscopy Center, Inc.
Iowa Endoscopy Center Inc
$683.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
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 20802 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 20802 code is part of the Surgery services used for Surgical Procedures on the Musculoskeletal System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 20802 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 20802-CPT | High | Replant Arm (Inclu Surg Nck Humerus Through Elbow Joi, Replantation Arm (Includes Surgical Neck Of Humerus Through Elbow Joi |
| 20805-CPT | High | Replant Forearm (Inclu Radius & Ulna To Radial Carpal Joint, Replantation Forearm (Includes Radius And Ulna To Radial Carpal Joint |
| 20808-CPT | High | Replant Hand (Inclu Hand Through Metacarpophalang Joint), Replantation Hand (Includes Hand Through Metacarpophalangeal Joints) |
| 20955-CPT | High | Bone Graft With Microvascular, Bone Graft With Microvascular Anastomosis Fibulabone Graft With Microvascular Anastomosis Fibula |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 20802. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 20802 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 20802) and we'll show you how you compare in 15 minutes or less.