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See a sample rate comparisonCPT 20974 Fee Schedule
Medicare rates as of October 2026
CPT 20974 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Electronic Fracture Therapy, Therapy Using Electrodes Placed Over The Skin And Administration Of Low Voltage Current To Stimulate Bone Healing.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11Office 24Ambulatory Surgical Center 21Inpatient Hospital |
| Common Modifiers | 58Staged or related procedure during postoperative period LTLeft side of body |
| Common Revenue Codes | 0360 |
| Medicare Fee Schedule | $95.19 national non-facility rate (2026)View Medicare rates for 20974 |
| Medicaid Fee Schedule | $75.60 median of the 8 states in the free previewView Medicaid rates for 20974 |
National average reimbursement for CPT 20974 by major payers:
$100.29
BCBS / Anthem
$99.70
UnitedHealthcare
$108.67
Aetna
$128.11
Cigna
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CPT 20974
5 of 25 sample ratesHigher to lower in this preview
Vanguard Asc, LLC, Vanguard Surgical Center
$1,369.00Published rateOptimum Spine Center, LLC, Peachtree Spine & Pain Physicians
$566.00Published ratePremier Asc LLC, Premier Orthopaedic Surgery Center
$304.00Published rateOrthoatlanta Surgery Center Of Austell, LLC
Orthoatlanta Surgery Center Of Austell LLC
$115.00Published rateNational Park Endoscopy Center, LLC, South Central Endoscopy
National Park Endoscopy Center LLC
$69.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 20974 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 20974. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 20962-CPT | Bone Graft With Microvascular, Bone Graft With Microvascular Anastomosis Other Thanfibula Iliac Crest Or Metatarsal Bone Graft With Microvascular Anastomosis Other Than |
| 20974-CPT | Electronic Fracture Therapy, Therapy Using Electrodes Placed Over The Skin And Administration Of Low Voltage Current To Stimulate Bone Healing. |
| 20975-CPT | Electronic Fracture Therapy, Therapy Using Electrodes Placed Over The Skin And Administration Of Low Voltage Current To Stimulate Bone Healing. |
| 20979-CPT | Low Intens Ultrasou Stimul To Aid Bone Healing Noninvasi, Low Intensity Ultrasound Stimulation To Aid Bone Healing Noninvasive |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 20974. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 20974 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
Which revenue codes are billed with CPT 20974?
Hospital price transparency files list CPT 20974 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.