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See a sample rate comparisonCPT 20974 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
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 | 11 - Office 24 - Ambulatory Surgical Center 21 - Inpatient Hospital |
| Common Modifiers | None 58 - Staged or related procedure during postoperative period LT - Left side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 20974 |
| Medicaid Fee Schedule | View Medicaid rates for 20974 |
National average reimbursement for CPT 20974 by major payers:
$100.29
$99.70
$108.67
$128.11
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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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See a sample payer proposalCPT 20974 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 20974 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 20974 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 |
|---|---|---|
| 20962-CPT | High | Bone Graft With Microvascular, Bone Graft With Microvascular Anastomosis Other Thanfibula Iliac Crest Or Metatarsal Bone Graft With Microvascular Anastomosis Other Than |
| 20974-CPT | Low | Electronic Fracture Therapy, Therapy Using Electrodes Placed Over The Skin And Administration Of Low Voltage Current To Stimulate Bone Healing. |
| 20975-CPT | Moderate | Electronic Fracture Therapy, Therapy Using Electrodes Placed Over The Skin And Administration Of Low Voltage Current To Stimulate Bone Healing. |
| 20979-CPT | Low | 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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