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See a sample rate comparisonCPT 21740 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.
Chest Reconstructive Surgery, Surgery To Correct Bone Growth That Has Resulted In The Breastbone Caving Inward Or Pushing Outward.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 62 - Co-Surgeons AS - PA/NP/CNS assistant at surgery |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 21740 |
| Medicaid Fee Schedule | View Medicaid rates for 21740 |
National average reimbursement for CPT 21740 by major payers:
$1,340.64
$1,423.70
$1,472.53
$1,677.95
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CPT 21740
5 of 25 sample ratesHigher to lower in this preview
Physicians West Surgicenter, LLC
$10,778.00Published rateNational Ambulatory Surgery Center, LLC
$5,750.00Published rateDoctors Outpatient Surgery Center LLC, Doctors Outpatient Surgery Center
Doctors Outpatient Surgery Center, LLC
$3,500.00Published rateMeah Asc Management, LLC
Meah Asc Management LLC
$2,891.00Published rateEndoscopy Center Of Northeast Tennessee, PC
$425.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 21740 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 21740 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 21740 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 |
|---|---|---|
| 21725-CPT | Moderate | Divisi Of Sternocleidomasto For Torticollis Open Opera; W/, Division Of Sternocleidomastoid For Torticollis Open Operation; With |
| 21740-CPT | High | Chest Reconstructive Surgery, Surgery To Correct Bone Growth That Has Resulted In The Breastbone Caving Inward Or Pushing Outward. |
| 21742-CPT | High | Repair Stern Nuss W O Scope, Reconstructive Repair Of Pectus Excavatum Or Carinatum Minimally Invasive Approach Nuss Procedure Without Thoracoscopy |
| 21743-CPT | High | Repair Sternum Nuss W Scope, Reconstructive Repair Of Pectus Excavatum Or Carinatum Minimally Invasive Approach Nuss Procedure With Thoracoscopy |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 21740. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 21740 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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