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See a sample rate comparisonCPT 23066 Fee Schedule
Last Verified: October 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.
Biopsy Soft Tissue Shoulder Deep
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 23066 |
| Medicaid Fee Schedule | View Medicaid rates for 23066 |
National average reimbursement for CPT 23066 by major payers:
$722.33
$722.10
$751.69
$605.55
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CPT 23066
5 of 25 sample ratesHigher to lower in this preview
Methodist Ambulatory Surgery Center Of Boerne, LLC
Methodist Ambulatory Surgery Center Of Boerne LLC
$5,402.00Published rateBurlington County Endoscopy Center LLC
$2,595.00Published rateWiregrass Ranch Asc Holdings, Wiregrass Ranch Special Procedures Center
Wiregrass Ranch Asc Holdings
$2,200.00Published rateCerritos Surgery Center, LLC, Cerritos Surgery Center, LLC
Cerritos Surgery Center LLC
$1,400.00Published rateAkdhc Surgery Center, LLC
$519.00Published rate
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See a sample payer proposalCPT 23066 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 23066 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 23066 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 |
|---|---|---|
| 23065-CPT | Moderate | Biopsy Of Tissue Under Skin, A Procedure To Remove A Sample Of Soft Tissue From Near The Skin Surface For Testing (Biopsy). |
| 23066-CPT | Moderate | Biopsy Soft Tissue Shoulder Deep |
| 23071-CPT | Moderate | Xcision Tumor Sft Tissue Of Shlder Area Subcutane 3 Cm Or G, Excision Tumor Soft Tissue Of Shoulder Area Subcutaneous; 3 Cm Or G |
| 23073-CPT | Moderate | Xcision Tumor Sft Tissue Of Shlder Area Subfasci (Eg Myomecto, Excision Tumor Soft Tissue Of Shoulder Area Subfascial (Eg Intramu |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 23066. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 23066 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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