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See a sample rate comparisonCPT 23106 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.
Collarbone Joint Surgery, Surgery To Remove Tissue From Inside The Joint Between The Collarbone And Breastbone. The Procedure May Include Removing A Sample Of Tissue For Testing (Biopsy).
| 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 LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 23106 |
| Medicaid Fee Schedule | View Medicaid rates for 23106 |
National average reimbursement for CPT 23106 by major payers:
$696.97
$666.19
$688.09
$825.83
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CPT 23106
5 of 25 sample ratesHigher to lower in this preview
Lone Star Endoscopy Center, LLC, Lone Star Endoscopy Southlake
$4,140.00Published rateFirst Gi Endoscopy And Surgery Center LLC
$2,346.00Published rateMid Valley Surgery Center LLC
$1,750.00Published rateWomens Center For Advanced Surgery Inc
$1,360.00Published rateCatalina Surgery Center, LLC
Catalina Surgery Center LLC
$665.00Published rate
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See a sample payer proposalCPT 23106 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 23106 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 23106 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 |
|---|---|---|
| 23100-CPT | Moderate | Shoulder Surgery With Biopsy, Exploratory Surgery Of A Shoulder Joint. The Procedure Includes Removal Of A Sample Of Tissue For Testing (Biopsy). |
| 23101-CPT | Moderate | Collarbone Surgery, Surgery On The Joint Between Collarbone And Shoulder Blade. The Procedure May Include Draining An Infection Removing A Foreign Object Or Taking A Sample Of Tissue For Testing (Biopsy). |
| 23105-CPT | Moderate | Shoulder Joint Surgery, Surgery To Remove Tissue From Inside A Shoulder Joint. The Procedure May Include Removing A Sample Of Tissue For Testing (Biopsy). |
| 23106-CPT | Moderate | Collarbone Joint Surgery, Surgery To Remove Tissue From Inside The Joint Between The Collarbone And Breastbone. The Procedure May Include Removing A Sample Of Tissue For Testing (Biopsy). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 23106. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 23106 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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