Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 23180 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.
Partial Xcision (Craterizat Saucerizati Or Diaphysectomy) Bone, Partial Excision (Craterization Saucerization Or Diaphysectomy) Bone
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 23180 |
| Medicaid Fee Schedule | View Medicaid rates for 23180 |
National average reimbursement for CPT 23180 by major payers:
$931.96
$912.54
$910.66
$1,127.91
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 23180.
CPT 23180
5 of 25 sample ratesHigher to lower in this preview
Hinsdale Surgical Center, LLC
$4,175.00Published rateLakeview Surgery Center, LLC
Lakeview Surgery Center LLC
$2,700.00Published rateAsc Development Company LLC
$1,763.00Published rateMae Physicians Surgery Center, LLC
Mae Physician'S Surgery Center, LLC
$1,226.92Published rateThe Eye Physicians Of Pinellas, PA, Largo Ambulatory Surgery Center
The Eye Physicians Of Pinellas, P.A.
$630.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 23180 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 23180 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 23180 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 |
|---|---|---|
| 23120-CPT | Moderate | Claviculectomy Partial |
| 23125-CPT | Moderate | Claviculectomy; Total |
| 23180-CPT | Moderate | Partial Xcision (Craterizat Saucerizati Or Diaphysectomy) Bone, Partial Excision (Craterization Saucerization Or Diaphysectomy) Bone |
| 23200-CPT | High | Remove Bone With Tumor, Surgery To Remove An Abnormal Growth (Tumor) Including Part Of The Collarbone (Clavicle) And Surrounding Tissue. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 23180. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 23180 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 23180) and we'll show you how you compare in 15 minutes or less.