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 23406 Fee Schedule
Medicare rates as of October 2026
CPT 23406 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Tenotomy Shlder Area; Multi Tendons Through Same Ncision, Tenotomy Shoulder Area; Multiple Tendons Through Same Incision
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24Ambulatory Surgical Center 22On Campus Outpatient Hospital |
| Common Modifiers | RTRight side of body LTLeft side of body |
| Hospital Outpatient Group (APC) | APC 5114 - Level 4 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | A2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 03600361Sign up to view all 3 |
| Medicare Fee Schedule | $674.03 national non-facility rate (2026)View Medicare rates for 23406 |
| Medicaid Fee Schedule | $545.93 median of the 8 states in the free previewView Medicaid rates for 23406 |
National average reimbursement for CPT 23406 by major payers:
$1,013.66
BCBS / Anthem
$1,045.65
UnitedHealthcare
$1,076.84
Aetna
$1,247.18
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 23406.
CPT 23406
5 of 25 sample ratesHigher to lower in this preview
Hackensack Musculoskeletal Surgery Center, LLC
Hackensack Musculoskeletal Surgery Center LLC
$5,634.00Published rateSurgcenter Of White Marsh, LLC
$3,570.00Published rateNortheast Regional Surgery Center LLC
$2,500.00Published rateBay Surgery Centers, Clearway Surgery Center Of Glen Burnie
Bay Surgery Centers
$1,334.00Published rateLake Surgery & Endoscopy Center Ltd
Lake Surgery Endoscopy Center Ltd
$550.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Looking for other data?
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 23406 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 23406. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 23395-CPT | Transfer Muscle Shoulder Single |
| 23400-CPT | Reposition Shoulder Blade, Surgery To Reposition The Shoulder Blade (Scapula) And Reorient The Associated Muscles And Tendons. |
| 23405-CPT | Tenomyotomy, Shoulder Area; Single |
| 23406-CPT | Tenotomy Shlder Area; Multi Tendons Through Same Ncision, Tenotomy Shoulder Area; Multiple Tendons Through Same Incision |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 23406. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 23406 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 23406) and we'll show you how you compare in 15 minutes or less.
Frequently Asked Questions
What APC is CPT 23406 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 23406 to APC 5114 (Level 4 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 23406 in an ambulatory surgery center?
CMS lists CPT 23406 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 23406?
Hospital price transparency files list CPT 23406 under these revenue codes: 0360, 0361 and 0761. A revenue code names the hospital department or charge category for the line; it does not change what the service is.