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See a sample rate comparisonCPT 23440 Fee Schedule
Medicare rates as of October 2026
CPT 23440 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Surgery On Upper Arm Tendon, Surgery To Remove Biceps Tendon From Original Attachment On Shoulder Socket And Transplant To Upper Arm Bone.
| 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) | J8 - Device-intensive procedure, paid at an adjusted rate |
| Common Revenue Codes | 0360 |
| Medicare Fee Schedule | $701.42 national non-facility rate (2026)View Medicare rates for 23440 |
| Medicaid Fee Schedule | $558.73 median of the 8 states in the free previewView Medicaid rates for 23440 |
National average reimbursement for CPT 23440 by major payers:
$990.17
BCBS / Anthem
$902.99
UnitedHealthcare
$782.87
Aetna
$1,291.11
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 23440.
CPT 23440
5 of 25 sample ratesHigher to lower in this preview
Hinsdale Surgical Center, LLC
Adventist Midwest Health
$4,175.00Published rateEndoscopy Consultants, LLC
Endoscopy Consultants LLC
$3,347.00Published rateAdvanced Surgery Center Of Orlando LLC
$2,400.00Published rateFresenius Vascular Care Cincinnati Asc LLC, Azura Surgery Center Cincinnati
Fresenius Vascular Care Cincinnati Asc LLC
$1,750.00Published rateOlivia Cody
Deaconess Hospital Inc
$603.39Published rate
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See a sample payer proposalCPT 23440 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 23440. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 23430-CPT | Move Tendon In Upper Arm, Surgery To Cut The Normal Attachment Of The Biceps Tendon On The Shoulder Socket And Reattach It To The Arm Bone. The Procedure Treats Biceps Tendon Inflammation Or Injury. |
| 23440-CPT | Surgery On Upper Arm Tendon, Surgery To Remove Biceps Tendon From Original Attachment On Shoulder Socket And Transplant To Upper Arm Bone. |
| 23450-CPT | Capsulorrhaphy Anterio; Putti-Platt Proc Or Magnuson Typ Opera, Capsulorrhaphy Anterior; Putti-Platt Procedure Or Magnuson Type Opera |
| 23455-CPT | Repair Shoulder Capsule, Reattachment Of Shoulder Joint Capsule And Cartilage Without Bone Transfer With Repair Of Shoulder Rim |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 23440. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 23440 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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Frequently Asked Questions
What APC is CPT 23440 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 23440 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 23440 in an ambulatory surgery center?
CMS lists CPT 23440 with ASC payment indicator J8: Device-intensive procedure, paid at an adjusted rate.
Which revenue codes are billed with CPT 23440?
Hospital price transparency files list CPT 23440 under these revenue codes: 0360. A revenue code names the hospital department or charge category for the line; it does not change what the service is.