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 23545 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.
Treat Dislocated Collarbone, Treatment Of Dislocated Joint Between A Point Of The Shoulder (Acromion Process) And Collarbone (Clavicle). A Sling Or Brace Is Applied To The Shoulder And Arm.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 23 - Emergency Room 11 - Office |
| Common Modifiers | None 54 - Surgical Care Only RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 23545 |
| Medicaid Fee Schedule | View Medicaid rates for 23545 |
National average reimbursement for CPT 23545 by major payers:
$468.62
$446.02
$485.39
$565.89
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 23545.
CPT 23545
5 of 25 sample ratesHigher to lower in this preview
Baylor Surgicare At Blue Star, LLC
Baylor Surgicare At Blue Star LLC
$1,446.00Published rateYork County Endoscopy Center LLC
$633.00Published rateMobile-Sc, Ltd, Mobile Surgery Center
$166.00Published rateSurgical Centers Of Michigan, LLC.
Surgical Centers Of Michigan LLC
$99.00Published rateButler Ambulatory Surgery Center L L C
Butler Ambulatory Surgery Center, LLC
$60.00Published 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 23545 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 23545 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 23545 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 |
|---|---|---|
| 23540-CPT | Moderate | Treat Dislocated Collarbone, Treatment Of Dislocated Joint Between A Point Of The Shoulder (Acromion Process) And Collarbone (Clavicle). A Sling Or Brace Is Applied To The Shoulder And Arm. |
| 23545-CPT | Moderate | Treat Dislocated Collarbone, Treatment Of Dislocated Joint Between A Point Of The Shoulder (Acromion Process) And Collarbone (Clavicle). A Sling Or Brace Is Applied To The Shoulder And Arm. |
| 23550-CPT | Moderate | Correct Dislocated Collarbone, Surgery To Correct A Dislocated Joint Between A Point Of The Shoulder (Acromion Process) And Collarbone (Clavicle). A Sling Or Brace Is Applied To The Shoulder And Arm. |
| 23552-CPT | Moderate | Correct Dislocated Collarbone, Surgery To Correct A Dislocated Joint Between A Point Of The Shoulder (Acromion Process) And Collarbone (Clavicle). A Sling Or Brace Is Applied To The Shoulder And Arm. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 23545. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 23545 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 23545) and we'll show you how you compare in 15 minutes or less.