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See a sample rate comparisonCPT 23670 Fee Schedule
Medicare rates as of October 2026
CPT 23670 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Surgery For Broken Shoulder, Surgery To Repair A Dislocated Shoulder Bone In Which Part Of The Upper Arm Bone Has Been Broken. The Procedure May Involve The Use Of Pins Wires Or Screws To Hold The Bones In Place.
| 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 | LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | $817.65 national non-facility rate (2026) · View Medicare rates for 23670 |
| Medicaid Fee Schedule | $643.99 median of the 8 states in the free preview · View Medicaid rates for 23670 |
National average reimbursement for CPT 23670 by major payers:
$1,170.49
BCBS / Anthem
$1,138.68
UnitedHealthcare
$1,215.45
Aetna
$1,397.55
Cigna
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CPT 23670
5 of 25 sample ratesHigher to lower in this preview
Los Gatos Surgical Center, A California Limited Partnership
$7,815.00Published rateSmart Pain Surgery Center At White Marsh, Clearway Surgery Center Of White Marsh
Smart Pain Surgery Center At White Marsh
$4,189.00Published rateBinz Surgery Center, LLC
Binz Surgery Center LLC
$3,700.00Published rateMiddleburg Surgery Center LLC
$2,500.00Published rateCenter For Advanced Eye Surgery, Ltd
Center For Advanced Eye Surgery Ltd
$1,105.00Published rate
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See a sample payer proposalCPT 23670 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 23670. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 23660-CPT | Moderate | Open Treatment Of Acute Should, Open Treatment Of Acute Shoulder Dislocationopen Treatment Of Acute Shoulder Dislocation |
| 23665-CPT | Moderate | Closed Treatment Of Shoulder D, Closed Treatment Of Shoulder Dislocation With Fracture Ofgreater Humeral Tuberosity With Manipulation Closed Treatment Of Shoulder Dislocation With Fracture Of |
| 23670-CPT | High | Surgery For Broken Shoulder, Surgery To Repair A Dislocated Shoulder Bone In Which Part Of The Upper Arm Bone Has Been Broken. The Procedure May Involve The Use Of Pins Wires Or Screws To Hold The Bones In Place. |
| 23680-CPT | High | Surgery For Broken Shoulder, Surgery To Repair A Dislocated Shoulder Bone In Which Part Of The Upper Arm Bone Has Been Broken. The Procedure May Involve The Use Of Pins Wires Or Screws To Hold The Bones In Place. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 23670. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 23670 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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