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See a sample rate comparisonCPT 24066 Fee Schedule
CPT 24066 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Biops Sft Tissue Of Upper Arm Elbow Area; Deep (Subfasci Or, Biopsy Soft Tissue Of Upper Arm Or Elbow Area; Deep (Subfascial Or In
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22On Campus Outpatient Hospital 21Inpatient Hospital |
| Common Modifiers | RTRight side of body LTLeft side of body |
| Hospital Outpatient Group (APC) | APC 5073 - Level 3 Excision/ Biopsy/ Incision and Drainage |
| Surgery Center Payment (ASC) | A2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 03600361Sign up to view all 5 |
| Medicare Fee Schedule | View Medicare rates for 24066 |
| Medicaid Fee Schedule | $529.80 median of the 8 states in the free previewView Medicaid rates for 24066 |
National average reimbursement for CPT 24066 by major payers:
$802.61
BCBS / Anthem
$809.86
UnitedHealthcare
$828.63
Aetna
$694.62
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 24066.
CPT 24066
5 of 25 sample ratesHigher to lower in this preview
Voorhees Nj Endoscopy Asc LLC, The Endo Center At Voorhees
The Voorhees Nj Endoscopy Asc LLC
$2,629.00Published ratePhoenix Spine Goodyear Asc, LLC, Phoenix Spine Surgery Center
Phoenix Spine Goodyear, Ltd.
$1,258.00Published rateBismarck Sinus Center
$1,028.00Published rateWilmington Surgical Services LLC
$725.00Published rateNovamed Surgery Center Of Cleveland LLC, The Surgery Center Of Cleveland
Novamed Surgery Center Of Cleveland LLC
$425.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 24066 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 24066. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 24065-CPT | Biopsy Of Tissue Under Skin, A Procedure To Remove A Sample Of Soft Tissue From Near The Skin Surface For Testing (Biopsy). |
| 24066-CPT | Biops Sft Tissue Of Upper Arm Elbow Area; Deep (Subfasci Or, Biopsy Soft Tissue Of Upper Arm Or Elbow Area; Deep (Subfascial Or In |
| 24071-CPT | Xcision Tumor Sft Tissue Of Upper Arm Elbow Area Subcutane, Excision Tumor Soft Tissue Of Upper Arm Or Elbow Area Subcutaneous; |
| 24073-CPT | Ex Arm Elbow Tum Deep 5 Cm, Excision Tumor Soft Tissue Of Upper Arm Or Elbow Area Subfascial Eg Intramuscular 5 Cm Or Greater |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 24066. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 24066 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 24066 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 24066 to APC 5073 (Level 3 Excision/ Biopsy/ Incision and Drainage). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 24066 in an ambulatory surgery center?
CMS lists CPT 24066 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 24066?
Hospital price transparency files list CPT 24066 under these revenue codes: 0360, 0361, 0761, 0960 and 0490. A revenue code names the hospital department or charge category for the line; it does not change what the service is.