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See a sample rate comparisonCPT 24079 Fee Schedule
Medicare rates as of October 2026
CPT 24079 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Radical Resection Of Tumor (Eg, Radical Resection Of Tumor (Eg Malignant Neoplasm) Soft Tissue Of Upper Arm Or Elbow Area 5 Cm Orgreater
| 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) | G2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 0360 |
| Medicare Fee Schedule | $1,226.15 national non-facility rate (2026)View Medicare rates for 24079 |
| Medicaid Fee Schedule | $958.97 median of the 8 states in the free previewView Medicaid rates for 24079 |
National average reimbursement for CPT 24079 by major payers:
$1,747.62
BCBS / Anthem
$1,808.92
UnitedHealthcare
$1,876.05
Aetna
$2,171.09
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 24079.
CPT 24079
5 of 25 sample ratesHigher to lower in this preview
Virginia Mason Medical Center, Virginia Mason Lynnwood Asc
Virginia Mason Medical Center
$4,258.00Published ratePotomac View Surgery Center, LLC
Potomac View Surgery Center LLC
$1,840.00Published rateOlney Endoscopy Center
$1,100.00Published rateThibodaux Endoscopy LLC
Thibodaux Endoscopy, L.L.C.
$900.00Published rateWest Wichita Family Physicians, P.A., West Wichita Surgery Center
West Wichita Family Physicians, P.A.
$505.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 24079 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 24079. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 24071-CPT | Xcision Tumor Sft Tissue Of Upper Arm Elbow Area Subcutane, Excision Tumor Soft Tissue Of Upper Arm Or Elbow Area Subcutaneous; |
| 24075-CPT | Xcision Tumor Sft Tissue Of Upper Arm Elbow Area Subcutane, Excision Tumor Soft Tissue Of Upper Arm Or Elbow Area Subcutaneous; |
| 24076-CPT | Ex Arm Elbow Tum Deep 5 Cm, Excision Tumor Soft Tissue Of Upper Arm Or Elbow Area Subfascial Eg Intramuscular Less Than 5 Cm |
| 24079-CPT | Radical Resection Of Tumor (Eg, Radical Resection Of Tumor (Eg Malignant Neoplasm) Soft Tissue Of Upper Arm Or Elbow Area 5 Cm Orgreater |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 24079. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 24079 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 24079 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 24079 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 24079 in an ambulatory surgery center?
CMS lists CPT 24079 with ASC payment indicator G2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 24079?
Hospital price transparency files list CPT 24079 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.