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 24101 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.
Arthrotomy Elbow With Joint, Arthrotomy Elbow With Joint Exploration With Orwithoutbiopsy With Or Without Removal Arthrotom Y Elbow With Joint Exploration With Or Without
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 24101 |
| Medicaid Fee Schedule | View Medicaid rates for 24101 |
National average reimbursement for CPT 24101 by major payers:
$664.97
$674.39
$702.59
$832.23
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 24101.
CPT 24101
5 of 25 sample ratesHigher to lower in this preview
Mother Frances Hospital-Winnsboro
$6,942.00Published rateHealthone Ridge View Endoscopy Center, LLC, South Denver Endoscopy Center
$3,353.00Published rateNhpe, LLC, New Hyde Park Endoscopy
$2,009.00Published rateCenter For Spine & Pain Medicine, PC, Cspm Ambulatory Surgery
Center For Spine And Pain Medici
$1,109.00Published rateEye Surgical Center Of Mississippi
$650.00Published 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 24101 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 24101 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 24101 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 |
|---|---|---|
| 24000-CPT | Moderate | Arthrotomy Elbow Including E, Arthrotomy Elbow Including Exploration Drainage Orremoval Of Foreign Body Arthrotomy Elbow Including Exploration Drainage Or |
| 24006-CPT | Moderate | Arthrotomy Of The Elbow W/ Capsulr Xcision For Capsulr Rlease, Arthrotomy Of The Elbow With Capsular Excision For Capsular Release ( |
| 24100-CPT | Moderate | Elbow Surgery, Surgery To Explore The Elbow Joint And Remove A Sample Of Tissue For Testing (Biopsy). The Procedure May Include Removing Bone Chips Or Loose Cartilage. |
| 24101-CPT | Moderate | Arthrotomy Elbow With Joint, Arthrotomy Elbow With Joint Exploration With Orwithoutbiopsy With Or Without Removal Arthrotom Y Elbow With Joint Exploration With Or Without |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 24101. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 24101 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 24101) and we'll show you how you compare in 15 minutes or less.