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 24138 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.
Sequestrect (Eg For Osteomyeli Or Bone Absces) Olecranon Proc, Sequestrectomy (Eg For Osteomyelitis Or Bone Abscess) Olecranon Proc
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24 - Ambulatory Surgical Center 21 - Inpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 24138 |
| Medicaid Fee Schedule | View Medicaid rates for 24138 |
National average reimbursement for CPT 24138 by major payers:
$962.33
$906.67
$929.15
$1,148.64
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 24138.
CPT 24138
5 of 25 sample ratesHigher to lower in this preview
West Penn Allegheny Health System Inc., Allegheny General Hospital
Highmark Health
$20,515.59Published rateSapling Grove Ambulatory Surgery Center, LLC
Sapling Grove Ambulatory Surgery Center LLC
$3,455.00Published rateCenter For Spine Interventions Asc 1 LLC
$2,000.00Published rateEndoscopy Group LLC
Endoscopy Group, LLC
$1,280.00Published rateLake Surgery & Endoscopy Center Ltd
Lake Surgery Endoscopy Center Ltd
$550.00Published 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 24138 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 24138 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 24138 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 |
|---|---|---|
| 24110-CPT | Moderate | Remove Noncancerous Growth, Surgery To Remove A Pocket Of Fluid (Cyst) Or A Noncancerous Growth (Tumor) From An Upper Arm Bone (Humerus). |
| 24120-CPT | Moderate | Xcision/Curettag Of Bone Cyst Or Bnign Tumor Of Head Or Nck, Excision Or Curettage Of Bone Cyst Or Benign Tumor Of Head Or Neck Of |
| 24125-CPT | Moderate | Exc/Crtg B1 Cst/Tum Rds Agrf, Excision Or Curettage Of Bone Cyst Or Benign Tumor Of Head Or Neck Of Radius Or Olecranon Process; With Autograft (Includes Obtaining Graft) |
| 24138-CPT | Moderate | Sequestrect (Eg For Osteomyeli Or Bone Absces) Olecranon Proc, Sequestrectomy (Eg For Osteomyelitis Or Bone Abscess) Olecranon Proc |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 24138. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 24138 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 24138) and we'll show you how you compare in 15 minutes or less.