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See a sample rate comparisonCPT 24340 Fee Schedule
Medicare rates as of October 2026
CPT 24340 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Tenodesis Rupture Biceps At Elbow
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24Ambulatory Surgical Center 22On Campus Outpatient Hospital |
| Common Modifiers | RTRight side of body LTLeft side of body |
| Hospital Outpatient Group (APC) | APC 5114 - Level 4 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | G2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 03600960Sign up to view all 4 |
| Medicare Fee Schedule | $583.51 national non-facility rate (2026)View Medicare rates for 24340 |
| Medicaid Fee Schedule | $466.445 median of the 8 states in the free previewView Medicaid rates for 24340 |
National average reimbursement for CPT 24340 by major payers:
$834.88
BCBS / Anthem
$826.96
UnitedHealthcare
$839.86
Aetna
$1,003.95
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 24340.
CPT 24340
5 of 25 sample ratesHigher to lower in this preview
El Paso Surgery Centers Lp
$10,749.00Published rateTorrance Ca Multispecialty Asc LLC, Surgery Center Of South Bay
Torrance Ca Multispecialty Asc LLC
$4,080.00Published rateInnovative Surgery Center, LLC
Innovative Surgery Center LLC
$2,444.00Published rateRegional Eye Surgery Center,LLC
Regional Eye Surgery Center, LLC
$1,384.00Published rateCape Surgery Center, LLC
Cape Surgery Center LLC
$790.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 24340 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 24340. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 24340-CPT | Tenodesis Rupture Biceps At Elbow |
| 24341-CPT | Rpr Tdn Musc Upr A E Each, Repair Tendon Or Muscle Upper Arm Or Elbow Each Tendon Or Muscle Primary Or Secondary Excludes Rotator Cuff |
| 24342-CPT | Reinsert Of Rupture Biceps Or Triceps Tndon Distal W/ Or W/, Reinsertion Of Ruptured Biceps Or Triceps Tendon Distal With Or With |
| 24343-CPT | Repair Lateral Collateral Ligament, Elbow, With Local Tissue |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 24340. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 24340 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 24340 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 24340 to APC 5114 (Level 4 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 24340 in an ambulatory surgery center?
CMS lists CPT 24340 with ASC payment indicator G2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 24340?
Hospital price transparency files list CPT 24340 under these revenue codes: 0360, 0960, 0490 and 0975. A revenue code names the hospital department or charge category for the line; it does not change what the service is.