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See a sample rate comparisonCPT 24366 Fee Schedule
Medicare rates as of October 2026
CPT 24366 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Reconstruct Head Of Radius, Joint Repair (Arthroplasty) Forearm Bone On The Thumb Side (Radius) At The Elbow With And Implant
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22On Campus Outpatient Hospital 24Ambulatory Surgical Center |
| Common Modifiers | LTLeft side of body RTRight side of body |
| Hospital Outpatient Group (APC) | APC 5115 - Level 5 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | J8 - Device-intensive procedure, paid at an adjusted rate |
| Common Revenue Codes | 03600960 |
| Medicare Fee Schedule | $635.29 national non-facility rate (2026)View Medicare rates for 24366 |
| Medicaid Fee Schedule | $507.44 median of the 8 states in the free previewView Medicaid rates for 24366 |
National average reimbursement for CPT 24366 by major payers:
$864.34
BCBS / Anthem
$922.58
UnitedHealthcare
$958.00
Aetna
$1,122.93
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 24366.
CPT 24366
5 of 25 sample ratesHigher to lower in this preview
Inova Ambulatory Surgery Center At Lorton, LLC
Inova Ambulatory Surgery Center At Lorton LLC
$22,475.00Published rateMedplex Outpatient Surgery Center Ltd, Medplex Outpatient Surgery Center
Medplex Outpatient Surgery Center Ltd
$9,650.00Published ratePottstown Ambulatory Center, LLC
Pottstown Ambulatory Center Ll
$5,576.00Published rateSpringfield Regional Outpatient Surgery Center LLC
$2,536.00Published rateEssex Endoscopy Center LLC
$900.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 24366 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 24366. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 24361-CPT | Elbow Replacement Surgery, Surgery To Replace Damaged Ends Of The Elbow Joint With New Tissue Or An Artificial Part (Prosthesis). |
| 24362-CPT | Arthroplst Elbow; W/ Implnt & Fascia Lata Ligamnt Reconstruc, Arthroplasty Elbow; With Implant And Fascia Lata Ligament Reconstruct |
| 24363-CPT | Arthroplst Elbow; W/ Distal Humerus & Proxim Ulnar Prosthet, Arthroplasty Elbow; With Distal Humerus And Proximal Ulnar Prosthetic |
| 24366-CPT | Reconstruct Head Of Radius, Joint Repair (Arthroplasty) Forearm Bone On The Thumb Side (Radius) At The Elbow With And Implant |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 24366. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 24366 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 24366 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 24366 to APC 5115 (Level 5 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 24366 in an ambulatory surgery center?
CMS lists CPT 24366 with ASC payment indicator J8: Device-intensive procedure, paid at an adjusted rate.
Which revenue codes are billed with CPT 24366?
Hospital price transparency files list CPT 24366 under these revenue codes: 0360 and 0960. A revenue code names the hospital department or charge category for the line; it does not change what the service is.