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 27339 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
| 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 5073 - Level 3 Excision/ Biopsy/ Incision and Drainage |
| Surgery Center Payment (ASC) | G2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 03600960Sign up to view all 6 |
| Medicare Fee Schedule | $714.45 national non-facility rate (2026)View Medicare rates for 27339 |
| Medicaid Fee Schedule | $559.74 median of the 8 states in the free previewView Medicaid rates for 27339 |
National average reimbursement for CPT 27339 by major payers:

$1,057.85
BCBS / Anthem

$1,034.47
UnitedHealthcare

$1,071.04
Aetna

$1,251.00
Cigna
Choose a payer to see a sample of rates for CPT 27339.
Franconia-Springfield Surgery Center, LLC, Inova Surgery Center @ Franconia-Springfield
Inova Ambulatory Surgical Centers
Hagerstown Surgery Center,LLC
Hagerstown Surgery Center, LLC
Lakeway Ambulatory Surgery Center, LLC, Lakeway Surgery Center
Lakeway Ambulatory Surgery Center LLC
Castle Hills Outpatient Center, Inc., Surgical Arts Center
Castle Hills Outpatient Center Inc
Miami Valley Ambulatory Surgery Center Ltd
Choose your state and specialty to build a report from payer-published rates.
Looking for other data?
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 27339 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27339. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 27337-CPT | Xcision Tumor Sft Tissue Of Thigh/ Knee Area Subcutane 3 Cm, Excision Tumor Soft Tissue Of Thigh Or Knee Area Subcutaneous; 3 Cm |
| 27339-CPT | Exc Thigh Knee Tum Dep 5cm, Excision Tumor Soft Tissue Of Thigh Or Knee Area Subfascial Eg Intramuscular 5 Cm Or Greater |
| 27347-CPT | Xcision Of Lesion Of Meniscus Or Cpsul(Eg Cyst Ganglion) Knee, Excision Of Lesion Of Meniscus Or Capsule (Eg Cyst Ganglion) Knee |
| 27364-CPT | Radical Resection Of Tumor (Eg, Radical Resection Of Tumor (Eg Malignant Neoplasm) Soft Tissue Of Thigh Or Knee Area 5 Cm Or Greater |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27339. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27339 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.
Bring your top codes (like CPT 27339) and we'll show you how you compare in 15 minutes or less.
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27339 to APC 5073 (Level 3 Excision/ Biopsy/ Incision and Drainage). An APC groups outpatient services that Medicare pays at the same base rate.
CMS lists CPT 27339 with ASC payment indicator G2: Paid separately, from the OPPS relative weight.
Hospital price transparency files list CPT 27339 under these revenue codes: including 0360, 0960, 0761, 0975 and 0361. A revenue code names the hospital department or charge category for the line; it does not change what the service is.