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See a sample rate comparisonCPT 27614 Fee Schedule
Medicare rates as of October 2026
CPT 27614 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Biops Sft Tissue Of Leg/Ankle Area; Deep (Subfasci Or Intramus, Biopsy Soft Tissue Of Leg Or Ankle Area; Deep (Subfascial Or Intramus
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21Inpatient Hospital 22On Campus Outpatient Hospital |
| Common Modifiers | RTRight side of body LTLeft side of body |
| Hospital Outpatient Group (APC) | APC 5073 - Level 3 Excision/ Biopsy/ Incision and Drainage |
| Surgery Center Payment (ASC) | A2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 03600361Sign up to view all 5 |
| Medicare Fee Schedule | $610.23 national non-facility rate (2026)View Medicare rates for 27614 |
| Medicaid Fee Schedule | $474.185 median of the 8 states in the free previewView Medicaid rates for 27614 |
National average reimbursement for CPT 27614 by major payers:
$755.42
BCBS / Anthem
$763.30
UnitedHealthcare
$789.80
Aetna
$689.49
Cigna
Compare published rates across providers.
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CPT 27614
5 of 25 sample ratesHigher to lower in this preview
Texas Health Harris Methodist Hospital Southwest Fort Worth
$6,245.00Published rateRiva Road Surgical Center, LLC
Riva Road Surgical Center LLC
$2,307.00Published rateAlbany Surgery Center, LLP
Albany Surgery Center LLP
$1,678.00Published rateAcademy Orthopedics, LLC, Dba Academy Orthopedics, LLC, Ambulatory Surgical Center
Academy Orthopedics, LLC
$1,250.00Published rateGabriel Ballinger
Deaconess Hospital Inc
$464.80Published rate
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See a sample payer proposalCPT 27614 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27614. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 27613-CPT | Biopsy Of Tissue Under Skin, A Procedure To Remove A Sample Of Soft Tissue From Near The Skin Surface For Testing (Biopsy). |
| 27614-CPT | Biops Sft Tissue Of Leg/Ankle Area; Deep (Subfasci Or Intramus, Biopsy Soft Tissue Of Leg Or Ankle Area; Deep (Subfascial Or Intramus |
| 27615-CPT | Radical Resection Of Tumor (Eg, Radical Resection Of Tumor (Eg Malignant Neoplasm) Soft Tissue Of Leg Or Ankle Area Less Than 5 Cm |
| 27616-CPT | Radical Resection Of Tumor (Eg, Radical Resection Of Tumor (Eg Malignant Neoplasm) Soft Tissue Of Leg Or Ankle 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 27614. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27614 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 27614 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27614 to APC 5073 (Level 3 Excision/ Biopsy/ Incision and Drainage). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 27614 in an ambulatory surgery center?
CMS lists CPT 27614 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 27614?
Hospital price transparency files list CPT 27614 under these revenue codes: 0360, 0361, 0761, 0490 and 0960. A revenue code names the hospital department or charge category for the line; it does not change what the service is.