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See a sample rate comparisonCPT 27730 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.
Arrest Epiphyseal Distal Tibia
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None 50 - Bilateral Procedure RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27730 |
| Medicaid Fee Schedule | View Medicaid rates for 27730 |
National average reimbursement for CPT 27730 by major payers:
$766.60
$805.46
$825.33
$970.04
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CPT 27730
5 of 25 sample ratesHigher to lower in this preview
The Western Pennsylvania Hospital, Forbes Regional Campus
Highmark Health
$9,564.58Published rateRiverside Ambulatory Surgery Center, LLC, The Endoscopy & Colonoscopy Center
Riverside Ambulatory Surgery Center LLC
$3,570.00Published rateDallas Nephrology Associates, Dallas Nephrology Associates Vascular Center Of Plano
Dallas Nephrology Associates, P.A.
$2,010.00Published rateNational Surgical Centers Of America LLC, Nscoa The Villages
National Surgical Centers Of America LLC
$1,180.00Published rateMattax Neu Prater Surgery Center, LLC
Mattax Neu Prater Surgery Center LLC
$669.00Published rate
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See a sample payer proposalCPT 27730 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27730 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 27730 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 |
|---|---|---|
| 27720-CPT | High | Repair Poorly Healed Leg Bone, Surgery To Repair A Broken Bone In The Lower Leg (Tibia) That Failed To Heal Completely Or Healed Incorrectly. |
| 27722-CPT | High | Repair Poorly Healed Leg Bone, Surgery To Repair A Broken Bone In The Lower Leg (Tibia) That Failed To Heal Completely Or Healed Incorrectly. |
| 27724-CPT | High | Repair Poorly Healed Leg Bone, Surgery To Repair A Broken Bone In The Lower Leg (Tibia) That Failed To Heal Completely Or Healed Incorrectly. |
| 27730-CPT | Moderate | Arrest Epiphyseal Distal Tibia |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27730. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27730 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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