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See a sample rate comparisonCPT 28306 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.
Osteotomy With Or Without Len, Osteotomy With Or Without Lengthening Shorteningorangular Correction Metatarsal First Metatarsa L
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 28306 |
| Medicaid Fee Schedule | View Medicaid rates for 28306 |
National average reimbursement for CPT 28306 by major payers:
$732.90
$799.14
$831.98
$682.85
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CPT 28306
5 of 25 sample ratesHigher to lower in this preview
Eagle Highlands Surgery Center, LLC, Meridian South Surgery Center
$8,705.00Published rateWilshire Surgery Center, LLC
Wilshire Surgery Center
$2,057.00Published rateOrthopaedic Institute For Children Ambulatory Surgery Center, LLC
Orthopaedic Institute For Children Ambulatory Surgery Center LLC
$1,400.00Published rateNei Ambulatory Surgery Center Inc PC
$1,125.00Published rateMichael Sellers
Deaconess Hospital Inc
$500.36Published rate
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See a sample payer proposalCPT 28306 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28306 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 28306 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 |
|---|---|---|
| 28288-CPT | Moderate | Ostectomy Partial Exostectomy Or Condylectomy Metatarsal Head, Ostectomy Partial Exostectomy Or Condylectomy Metatarsal Head Each |
| 28289-CPT | Moderate | Hallux Rigidus Correction With Cheilectomy Debridement And Capsular Release Of The First Metatarsophalangeal Joint; Without Implant. (Desc Revised 1/1/2017) |
| 28305-CPT | Moderate | Incise Graft Midfoot Bones, Osteotomy Tarsal Bones Other Than Calcaneus Or Talus With Autograft Includes Obtaining Graft Eg Fowler Type |
| 28306-CPT | Moderate | Osteotomy With Or Without Len, Osteotomy With Or Without Lengthening Shorteningorangular Correction Metatarsal First Metatarsa L |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28306. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28306 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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