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See a sample rate comparisonCPT 28309 Fee Schedule
Medicare rates as of October 2026
CPT 28309 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Osteotomy With Or Without Len, Osteotomy With Or Without Lengthening Shorteningorangular Correction Metatarsal Multiple (Eg S Wanson Type Cavus Foot Procedure)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24Ambulatory Surgical Center 22On Campus Outpatient Hospital |
| Common Modifiers | RTRight side of body LTLeft side of body |
| Hospital Outpatient Group (APC) | APC 5114 - Level 4 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | A2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 03600490 |
| Medicare Fee Schedule | $835.69 national non-facility rate (2026)View Medicare rates for 28309 |
| Medicaid Fee Schedule | $671.805 median of the 8 states in the free previewView Medicaid rates for 28309 |
National average reimbursement for CPT 28309 by major payers:
$1,169.93
BCBS / Anthem
$1,202.56
UnitedHealthcare
$1,225.62
Aetna
$1,469.18
Cigna
Compare published rates across providers.
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CPT 28309
5 of 25 sample ratesHigher to lower in this preview
Surgery Center Of Wasilla, LLC
Surgery Center Of Wasilla LLC
$24,368.00Published rateOcean Endosurgery Center LLC, Ocean Endosurgery Center
Ocean Endosurgery Center LLC
$5,484.00Published rateAmbulatory Surgicenter Of Downers Grove
$3,563.00Published rateLa Jolla Endoscopy Center Lp, La Jolla Endoscopy Center
La Jolla Endoscopy Center Lp
$2,266.00Published rateTushar Nayar
Deaconess Hospital Inc
$722.10Published rate
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See a sample payer proposalCPT 28309 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 28309. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 28289-CPT | Hallux Rigidus Correction With Cheilectomy Debridement And Capsular Release Of The First Metatarsophalangeal Joint; Without Implant. (Desc Revised 1/1/2017) |
| 28292-CPT | Cor Hlx Vlgs Rsc Prx Phlx Bs, Correction Hallux Valgus With Bunionectomy With Sesamoidectomy When Performed With Resection Of Proximal Phalanx Base When Performed Any Method |
| 28300-CPT | Osteotomy; Calcaneus (Eg Dwyer Or Chambers Typ Proc) W/ Or W/O, Osteotomy; Calcaneus (Eg Dwyer Or Chambers Type Procedure) With Or W |
| 28309-CPT | Osteotomy With Or Without Len, Osteotomy With Or Without Lengthening Shorteningorangular Correction Metatarsal Multiple (Eg S Wanson Type Cavus Foot Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28309. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28309 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 28309 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 28309 to APC 5114 (Level 4 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 28309 in an ambulatory surgery center?
CMS lists CPT 28309 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 28309?
Hospital price transparency files list CPT 28309 under these revenue codes: 0360 and 0490. A revenue code names the hospital department or charge category for the line; it does not change what the service is.