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 29895 Fee Schedule
Medicare rates as of October 2026
CPT 29895 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Arthroscopy Ankle (Tibiotalar, Arthroscopy Ankle (Tibiotalar And Fibulotalar Joints)Surgical Synovectomy Partial Arthroscopy Ankle (Tibiotalar And Fibulotalar Joints)
| 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 5113 - Level 3 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | A2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 03600975Sign up to view all 4 |
| Medicare Fee Schedule | $433.54 national non-facility rate (2026)View Medicare rates for 29895 |
| Medicaid Fee Schedule | $373.78 median of the 8 states in the free previewView Medicaid rates for 29895 |
National average reimbursement for CPT 29895 by major payers:
$664.45
BCBS / Anthem
$647.90
UnitedHealthcare
$669.38
Aetna
$782.79
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 29895.
CPT 29895
5 of 25 sample ratesHigher to lower in this preview
Mother Frances Hospital-Winnsboro
$6,942.00Published rateProgressive Surgery Center LLC
Progressive Surgery Center, LLC
$2,040.00Published rateSyracuse Surgery Center, LLC
Syracuse Surgery Center LLC
$1,498.00Published rateEye Associates Of Manatee LLP, Eye Associates Surgery Center
The Eye Associates
$1,031.00Published rateBruce Alexander
Deaconess Hospital Inc
$381.79Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Looking for other data?
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 29895 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 29895. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 29891-CPT | Ankle Arthroscopy Surgery, Arthroscopy Ankle Surgical Excision Of Osteochondral Defect Of Talus And Or Tibia Including Drilling Of The Defect |
| 29892-CPT | Arthrs Aid Rpr Od Les/Tib Fx, Arthroscopically Aided Repair Of Large Osteochondritis Dissecans Lesion Talar Dome Fracture Or Tibial Plafond Fracture With Or Without Internal Fixation (Includes Arthroscopy) |
| 29893-CPT | Scope-Assisted Foot Surgery, Surgery Aided By A Scope To Cut The Plantar Fascia A Band Of Tissue Along The Bottom Of The Foot. |
| 29895-CPT | Arthroscopy Ankle (Tibiotalar, Arthroscopy Ankle (Tibiotalar And Fibulotalar Joints)Surgical Synovectomy Partial Arthroscopy Ankle (Tibiotalar And Fibulotalar Joints) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 29895. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 29895 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 29895) and we'll show you how you compare in 15 minutes or less.
Frequently Asked Questions
What APC is CPT 29895 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 29895 to APC 5113 (Level 3 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 29895 in an ambulatory surgery center?
CMS lists CPT 29895 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 29895?
Hospital price transparency files list CPT 29895 under these revenue codes: 0360, 0975, 0960 and 0490. A revenue code names the hospital department or charge category for the line; it does not change what the service is.