CPT 20931 Surgery - Musculoskeletal
Sp bone algrft struct add-on Cost
Body System: Musculoskeletal
Medicare Facility Rate
$98
CMS PFS CY2026
Medicare Non-Facility Rate
$98
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.76
Work RVU
0.59
Facility PE RVU
0.59
Malpractice RVU
2.94
Total RVU
Frequently Asked Questions
How much does Sp bone algrft struct add-on cost?
The Medicare facility rate is $98. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Sp bone algrft struct add-on cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $98.