CPT 24066 Surgery - Musculoskeletal

Biopsy arm/elbow soft tissue Cost

Body System: Musculoskeletal

Medicare Facility Rate
$416
CMS PFS CY2026
Medicare Non-Facility Rate
$686
Office/clinic setting

Relative Value Units (RVUs)

Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)

5.22
Work RVU
6.03
Facility PE RVU
1.20
Malpractice RVU
20.55
Total RVU

Frequently Asked Questions

How much does Biopsy arm/elbow soft tissue cost?

The Medicare facility rate is $416. Commercial insurance typically pays 150-250% of Medicare rates (varies).

How much does Biopsy arm/elbow soft tissue 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 $416.

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