How much does Medicare pay for CPT 20680?

Medicare allowed an average of $686.12 per service and paid $543.59 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $4100.13, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 20680?

Removal of deep implant from bone. It was billed 11,353 times to 9,976 Medicare beneficiaries by 601 providers in 2024.

Does 20680 pay differently in an office than a hospital?

Yes. The allowed amount averaged $397.93 in an office setting and $694.99 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 20680 most?

Ambulatory Surgical Center, with 5,258 services from 267 clinicians. Next are Orthopedic Surgery, Podiatry, Oral Surgery (Dentist only).

CPT 20680

Removal of deep implant from bone

$686.12Medicare-allowed amount per service, averaged across 11,353 services

Providers submitted

$4100.13

Asking price, not received

Medicare allowed

$686.12

The fee schedule figure

Medicare paid

$543.59

Balance is patient coinsurance

Providers submitted an average of $4100.13 for this code and Medicare allowed $686.12 — 6.0× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $543.59 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $397.93
Hospital / facility: $694.99

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 339 services were billed in an office setting and 11,014 in a facility.

Services: 11,353
Beneficiaries: 9,976
Providers billing it: 601
Total allowed: $7,789,520

What Medicare pays for CPT 20680

Across 11,353 services billed by 601 providers to 9,976 beneficiaries, Medicare allowed an average of $686.12 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 20680

Specialty	Services	Beneficiaries	Avg allowed	Providers
Ambulatory Surgical Center	5,258	4,818	$1145.74	267
Orthopedic Surgery	4,409	3,777	$298.45	254
Podiatry	643	536	$294.75	36
Oral Surgery (Dentist only)	325	229	$296.22	4
Hand Surgery	262	224	$318.96	15
Physician Assistant	189	160	$40.84	12
Nurse Practitioner	67	56	$43.29	4
Plastic and Reconstructive Surgery	62	56	$345.10	3
Maxillofacial Surgery	49	36	$532.24	2
General Surgery	32	30	$231.64	1
Sports Medicine	22	22	$216.19	1
General Practice	20	17	$238.74	1
Emergency Medicine	15	15	$332.40	1

20680 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
California	2,002	$677.89	$449.56	86
Florida	853	$634.47	$524.47	47
Arizona	686	$608.59	$487.25	38
Texas	594	$535.97	$434.43	30
Colorado	488	$840.99	$670.38	25
Washington	438	$852.60	$647.69	21
Virginia	414	$616.75	$499.61	24
Illinois	370	$778.83	$608.38	22
North Carolina	358	$794.35	$669.35	18
Georgia	322	$745.64	$613.87	18
New York	287	$719.12	$547.67	20
Pennsylvania	286	$658.07	$508.06	16
Ohio	277	$716.58	$581.73	14
Tennessee	258	$809.08	$729.71	14
Maryland	250	$844.31	$675.51	15
Oregon	239	$834.54	$632.76	12
Michigan	219	$653.47	$535.88	14
South Carolina	217	$391.48	$321.56	10
Nevada	214	$601.27	$472.08	9
Utah	185	$727.89	$595.17	12
Massachusetts	178	$669.13	$521.29	12
Delaware	178	$773.02	$607.36	7
Indiana	142	$619.70	$505.78	9
Minnesota	136	$966.90	$770.02	7
Kansas	136	$460.48	$389.17	8
Montana	136	$595.43	$484.68	8
Oklahoma	131	$378.48	$339.68	7
Mississippi	115	$776.10	$735.58	7
Arkansas	109	$464.94	$399.27	6
Alabama	108	$648.69	$599.92	6
Louisiana	105	$504.92	$426.22	6
North Dakota	102	$394.25	$341.85	4
Iowa	100	$910.11	$761.43	5
New Jersey	99	$525.48	$383.17	6
New Hampshire	88	$670.56	$522.38	6
Nebraska	87	$696.28	$598.87	6
Wisconsin	72	$738.78	$608.30	5
Missouri	59	$888.61	$766.89	3
Kentucky	55	$460.92	$377.97	4
Alaska	54	$1323.69	$900.49	4
Rhode Island	53	$619.39	$554.60	2
Wyoming	49	$694.11	$553.54	2
Connecticut	46	$999.35	$729.02	3
New Mexico	44	$1028.49	$917.42	2
District of Columbia	14	$290.66	$173.69	1

Related codes

20610Aspiration and/or injection of fluid from large joint$65.03
20611Aspiration and/or injection of fluid large joint$101.93
20600Aspiration and/or injection of fluid from small joint$47.60
20605Aspiration and/or injection of fluid from medium joint$50.73
20604Aspiration and/or injection of fluid from small joint$75.96
20606Aspiration and/or injection of fluid from medium joint$85.99
20612Aspiration and/or injection of cyst of tendon$59.89

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.