How much does Medicare pay for CPT 24301?

Medicare allowed an average of $449.06 per service and paid $357.73 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $2959.57, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 24301?

Relocation of muscle or tendon of upper arm or elbow. It was billed 1,449 times to 1,433 Medicare beneficiaries by 35 providers in 2024.

Which specialty bills 24301 most?

Orthopedic Surgery, with 868 services from 18 clinicians. Next are Physician Assistant, Ambulatory Surgical Center, Nurse Practitioner.

CPT 24301

Relocation of muscle or tendon of upper arm or elbow

$449.06Medicare-allowed amount per service, averaged across 1,449 services

Providers submitted

$2959.57

Asking price, not received

Medicare allowed

$449.06

The fee schedule figure

Medicare paid

$357.73

Balance is patient coinsurance

Providers submitted an average of $2959.57 for this code and Medicare allowed $449.06 — 6.6× 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 $357.73 (80%); the rest is the patient’s coinsurance and deductible.

Services: 1,449
Beneficiaries: 1,433
Providers billing it: 35
Total allowed: $650,688

What Medicare pays for CPT 24301

Across 1,449 services billed by 35 providers to 1,433 beneficiaries, Medicare allowed an average of $449.06 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 24301

Specialty	Services	Beneficiaries	Avg allowed	Providers
Orthopedic Surgery	868	858	$388.62	18
Physician Assistant	384	379	$53.89	11
Ambulatory Surgical Center	171	170	$1703.39	4
Nurse Practitioner	26	26	$53.27	2

24301 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
Florida	556	$398.42	$319.27	8
Virginia	276	$251.43	$185.20	8
Maryland	255	$464.09	$365.02	6
Michigan	126	$248.45	$186.63	2
Oregon	82	$1738.87	$1329.92	1
Pennsylvania	35	$918.92	$837.46	3
Indiana	30	$209.93	$177.52	2
Colorado	29	$234.74	$184.45	2
Texas	28	$373.82	$307.36	1
North Carolina	21	$349.68	$297.77	1
Illinois	11	$405.14	$297.77	1

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.