RxDoctor Payments Data

CPT 29824

Partial removal of collar bone at shoulder using an endoscope

$399.85Medicare-allowed amount per service, averaged across 28,236 services
Providers submitted
$4819.84

Asking price, not received

Medicare allowed
$399.85

The fee schedule figure

Medicare paid
$318.31

Balance is patient coinsurance

Providers submitted an average of $4819.84 for this code and Medicare allowed $399.8512.1× 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 $318.31 (80%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility
$211.21
Hospital / facility
$401.61

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 261 services were billed in an office setting and 27,975 in a facility.

Services
28,236

Medicare Part B, 2024

Beneficiaries
28,040
Providers billing it
1,262
Total allowed
$11,290,165

Services × allowed amount

What Medicare pays for CPT 29824

Across 28,236 services billed by 1,262 providers to 28,040 beneficiaries, Medicare allowed an average of $399.85 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 29824

SpecialtyServicesBeneficiariesAvg allowedProviders
Orthopedic Surgery12,01911,933$274.39580
Ambulatory Surgical Center8,9298,871$826.79328
Physician Assistant5,1755,144$38.05256
Sports Medicine1,0311,021$289.5048
Nurse Practitioner686680$37.0533
Hand Surgery310308$264.2515
Certified Clinical Nurse Specialist6563$40.941
Osteopathic Manipulative Medicine2120$217.561

29824 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.

StateServicesAllowedStandardized pmtProviders
Florida2,887$442.02$338.62108
Texas2,049$327.88$228.39103
California1,549$600.90$378.9679
North Carolina1,357$398.02$310.2456
Mississippi1,351$377.42$308.3839
Alabama1,222$351.49$296.7349
Ohio1,108$397.97$308.1550
South Carolina1,093$338.81$245.1751
Georgia1,007$410.95$303.5150
Illinois945$395.74$279.4042
Arizona892$448.99$340.2626
Oklahoma884$301.23$222.1639
Tennessee809$454.05$364.4741
Virginia783$395.51$286.8032
Utah703$388.36$293.9529
Michigan687$354.09$266.3827
Nevada677$416.57$294.3622
Washington672$456.71$335.0524
Maryland563$433.66$313.6122
Louisiana562$298.87$231.9627
Massachusetts544$382.64$267.9523
Arkansas543$337.77$265.3930
New York479$540.57$371.1732
Pennsylvania457$418.87$312.1128
Missouri388$420.58$330.9116
Colorado379$420.67$339.7919
Indiana376$345.84$264.7020
New Jersey356$404.67$269.0723
Nebraska324$294.86$217.4314
Minnesota281$514.49$385.7819
North Dakota278$404.42$314.8411
Iowa269$377.32$297.3516
South Dakota266$150.27$80.1813
Idaho256$343.31$258.4816
Kansas239$202.01$129.0411
Montana192$377.61$297.8910
Kentucky119$175.33$94.845
Delaware114$481.02$346.405
Alaska106$510.36$356.316
Wisconsin98$364.66$275.278
Connecticut95$564.68$428.446
Hawaii77$314.30$177.002
Wyoming69$311.06$213.704
New Mexico33$600.45$533.872
New Hampshire25$569.52$432.362
Maine25$135.97$64.072
Rhode Island20$897.23$714.441
Oregon15$31.08$11.941
West Virginia13$753.31$686.961

Related codes

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.