Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 00604 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Anes Px Crv Spn&Cord Sitting, Anesthesia For Procedures On Cervical Spine And Cord; Procedures With Patient In The Sitting Position
| Key Fact | Detail |
|---|---|
| Service Type | Anesthesia Anesthesia for Procedures on the Spine and Spinal Cord |
| Common Place of Service | 21 - Inpatient Hospital 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None AA - Anesthesia by anesthesiologist QX - Qualified nonphysician anesthetist service: With medical direction by a physician |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 00604 |
| Medicaid Fee Schedule | View Medicaid rates for 00604 |
National average anesthesia conversion factor for CPT 00604 by major payers:
$58.50
$55.62
$57.55
$55.74
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 00604.
CPT 00604
5 of 25 sample ratesHigher to lower in this preview
Macgregor Hodgson
$128.69Published rateLei Wang
Anesthesia Service Medical Group, Inc.
$84.66Published rateMichael Tom
Usc Care Medical Group Inc
$69.62Published rateMichael Perez
$60.00Published rateRobert Salazar
Robert G. Salazar, M.D., Inc.
$40.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 00604 vs. Other Anesthesia for Procedures on the Spine and Spinal Cord Codes
The CPT 00604 code is part of the Anesthesia services used for Anesthesia for Procedures on the Spine and Spinal Cord. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 00604 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 00600-CPT | Moderate | Anesthe For Procs On Cervcal Spine & Cord; Not Otherwise Sp, Anesthesia For Procedures On Cervical Spine And Cord; Not Otherwise Sp |
| 00604-CPT | Moderate | Anes Px Crv Spn&Cord Sitting, Anesthesia For Procedures On Cervical Spine And Cord; Procedures With Patient In The Sitting Position |
| 00620-CPT | Moderate | Anesthesia For The Middle Back, Anesthesia Services For A Procedure On The Middle Back. These Procedures Include Spinal Nerve Surgery And May Require Mechanical Breathing Assistance. |
| 00630-CPT | Moderate | Anesthesia Low Back Procedure, Anesthesia Services For A Procedure On The Lower Back Such As A Lumbar Puncture Herniated Disk Surgery Or Spinal Nerve Surgery. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00604. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00604 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 00604) and we'll show you how you compare in 15 minutes or less.