CPT 00604 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | Anesthesia for Procedures on the Spine and Spinal Cord Anesthesia |
| 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 |
National average anesthesia conversion factor for CPT 00604 by major payers:
$58.50
$55.62
$57.55
$55.74
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 00604 | $84.66 | 1073872826 - VISAL PATEL | 951965700 - (CA) ANESTHESIA SERVICE MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00604 | $73.75 | 1679798185 - CYNTHIA YUAN | 352120414 - (IN) ANESTHESIA CONSULTANTS OF INDIANAPOLIS, LLC | CA | Anesthesiology Physician (207L00000X) |
United | 00604 | $69.62 | 1649400789 - MICHAEL TOM | 954540991 - USC CARE MEDICAL GROUP INC | CA | Anesthesiology Physician (207L00000X) |
United | 00604 | $78.00 | 1790289585 - TALIA DAGHER | 954656412 - (CA) PACIFIC VALLEY MEDICAL GROUP | CA | Anesthesiology Physician (207L00000X) |
United | 00604 | $83.00 | 1871577890 - THOMAS TAKASH | 932316816 | CA | Anesthesiology Physician (207L00000X) |
United | 00604 | $66.00 | 1417244336 - CALVIN LEW | 231740333 - (PA) GRAND VIEW ANESTHESIA ASSOCIATES | CA | Anesthesiology Physician (207L00000X) |
United | 00604 | $77.18 | 1306073408 - CHRISTIAN WALKER | 953777340 - CHILDRENS HOSPITAL LOS ANGELES MEDICAL GROUP INC | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 00604 | $54.00 | 1295775740 - ROBERT KENSIC | 204038626 - (CA) PAR ANESTHESIOLOGY MEDICAL CORPORATION | CA | Anesthesiology Physician (207L00000X) |
United | 00604 | $75.00 | 1245434190 - DOMINIKA MOTAS | 943192738 - (CA) CHILDRENS ANESTHESIA MEDICAL GROUP, INC. | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 00604 | $67.00 | 1598701864 - JONATHAN TONG | 454127530 | CA | Anesthesiology Physician (207L00000X) |
United | 00604 | $60.00 | 1316474968 - MICHAEL PEREZ | 680334324 | CA | Anesthesiology Physician (207L00000X) |
United | 00604 | $65.00 | 1760045702 - STEVEN ROBERTS | 760010407 | CA | Anesthesiology Physician (207L00000X) |
United | 00604 | $63.00 | 1295728962 - ANDY PLISKO | 811757088 - (NV) RED ROCK ANESTHESIA CONSULTANTS LLC | CA | Anesthesiology Physician (207L00000X) |
United | 00604 | $60.00 | 1265640940 - MICHAEL WAHLERS | 770460802 | CA | Anesthesiology Physician (207L00000X) |
United | 00604 | $99.00 | 1124223565 - DAVID BOLDT | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
CPT 00604 vs. Other Anesthesia Codes
The CPT 00604 code is part of the Anesthesia for Procedures on the Spine and Spinal Cord services used for Anesthesia. 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.
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.