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 22114 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Remove Part Lumbar Vertebra, Partial Excision Of Vertebral Body For Intrinsic Bony Lesion Without Decompression Of Spinal Cord Or Nerve Root S Single Vertebral Segment Lumbar
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 22114 |
| Medicaid Fee Schedule | View Medicaid rates for 22114 |
National average reimbursement for CPT 22114 by major payers:
$1,351.09
$1,435.88
$1,543.37
$1,759.90
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 22114.
CPT 22114
5 of 25 sample ratesHigher to lower in this preview
Texas Health Harris Methodist Hospital Stephenville
$16,164.00Published rateBanner Mesa Surgery Center LLC
$5,963.00Published rateDelaware Surgery Center, LLC
$4,170.00Published rateBaltimore Endoscopy Asc LLC, Gastrointestinal Diagnostic Center
Baltimore Endoscopy Asc LLC
$2,270.00Published rateEye Surgery Center Of Western Ohio LLC, Eye Surgery Center Of Western Ohio
Eye Surgery Center Of Western Ohio LLC
$680.00Published 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 22114 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 22114 code is part of the Surgery services used for Surgical Procedures on the Musculoskeletal System. 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 22114 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 |
|---|---|---|
| 22110-CPT | High | Remove Part Of Neck Vertebra, Partial Excision Of Vertebral Body For Intrinsic Bony Lesion Without Decompression Of Spinal Cord Or Nerve Root S Single Vertebral Segment Cervical |
| 22112-CPT | High | Remove Part Thorax Vertebra, Partial Excision Of Vertebral Body For Intrinsic Bony Lesion Without Decompression Of Spinal Cord Or Nerve Root S Single Vertebral Segment Thoracic |
| 22114-CPT | High | Remove Part Lumbar Vertebra, Partial Excision Of Vertebral Body For Intrinsic Bony Lesion Without Decompression Of Spinal Cord Or Nerve Root S Single Vertebral Segment Lumbar |
| 22116-CPT | Low | Remove Extra Spine Segment, Partial Excision Of Vertebral Body For Intrinsic Bony Lesion Without Decompression Of Spinal Cord Or Nerve Root S Single Vertebral Segment Each Additional Vertebral Segment List Separately In Addition To Code For Primary Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 22114. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 22114 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 22114) and we'll show you how you compare in 15 minutes or less.