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 22310 Fee Schedule
Last Verified: October 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.
Closed Treatment Of Vertebral, Closed Treatment Of Vertebral Body Fracture(S) Withoutmanipulation Requiring And Including Castingor Bracing Closed Treatment Of Vertebral Body Fr Acture(S) Without
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11 - Office 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 54 - Surgical Care Only 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 22310 |
| Medicaid Fee Schedule | View Medicaid rates for 22310 |
National average reimbursement for CPT 22310 by major payers:
$374.06
$398.23
$429.61
$474.60
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 22310.
CPT 22310
5 of 25 sample ratesHigher to lower in this preview
Beltway Surgery Centers, LLC, East Washington Surgery Center
$4,613.00Published rateChicago Prostate Cancer Surgery Center, LLC, Dupage Medical Group Surgery Center, Westmont
Chicago Prostate Cancer Surgery Center LLC
$325.00Published rateBsc Reid Park LLC
$225.00Published rateSan Antonio Tx Endoscopy Asc Lp, San Antonio Gastroenterology Endoscopy Center North
San Antonio Tx Endoscopy Asc Lp
$138.00Published rateSurgical Center Of Ponte Vedra Beach, LLC
Surgical Center Of Ponte Vedra B
$50.00Published 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 22310 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 22310 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 22310 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 |
|---|---|---|
| 22310-CPT | Moderate | Closed Treatment Of Vertebral, Closed Treatment Of Vertebral Body Fracture(S) Withoutmanipulation Requiring And Including Castingor Bracing Closed Treatment Of Vertebral Body Fr Acture(S) Without |
| 22315-CPT | High | Closed Treatment Of Vertebral, Closed Treatment Of Vertebral Fracture(S) Andor Dislocation(S) Requiring Casting Or Bracing With And Including Casting Andor Bracing By Manipulation Or Traction |
| 22318-CPT | High | Treat Odontoid Fx W O Graft, Open Treatment And Or Reduction Of Odontoid Fracture S And Or Dislocation S Including Os Odontoideum Anterior Approach Including Placement Of Internal Fixation Without Grafting |
| 22319-CPT | High | Treat Odontoid Fx W Graft, Open Treatment And Or Reduction Of Odontoid Fracture S And Or Dislocation S Including Os Odontoideum Anterior Approach Including Placement Of Internal Fixation With Grafting |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 22310. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 22310 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 22310) and we'll show you how you compare in 15 minutes or less.