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 22505 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.
Spinal Manipulation, External Massage And Stretching Of The Soft Tissues Around The Spine Joints Performed Under Anesthesia.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24 - Ambulatory Surgical Center 19 - Off Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 22505 |
| Medicaid Fee Schedule | View Medicaid rates for 22505 |
National average reimbursement for CPT 22505 by major payers:
$171.38
$175.00
$211.48
$217.27
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 22505.
CPT 22505
5 of 25 sample ratesHigher to lower in this preview
Ambulatory Surgery Center At Virtua Washington Township, L.L.C., Virtua Center For Surgery
Ambulatory Surgery Center At Virtua Washington Township, LLC
$2,382.00Published rateAffiliated Endoscopy Services Of Clifton LLC, Affiliated Endoscopy Services Of Clifton
Affiliated Endoscopy Services Of Clifton LLC
$1,714.00Published rateCortland Asc, LLC, Cortland Surgical Center
Cortland Asc LLC
$1,077.00Published rateColonial Outpatient Surgery Center, LLC
Colonial Outpatient Surgery Center LLC
$840.00Published rateSkin Cancer Treatment Center, L.L.C.
Skin Cancer Treatment Center LLC
$479.00Published 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 22505 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 22505 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 22505 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 |
|---|---|---|
| 22325-CPT | High | Open Treatment Andor Reductio, Open Treatment Andor Reduction Of Vertebral Fracture(S)Andor Dislocation(S) Posterior Approach One Fractured Vertebrae Or Dislocated Segment Lumbar |
| 22326-CPT | High | Open Treatment Andor Reductio, Open Treatment Andor Reduction Of Vertebral Fracture(S)Andor Dislocation(S) Posterior Approach One Fractured Vertebrae Or Dislocated Segment Cervical |
| 22505-CPT | Low | Spinal Manipulation, External Massage And Stretching Of The Soft Tissues Around The Spine Joints Performed Under Anesthesia. |
| 22510-CPT | High | Perq Cervicothoracic Inject, Percutaneous Vertebroplasty Bone Biopsy Included When Performed 1 Vertebral Body Unilateral Or Bilateral Injection Inclusive Of All Imaging Guidance Cervicothoracic |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 22505. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 22505 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 22505) and we'll show you how you compare in 15 minutes or less.