PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates

CPT 22510 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.

Perq Cervicothoracic Inject, Percutaneous Vertebroplasty Bone Biopsy Included When Performed 1 Vertebral Body Unilateral Or Bilateral Injection Inclusive Of All Imaging Guidance Cervicothoracic
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Musculoskeletal System

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

Common Modifiers

None

GC - Service performed by resident under supervision

59 - Distinct Procedural Service

Complexity LevelHigh
Medicare Fee ScheduleView Medicare rates for 22510
Medicaid Fee ScheduleView Medicaid rates for 22510

National average reimbursement for CPT 22510 by major payers:

bcbs

$1,904.29

uhc

$2,416.37

aetna

$2,589.44

cigna

$874.78

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 22510.

CPT 22510
5 of 25 sample ratesHigher to lower in this preview
  1. Pinnacle Surgery Center, Inc

    Pinnacle Surgery Center Inc

    CAAmbulatory Surgical Clinic/CenterNPI 1427585280Tax ID 81-2354493

    $12,000.00Published rate
  2. Adventhealth Surgery Center Wellswood LLC, Adventhealth Surgery Center Wellswood

    Adventhealth Surgery Center Wellswood LLC

    FLAmbulatory Surgical Clinic/CenterNPI 1588260343Tax ID 85-4111089

    $3,623.00Published rate
  3. San Luis Walk-In Clinic, Inc., San Luis Outpatient Surgery Center

    San Luis Walk-In Clinic Inc

    AZAmbulatory Surgical Clinic/CenterNPI 1114549987Tax ID 65-1170616

    $1,975.00Published rate
  4. River Park Asc LLC

    LAAmbulatory Surgical Clinic/CenterNPI 1144216847Tax ID 72-1510504

    $1,319.00Published rate
  5. Middletown Endoscopy Asc LLC, The Gi Endoscopy Center

    Middletown Endoscopy Asc LLC

    OHAmbulatory Surgical Clinic/CenterNPI 1699748855Tax ID 62-1835826

    $737.00Published rate

National sample. Rates vary by location, specialty, and contract.

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.

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 comparison

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 proposal

CPT 22510 vs. Other Surgical Procedures on the Musculoskeletal System Codes

The CPT 22510 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 22510 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.

CodeComplexityDescription
22510-CPTHighPerq Cervicothoracic Inject, Percutaneous Vertebroplasty Bone Biopsy Included When Performed 1 Vertebral Body Unilateral Or Bilateral Injection Inclusive Of All Imaging Guidance Cervicothoracic
22511-CPTHighPerq Lumbosacral Injection, Percutaneous Vertebroplasty Bone Biopsy Included When Performed 1 Vertebral Body Unilateral Or Bilateral Injection Inclusive Of All Imaging Guidance Lumbosacral
22512-CPTModerateVertebroplasty Addl Inject, Percutaneous Vertebroplasty Bone Biopsy Included When Performed 1 Vertebral Body Unilateral Or Bilateral Injection Inclusive Of All Imaging Guidance Each Additional Cervicothoracic Or Lumbosacral Vertebral Body List Separately In Addition To Code For Primary Procedure
22513-CPTHighPerq Vertebral Augmentation, Percutaneous Vertebral Augmentation Including Cavity Creation Fracture Reduction And Bone Biopsy Included When Performed Using Mechanical Device Eg Kyphoplasty 1 Vertebral Body Unilateral Or Bilateral Cannulation Inclusive Of All Imaging Guidance Thoracic

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 22510. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 22510 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 22510) and we'll show you how you compare in 15 minutes or less.