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CPT 22526 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.

Percutaneous Intradiscal Elect, Percutaneous Intradiscal Electrothermal Annuloplasty Unilateral Or Bilateral Including Fluoroscopicguidance Single Level
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Musculoskeletal System

Common Place of Service

24 - Ambulatory Surgical Center

11 - Office

Common Modifiers

None

59 - Distinct Procedural Service

Complexity LevelHigh
Medicare Fee ScheduleView Medicare rates for 22526
Medicaid Fee ScheduleView Medicaid rates for 22526

National average reimbursement for CPT 22526 by major payers:

bcbs

$2,329.56

uhc

$2,914.29

aetna

$2,919.98

cigna

$3,196.03

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 22526.

CPT 22526
5 of 25 sample ratesHigher to lower in this preview
  1. Memorial Hermann Surgery Center Brazoria, LLC

    Memorial Hermann Surgery Center Brazoria LLC

    TXAmbulatory Surgical Clinic/CenterNPI 1679065759Tax ID 83-0759140

    $7,838.00Published rate
  2. Southwest Surgical Center LLC

    Southwest Surgical Center, LLC

    MNAmbulatory Surgical Clinic/CenterNPI 1326761792Tax ID 41-2013700

    $2,726.00Published rate
  3. Dallas Surgi Center, Inc.

    Dallas Surgi Center Inc

    TXAmbulatory Surgical Clinic/CenterNPI 1548374267Tax ID 75-2199927

    $1,735.00Published rate
  4. Comprehensive Digestive Surgicenter, LLC, Comprehensive Digestive Surgical Center

    Comprehensive Digestive Surgicenter LLC

    NVAmbulatory Surgical Clinic/CenterNPI 1164012142Tax ID 85-4015524

    $1,416.00Published rate
  5. Novamed Surgery Center Of Madison, Limited Partnership

    Novamed Surgery Center Of Madison Limited Partnership

    WIAmbulatory Surgical Clinic/CenterNPI 1679570774Tax ID 20-1915800

    $550.00Published rate

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

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CPT 22526 vs. Other Surgical Procedures on the Musculoskeletal System Codes

The CPT 22526 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 22526 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
22526-CPTHighPercutaneous Intradiscal Elect, Percutaneous Intradiscal Electrothermal Annuloplasty Unilateral Or Bilateral Including Fluoroscopicguidance Single Level
22527-CPTHighPercutaneous Intradiscal Elect, Percutaneous Intradiscal Electrothermal Annuloplasty Unilateral Or Bilateral Including Fluoroscopicguidance One Or More Additional Levels (List Sep Arately In Addition To Code For Primary Procedure)
22532-CPTHighSurgery To Fuse Bones In Spine, Surgery To Join Together Two Or More Back Bones With Bone Grafts Or Device Implants. The Surgery Is Done To Relieve Back Pain By Eliminating Motion Between The Back Bones.
22533-CPTHighSurgery To Fuse Bones In Spine, Surgery To Join Together Two Or More Back Bones With Bone Grafts Or Device Implants. The Surgery Is Done To Relieve Back Pain By Eliminating Motion Between The Back Bones.

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 22526. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 22526 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.

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