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See a sample rate comparisonCPT 22533 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | AS - PA/NP/CNS assistant at surgery 59 - Distinct Procedural Service |
| Complexity Level | High |
| Medicare Fee Schedule | $1,547.80 national non-facility rate (2026) · View Medicare rates for 22533 |
| Medicaid Fee Schedule | $1,209.815 median of the 8 states in the free preview · View Medicaid rates for 22533 |
National average reimbursement for CPT 22533 by major payers:

$2,159.23
BCBS / Anthem

$2,225.65
UnitedHealthcare

$2,367.30
Aetna

$2,685.61
Cigna
Choose a payer to see a sample of rates for CPT 22533.
St. Francis Mooresville Surgery Center, LLC
Summit Ambulatory Surgical Center, LLC
Mile High Surgicenter, LLC
Pioneer Valley Surgicenter LLC, Pioneer Valley Surgicenter
Pioneer Valley Surgicenter, LLC
Anderson Endoscopy Center LLC
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 22533 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 22533. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 22532-CPT | High | Surgery 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-CPT | High | Surgery 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. |
| 22534-CPT | Moderate | Arthrd Lat Xtrcvtry Tq Ea Ad, Arthrodesis Lateral Extracavitary Technique Including Minimal Discectomy To Prepare Interspace Other Than For Decompression Thoracic Or Lumbar Each Additional Vertebral Segment List Separately In Addition To Code For Primary Procedure |
| 22548-CPT | High | Surgery 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 22533. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 22533 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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