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See a sample rate comparisonCPT 22552 Fee Schedule
Medicare rates as of October 2026
CPT 22552 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Arthrd Ant Ntrbd Cervical Ea, Arthrodesis Anterior Interbody Including Disc Space Preparation Discectomy Osteophytectomy And Decompression Of Spinal Cord And Or Nerve Roots Cervical Below C2 Each Additional Interspace List Separately In Addition To Code For Primary Procedure
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | AS - PA/NP/CNS assistant at surgery 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $353.05 national non-facility rate (2026) · View Medicare rates for 22552 |
| Medicaid Fee Schedule | $268.57 median of the 8 states in the free preview · View Medicaid rates for 22552 |
National average reimbursement for CPT 22552 by major payers:
$511.55
BCBS / Anthem
$562.54
UnitedHealthcare
$585.96
Aetna
$663.62
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 22552.
CPT 22552
5 of 25 sample ratesHigher to lower in this preview
Surgery Center Of Fort Wayne
Surgery Center Of Fort Wayne LLC
$18,000.00Published rateMercy Health Boardman Surgery
Bsmh Ambulatory Ventures II LLC
$7,500.00Published rateBsm Surgery Center LLC
$3,167.00Published rateGastroenterology Of Indianapolis PC, Digestive Health Center
Gastroenterology Of Indianapolis, P . C.
$1,283.00Published rateThe Eye Surgical Center Of Fort Wayne, LLC
The Eye Surgical Center Of Fort Wayne LLC
$635.00Published rate
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See a sample payer proposalCPT 22552 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 22552. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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. |
| 22551-CPT | High | Surgical Service Bundle Includes All Surgery Related Health Services Which Are Incurred In Connection With An Approved Outpatient Surgical Procedure, Billed Via The Agreed Upon Cpt Codes And Reimbursed At A Single Payment Rate Including All Services Such |
| 22552-CPT | Moderate | Arthrd Ant Ntrbd Cervical Ea, Arthrodesis Anterior Interbody Including Disc Space Preparation Discectomy Osteophytectomy And Decompression Of Spinal Cord And Or Nerve Roots Cervical Below C2 Each Additional Interspace List Separately In Addition To Code For Primary Procedure |
| 22554-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 22552. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 22552 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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Frequently Asked Questions
A CPT (Current Procedural Terminology) code is a five-digit number assigned to every task and service a medical practitioner may provide to a patient, including medical, surgical, and diagnostic services. They are used by health insurance companies and government payers to determine the amount of reimbursement that a practitioner will receive for services.
Understanding the cost of a medical procedure beforehand can be challenging due to variations in pricing based on location, provider, and insurance plan. You should first contact your insurance company for an estimate of your out-of-pocket costs, including deductibles, co-pays, and co-insurance. For more specific information on what providers are charging for certain CPT codes in your specific location, you can utilize tools like Payerprice, which provides a fee schedule lookup based on CPT code and geographic area.
Medical costs can vary significantly due to several factors, including the specific provider's negotiated rates with insurance companies, the geographical location (urban vs. rural), the type of facility (hospital vs. outpatient clinic), the complexity of the procedure, and whether the provider is in-network or out-of-network for your insurance plan. The lack of price transparency in the healthcare system also contributes to this variability.
The "chargemaster" price (or list price) is the maximum amount a hospital charges for a service, which is often much higher than what most patients or insurers actually pay. The "negotiated rate" is the discounted price that an insurance company has pre-arranged with a healthcare provider for a specific service. If you have insurance, you will typically pay a portion of the negotiated rate, not the chargemaster price. If you are uninsured, you might be billed the chargemaster price, though you can often negotiate a lower self-pay rate.
To find specific fee schedule information for CPT codes in your area, it's best to use tools designed for price transparency. While your insurance company can provide estimates for services under your plan, for a broader view of provider pricing based on specific CPT codes and your location, you can use Payerprice's fee schedule lookup tool. This tool allows you to search with CPT codes and your specific geographic location to get an idea of what different payers are reimbursing.