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See a sample rate comparisonCPT 22556 Fee Schedule
Medicare rates as of October 2026
CPT 22556 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
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.
| 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 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | $1,598.90 national non-facility rate (2026) · View Medicare rates for 22556 |
| Medicaid Fee Schedule | $1,240.65 median of the 8 states in the free preview · View Medicaid rates for 22556 |
National average reimbursement for CPT 22556 by major payers:
$2,174.66
BCBS / Anthem
$2,253.20
UnitedHealthcare
$2,423.79
Aetna
$2,708.90
Cigna
Compare published rates across providers.
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CPT 22556
5 of 25 sample ratesHigher to lower in this preview
Middle Tennessee Ambulatory Surgery Center, L.P.
Middle Tennessee Ambulatory Surgery Center Lp
$21,741.00Published rateSky Ridge Surgery Center Lp
$9,442.00Published rateSurgicare Of Manhattan, LLC
Surgicare Of Manhattan LLC
$4,300.00Published rateEndoscopy Center Of Western New York LLC
$2,363.00Published rateElkins Asc LLC, Gila Valley Procedure Center
Elkins Asc LLC
$816.00Published rate
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See a sample payer proposalCPT 22556 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 22556. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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. |
| 22556-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 22556. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 22556 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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