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 comparisonCPT 22819 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.
Kyphectomy Circumferential Ex, Kyphectomy Circumferential Exposure Of Spine And Resection Of Vertebral Segment(S) (Including Body And Posterior Elements) 3 Or More Segments
| 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 | None AS - PA/NP/CNS assistant at surgery AG - Primary physician 22 - Increased Procedural Services |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 22819 |
| Medicaid Fee Schedule | View Medicaid rates for 22819 |
National average reimbursement for CPT 22819 by major payers:
$3,187.87
$3,453.43
$3,541.27
$4,108.83
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 22819.
CPT 22819
5 of 25 sample ratesHigher to lower in this preview
Surgical Caregivers Of Fort Worth LLC, Texas Health Surgery Center Fort Worth Midtown
Surgical Caregivers Of Fort Worth LLC
$11,960.00Published rateSurgery Centre Of Sw Florida LLC, Cape Health Surgery Center
$8,917.00Published rateNorth Bay Eye Associates A Medical Corporation, North Bay Eye Associates Asc
North Bay Eye Associates
$5,607.00Published rateMiami Asc Lp, The Endoscopy Center
Miami Asc Lp
$2,696.00Published rateSgfc Surgery Center, LLC, Sgfc Surgery Center
$966.00Published rate
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.
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 proposalCPT 22819 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 22819 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 22819 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.
| Code | Complexity | Description |
|---|---|---|
| 22818-CPT | High | Kyphectomy Circumferential Ex, Kyphectomy Circumferential Exposure Of Spine And Resection Of Vertebral Segment(S)Including Body And Posterior Elements) Single Or 2 Segments |
| 22819-CPT | High | Kyphectomy Circumferential Ex, Kyphectomy Circumferential Exposure Of Spine And Resection Of Vertebral Segment(S) (Including Body And Posterior Elements) 3 Or More Segments |
| 22830-CPT | High | Exploration Of Spinal Fusion |
| 22840-CPT | Moderate | Insert Spine Fixation Device, Posterior Non Segmental Instrumentation Eg Harrington Rod Technique Pedicle Fixation Across 1 Interspace Atlantoaxial Transarticular Screw Fixation Sublaminar Wiring At C1 Facet Screw Fixation List Separately In Addition To Code For Primary Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 22819. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 22819 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 22819) and we'll show you how you compare in 15 minutes or less.