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 22857 Fee Schedule
Medicare rates as of October 2026
CPT 22857 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Tot Disc Arthrp 1ntrspc Lmbr, Total Disc Arthroplasty Artificial Disc Anterior Approach Including Discectomy To Prepare Interspace Other Than For Decompression Single Interspace Lumbar
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21Inpatient Hospital 22On Campus Outpatient Hospital |
| Common Modifiers | 62Co-Surgeons ASPA/NP/CNS assistant at surgery |
| Hospital Outpatient Group (APC) | APC 5116 - Level 6 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | J8 - Device-intensive procedure, paid at an adjusted rate |
| Add-on Codes | 22860 |
| Common Revenue Codes | 0360 |
| Medicare Fee Schedule | $1,568.84 national non-facility rate (2026)View Medicare rates for 22857 |
| Medicaid Fee Schedule | $1,289.945 median of the 8 states in the free previewView Medicaid rates for 22857 |
National average reimbursement for CPT 22857 by major payers:
$2,268.46
BCBS / Anthem
$2,337.77
UnitedHealthcare
$2,479.03
Aetna
$2,837.73
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 22857.
CPT 22857
5 of 25 sample ratesHigher to lower in this preview
Northern Virginia Surgery Center LLC
$22,475.00Published rateThe Emory Clinic Inc., Emory Aesthetic Center
Emory University
$10,306.00Published rateEnt Surgery Center Of Augusta, LLC
Ent Surgery Center Of Augusta LLC
$7,608.00Published rateCoastal Endo, LLC, Coastal Endoscopy Center
$2,889.00Published rateCrystal River Endoscopy Asc Lp, Citrus Endoscopy & Surgery Center
Crystal River Endoscopy Asc Lp
$935.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Looking for other data?
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 22857 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 22857. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 22857-CPT | Tot Disc Arthrp 1ntrspc Lmbr, Total Disc Arthroplasty Artificial Disc Anterior Approach Including Discectomy To Prepare Interspace Other Than For Decompression Single Interspace Lumbar |
| 22860-CPT | Tot Disc Arthrp 2ntrspc Lmbr, Total Disc Arthroplasty Artificial Disc Anterior Approach Including Discectomy To Prepare Interspace Other Than For Decompression Second Interspace Lumbar List Separately In Addition To Code For Primary Procedure |
| 22862-CPT | Once Per Dos Revision Including Replacement Of Total Disc Arthroplasty, Anterior Approach, Single Interspace; Lumbar - Deny Inv/N10 Except Uhs <12/31/2020 |
| 22865-CPT | Remval Of Total Disc Arthroplst (Artifici Disc) Anterio Approac, Removal Of Total Disc Arthroplasty (Artificial Disc) Anterior Approac |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 22857. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 22857 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 22857) and we'll show you how you compare in 15 minutes or less.
Frequently Asked Questions
What APC is CPT 22857 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 22857 to APC 5116 (Level 6 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 22857 in an ambulatory surgery center?
CMS lists CPT 22857 with ASC payment indicator J8: Device-intensive procedure, paid at an adjusted rate.
Which add-on codes are billed with CPT 22857?
CMS add-on code edits list CPT 22857 as a primary code for these add-on codes: 22860.
Which revenue codes are billed with CPT 22857?
Hospital price transparency files list CPT 22857 under these revenue codes: 0360. A revenue code names the hospital department or charge category for the line; it does not change what the service is.