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 comparisonHealthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital 23 - Emergency Room 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 61107 |
| Medicaid Fee Schedule | View Medicaid rates for 61107 |
National average reimbursement for CPT 61107 by major payers:

$398.44

$440.12

$480.12

$509.73
Choose a payer to see a sample of rates for CPT 61107.
Baptist Medical Park Surgery Center LLC
Naeem M. Akhtar, M.D.
The Surgical Center Of Greater Annapolis Inc
Elkins Asc 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 61107 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61107 code is part of the Surgery services used for Surgical Procedures on the Nervous 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 61107 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 |
|---|---|---|
| 61107-CPT | Moderate | Drill Skull For Implantation, Twist Drill Hole S For Subdural Intracerebral Or Ventricular Puncture For Implanting Ventricular Catheter Pressure Recording Device Or Other Intracerebral Monitoring Device |
| 61108-CPT | High | Tdh Pnxr Evac&/Drg Sdrl Hmta, Twist Drill Hole(S) For Subdural Intracerebral Or Ventricular Puncture; For Evacuation And/Or Drainage Of Subdural Hematoma |
| 61215-CPT | Moderate | Insert Brain Fluid Device, Insertion Of Subcutaneous Reservoir Pump Or Continuous Infusion System For Connection To Ventricular Catheter |
| 61314-CPT | High | Rnec/Crnot Ittl Xdrl/Sdrl, Removal Of Skull Bone For Aspiration Of Blood Accumulation In Lower Brain Outside Or Below Brain Membrane |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 61107. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61107 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.
Bring your top codes (like CPT 61107) and we'll show you how you compare in 15 minutes or less.