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 61156 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.
Burr Holes;Aspir.Hematma/Cyst,Intra
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital 23 - Emergency Room 11 - Office |
| Common Modifiers | None 58 - Staged or related procedure during postoperative period 59 - Distinct Procedural Service |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 61156 |
| Medicaid Fee Schedule | View Medicaid rates for 61156 |
National average reimbursement for CPT 61156 by major payers:
$1,774.09
$1,696.90
$1,704.31
$1,994.20
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 61156.
CPT 61156
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Kirby, LLC, Memorial Hermann Surgery Center Kirby Glen
$4,893.00Published rateLone Star Endoscopy Center, LLC
$1,955.00Published rateCastle Rock Surgicenter, LLC
$874.00Published rateAlliance Surgery Center At Sandy Springs LLC
$523.00Published rateQ Corp Surgery Center Inc, Afp Surgery Center
Q Corp Surgery Center Inc
$229.00Published 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 61156 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61156 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 61156 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 |
|---|---|---|
| 61070-CPT | Low | Puncture Of Shunt Tubing Or R, Puncture Of Shunt Tubing Or Reservoir For Aspiration Orinjection Procedure Puncture Of Shunt Tubing Or Reservoir For Aspiration Or |
| 61154-CPT | High | Burr Hole(S) W/ Evacuat &/Or Drain Of Hematom Extradural O, Burr Hole(S) With Evacuation And/Or Drainage Of Hematoma Extradural O |
| 61156-CPT | High | Burr Holes;Aspir.Hematma/Cyst,Intra |
| 61518-CPT | High | Craniectomy For Excision Of Br, Craniectomy For Excision Of Brain Tumor Infratentorial Orposterior Fossa Except Meningioma Cerebellopontine Angle Tumor Or Midline Tumor At Base Of Skull |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 61156. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61156 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 61156) and we'll show you how you compare in 15 minutes or less.