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 61210 Fee Schedule
Last Verified: October 2026
Healthcare 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.
Pierce Skull Implant Device, Burr Hole S For Implanting Ventricular Catheter Reservoir Eeg Electrode S Pressure Recording Device Or Other Cerebral Monitoring Device Separate Procedure
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service 78 - Return to OR - related procedure |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 61210 |
| Medicaid Fee Schedule | View Medicaid rates for 61210 |
National average reimbursement for CPT 61210 by major payers:
$485.78
$514.54
$546.71
$594.96
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 61210.
CPT 61210
5 of 25 sample ratesHigher to lower in this preview
Gastrointestinal Associates Endoscopy Center, LLC
$3,201.00Published rateSummit Ambulatory Surgical Center, LLC
$1,049.00Published rateFresno Endoscopy Center
$604.00Published rateColumbus Endoscopy Center, Inc
Columbus Endoscopy Center Inc
$499.00Published rateFarshid Paydar Md PC, The Eye Clinic
Farshid Paydar Md PC
$100.00Published 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 61210 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61210 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 61210 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 |
|---|---|---|
| 61020-CPT | Low | Create Opening In Skull, A Procedure To Create An Opening Into The Skull Through A Previous Opening Or Implanted Tube (Catheter). The Procedure May Involve Injection Of Medication Through The Opening. |
| 61105-CPT | Moderate | Puncture Ventric W Twist Drill |
| 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 |
| 61210-CPT | Moderate | Pierce Skull Implant Device, Burr Hole S For Implanting Ventricular Catheter Reservoir Eeg Electrode S Pressure Recording Device Or Other Cerebral Monitoring Device Separate Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 61210. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61210 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 61210) and we'll show you how you compare in 15 minutes or less.