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CPT 61570 Fee Schedule

Last Verified: November 2025

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.

Craniectomy/Craniotomy;Exc.For. Bdy
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Nervous System

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

Common Modifiers

None

78 - Return to OR - related procedure

GC - Service performed by resident under supervision

Complexity LevelHigh

National average reimbursement for CPT 61570 by major payers:

bcbs

$2,402.70

uhc

$2,534.80

aetna

$2,519.36

cigna

$3,063.64

Preview provider-level rates for...
For billing codeCPT 61570
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 61570

United
61570$326.001780699546 - CASCADES ENDOSCOPY CENTER, LLC, WHITEMARSH ENDOSCOPY CENTER203496335 - (MD) CASCADES ENDOSCOPY CENTER LLCMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
61570$1995.001902851009 - 90210 SURGERY MEDICAL CENTER, LLC, 90210 SURGERY MEDICAL CENTER AT LINDEN134341801 - (CA) 90210 SURGERY MEDICAL CENTERCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
61570$1028.001154323988 - CENTRAL VIRGINIA SURGI-CENTER LP, SURGI-CENTER OF CENTRAL VIRGINIA752967162 - (VA) CENTRAL VIRGINIA SURGICENTER LPVAAmbulatory Surgical Clinic/Center (261QA1903X)
United
61570$1124.001801825880 - SURGERY CENTER AT RIVER ROAD, LLC, AESTHETIC SURGERY AT HACIENDA DEL SOL760824670 - (AZ) SURGERY CENTER AT RIVER ROAD, LLCAZAmbulatory Surgical Clinic/Center (261QA1903X)
United
61570$560.001497851893 - CHINIKO LLC, EYE SURGERY CENTER931234805 - (OR) CHINIKO LLCORAmbulatory Surgical Clinic/Center (261QA1903X)
United
61570$1049.001154474583 - CREEKWOOD SURGERY CENTER, LP431656044 - (MO) CREEKWOOD SURGERY CENTER LPMOAmbulatory Surgical Clinic/Center (261QA1903X)
United
61570$100.001386277069 - SOUTHWEST ENDOSCOPY LLC261261804AZAmbulatory Surgical Clinic/Center (261QA1903X)
United
61570$840.001730401571 - CHILDRENS SURGERY CENTER LLC, ADVENTHEALTH SURGERY CENTER MAITLAND262389638 - (FL) CHILDRENS SURGERY CENTER LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
61570$5554.001427491547 - MEMORIAL HERMANN TEXAS INTERNATIONAL ENDOSCOPY CENTER, LLC, TEXAS INTERNATIONAL ENDOSCOPY CENTER462464605TXAmbulatory Surgical Clinic/Center (261QA1903X)
United
61570$509.001336112200 - MERCER COUNTY SURGERY CENTER LLC, MERCER COUNTY SURGERY CENTER223774069 - (NJ) MERCER COUNTY SURGERY CENTER, LLCNJAmbulatory Surgical Clinic/Center (261QA1903X)
United
61570$525.001053412189 - MILAN S CHAKRABARTY MD330537914 - (CA) MILAN S CHAKRABARTY MDCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
61570$2746.001336294859 - LOS ROBLES SURGICENTER, LLC, LOS ROBLES SURGICENTER770216847 - (CA) LOS ROBLES SURGICENTER LLCCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
61570$510.001770724122 - NATIONAL SURGICAL CENTERS OF AMERICA LLC, NSCOA264278807 - (FL) NATIONAL SURGICAL CENTERS OF AMERICA LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
61570$521.001295207579 - AGHAPY SURGICAL CENTER SC825243001 - (IL) AGHAPY SURGICAL CENTER SCILAmbulatory Surgical Clinic/Center (261QA1903X)
United
61570$707.001518338052 - CENTER FOR ADVANCED SURGERY LLC464112873 - (SC) CENTER FOR ADVANCED SURGERY, LLCSCAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 61570 vs. Other Surgical Procedures on the Nervous System Codes

The CPT 61570 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 61570 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.

CodeComplexityDescription
61522-CPTHighExcision Abscess Infratentorial
61524-CPTHighExcision Cyst Infratentorial
61566-CPTHighCraniotomy With Elevation Of Bone Flap; For Selective Amygdalohippocampectomy
61570-CPTHighCraniectomy/Craniotomy;Exc.For. Bdy

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 61570. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 61570 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.

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