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 61585 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.
Orbitocranial Approach Skull, Orbitocranial Approach To Anterior Cranial Fossa Extradural Including Supraorbital Ridge Osteotomy And Elevation Of Frontal And Or Temporal Lobe S With Orbital Exenteration
| 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 62 - Co-Surgeons AS - PA/NP/CNS assistant at surgery 22 - Increased Procedural Services |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 61585 |
| Medicaid Fee Schedule | View Medicaid rates for 61585 |
National average reimbursement for CPT 61585 by major payers:
$4,543.80
$4,339.83
$4,492.27
$5,173.20
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 61585.
CPT 61585
5 of 25 sample ratesHigher to lower in this preview
Ucsd Ambulatory Surgery Center, LLC, University Ambulatory Surgery Center
$4,225.00Published rateCardiovascular Center Of Texas, LLC
Cardiovascular Center Of Texas LLC
$1,572.00Published rateSurgery Center At University Park, LLC, Premier Surgery Center Of Sarasota
Surgery Center At University Park LLC
$983.00Published rateLake County Pain & Diagnostic
Lake County Pain Diagnostic
$580.00Published rateBrookstone Ambulatory Surgery Center
$280.00Published 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 61585 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61585 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 61585 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 |
|---|---|---|
| 61580-CPT | High | Craniofacial Approach Skull, Craniofacial Approach To Anterior Cranial Fossa Extradural Including Lateral Rhinotomy Ethmoidectomy Sphenoidectomy Without Maxillectomy Or Orbital Exenteration |
| 61581-CPT | High | Craniofacial Approach Skull, Craniofacial Approach To Anterior Cranial Fossa Extradural Including Lateral Rhinotomy Orbital Exenteration Ethmoidectomy Sphenoidectomy And Or Maxillectomy |
| 61582-CPT | High | Craniofacial Approach Skull, Craniofacial Approach To Anterior Cranial Fossa Extradural Including Unilateral Or Bifrontal Craniotomy Elevation Of Frontal Lobe S Osteotomy Of Base Of Anterior Cranial Fossa |
| 61585-CPT | High | Orbitocranial Approach Skull, Orbitocranial Approach To Anterior Cranial Fossa Extradural Including Supraorbital Ridge Osteotomy And Elevation Of Frontal And Or Temporal Lobe S With Orbital Exenteration |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 61585. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61585 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 61585) and we'll show you how you compare in 15 minutes or less.