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See a sample rate comparisonCPT 62270 Fee Schedule
Medicare rates as of October 2026
CPT 62270 is classified under Surgery, in the Surgical Procedures on the Nervous System subgroup.
Spinal Fluid Biopsy, A Procedure To Insert A Needle Into The Spine Of The Lower Back In Order To Remove A Sample Of Spinal Fluid For Testing (Biopsy). This Procedure Is Often Called A Spinal Puncture.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 23 - Emergency Room 21 - Inpatient Hospital |
| Common Modifiers | AG - Primary physician GC - Service performed by resident under supervision |
| Complexity Level | Low |
| Medicare Fee Schedule | $165.00 national non-facility rate (2026) · View Medicare rates for 62270 |
| Medicaid Fee Schedule | $129.96 median of the 8 states in the free preview · View Medicaid rates for 62270 |
National average reimbursement for CPT 62270 by major payers:
$190.16
BCBS / Anthem
$200.38
UnitedHealthcare
$214.96
Aetna
$233.56
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 62270.
CPT 62270
5 of 25 sample ratesHigher to lower in this preview
Surgcenter Of Greater Dallas, LLC., Surgcenter Of Greater Dallas
Surgcenter Of Greater Dallas LLC
$2,172.00Published rateChannel Islands Surgicenter Lp
$956.00Published rateTexarkana Surgery Center Lp
$609.00Published rateDiscover Vision Surgery & Laser Center LLC, Discover Vision Surgery & Laser Center
Discover Vision Surgery Laser Center LLC
$459.00Published rateInterventional Surgery Institute Of White Hall LLC
$298.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 62270 vs. Other Surgical Procedures on the Nervous System Codes
The table lists codes related to 62270. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 62269-CPT | Moderate | Needle Biopsy Of Spinal Cord, A Procedure To Insert A Needle Into The Spinal Cord In Order To Remove Tissue For Testing (Biopsy). |
| 62270-CPT | Low | Spinal Fluid Biopsy, A Procedure To Insert A Needle Into The Spine Of The Lower Back In Order To Remove A Sample Of Spinal Fluid For Testing (Biopsy). This Procedure Is Often Called A Spinal Puncture. |
| 62272-CPT | Moderate | Drain Spinal Fluid, Insertion Of A Needle Into The Spine In Order To Remove Spinal Fluid. The Procedure Is Often Called A Spinal Puncture. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 62270. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 62270 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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Frequently Asked Questions
To get an estimate for a medical procedure or service, especially one tailored to your specific location and CPT code, you should use a tool designed for price transparency. Payerprice offers a fee schedule lookup tool where you can search with the CPT code and your specific location to find relevant pricing information. This can help you understand potential costs and compare options.
A CPT (Current Procedural Terminology) code is a five-digit numerical code used by healthcare providers to describe medical, surgical, and diagnostic services and procedures performed. These codes are crucial for medical billing, insurance claims, and price transparency because they standardize the identification of services, allowing for consistent communication between providers, payers, and patients regarding specific treatments and their associated costs.
To find fee schedules or specific pricing for a CPT code in your location, you can utilize price transparency tools. Payerprice provides a fee schedule lookup tool that allows users to search by CPT code and specific location to access detailed pricing information. This helps you understand the costs associated with different medical services.
If you want to verify or compare the cost of a medical service, especially against an estimate from your insurance company or provider, you can use a healthcare price transparency tool. Payerprice offers a fee schedule lookup tool that allows you to search with the CPT code and your specific location to find out average or negotiated prices for services, helping you to compare and confirm costs.
Understanding medical bills and out-of-pocket expenses can be complex. Start by reviewing your Explanation of Benefits (EOB) from your insurance company and comparing it to the provider's bill. For specific service pricing and to estimate potential costs based on CPT codes and your location, you can use Payerprice's fee schedule lookup tool. Additionally, don't hesitate to contact your healthcare provider's billing department or your insurance company directly for clarification on any charges.