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 62270 Fee Schedule
Last Verified: September 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.
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 | None AG - Primary physician GC - Service performed by resident under supervision |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 62270 |
| Medicaid Fee Schedule | View Medicaid rates for 62270 |
National average reimbursement for CPT 62270 by major payers:
$190.16
$200.38
$214.96
$233.56
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
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 62270 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 62270 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 62270 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 |
|---|---|---|
| 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 62270) and we'll show you how you compare in 15 minutes or less.