How can I find out the estimated cost of a medical procedure or service before I receive it?

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.

What is a CPT code and why is it important for medical billing and pricing?

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.

Where can I look up the fee schedule or pricing for a specific CPT code in my area?

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.

How can I verify or compare the cost of a medical service provided by my insurance company or healthcare provider?

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.

What resources are available to help me understand medical bills and potential out-of-pocket expenses?

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.

CPT 62270 Fee Schedule

Last Verified: July 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	Injection, Drainage, or Aspiration Procedures on the Spine and Spinal Cord Surgical Procedures on the Spine and Spinal Cord
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

National average reimbursement for CPT 62270 by major payers:

$190.16

$200.38

$214.96

$233.56

Preview provider-level rates for...

For billing codeCPT 62270

Payer	Code	Rate	NPI	Tax ID	State	Specialty
United	62270	$439.00	1982978466 - NORTHWEST ENT SURGERY CENTER, LLC	453307193 - (GA) NORTHWEST ENT SURGERY CENTER LLC	GA	Ambulatory Surgical Clinic/Center (261QA1903X)
United	62270	$685.00	1366761397 - MEDINA-SUMMIT AMBULATORY SURGERY CENTER, THE MEDINA SURGERY CENTER	261421110 - (OH) SUMMA HEALTH, PENSION ADMINISTATION COMMITTEE	OH	Ambulatory Surgical Clinic/Center (261QA1903X)
United	62270	$550.00	1659731669 - PHOENIX ASC, LP, CARDIAC SURGERY CENTER OF PHOENIX	474334606	AZ	Ambulatory Surgical Clinic/Center (261QA1903X)
United	62270	$700.00	1093766735 - TAMPA BAY SURGERY CENTER ASSOCIATES,LTD	593210851 - (FL) TAMPA BAY SURGERY CENTER ASSOC	FL	Ambulatory Surgical Clinic/Center (261QA1903X)
United	62270	$1343.00	1922301712 - THE SURGERY CENTER AT WILLIAMSON LLC	270929515 - (TX) THE SURGERY CENTER AT WILLIAMSON LLC	TX	Ambulatory Surgical Clinic/Center (261QA1903X)
United	62270	$2172.00	1245798826 - SURGCENTER OF GREATER DALLAS, LLC., SURGCENTER OF GREATER DALLAS	831498677 - (TX) SURGCENTER OF GREATER DALLAS LLC	TX	Ambulatory Surgical Clinic/Center (261QA1903X)
United	62270	$1383.00	1649931072 - MEDICAL CITY SPECIALTY SURGICENTER OF DALLAS, LLC, MEDICAL CITY ORTHOPEDIC & SPINE SURGERY CENTER DALLAS	842824507 - (TX) MEDICAL CITY SPECIALTY SURGICENTER OF DALLAS LLC	TX	Ambulatory Surgical Clinic/Center (261QA1903X)
United	62270	$1829.97	1124022595 - THE OUTPATIENT SURGERY CENTER OF CEDAR RAPIDS, LLC, SURGERY CENTER CEDAR RAPIDS	721550812 - (IA) THE OUTPATIENT SURGERY CENTER OF CEDAR RAPIDS LLC	IA	Ambulatory Surgical Clinic/Center (261QA1903X)
United	62270	$550.00	1316604440 - GEORGIA INTERVENTIONAL PAIN	862695318 - (GA) GEORGIA INTERVENTIONAL PAIN	GA	Ambulatory Surgical Clinic/Center (261QA1903X)
United	62270	$322.00	1700263415 - NORTH POINT SURGERY CENTER, LLC	464488421 - (MO) NORTH POINT SURGERY CENTER LLC	MO	Ambulatory Surgical Clinic/Center (261QA1903X)
United	62270	$300.00	1306043617 - UROLOGY HEALTH SURGERY CENTER, LLC	260412126 - (PA) UROLOGY HEALTH SURGERY CENTER LLC	PA	Ambulatory Surgical Clinic/Center (261QA1903X)
United	62270	$298.00	1609399963 - INTERVENTIONAL SURGERY INSTITUTE OF WHITE HALL LLC	814296629 - (AR) INTERVENTIONAL SURGERY INSTITUTE OF WHITE HALL LLC	AR	Ambulatory Surgical Clinic/Center (261QA1903X)
United	62270	$459.00	1871586149 - DISCOVER VISION SURGERY & LASER CENTER LLC, DISCOVER VISION SURGERY & LASER CENTER	481244168 - (KS) DISCOVER VISION SURGERY LASER CENTER LLC	KS	Ambulatory Surgical Clinic/Center (261QA1903X)
United	62270	$956.00	1144287665 - CHANNEL ISLANDS SURGICENTER LP	770418197 - (CA) CHANNEL ISLANDS SURGICENTER LP	CA	Ambulatory Surgical Clinic/Center (261QA1903X)
United	62270	$671.00	1326048091 - LOURDES AMBULATORY SURGERY CENTER LLC	205588350	KY	Ambulatory Surgical Clinic/Center (261QA1903X)
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist

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CPT 62270 vs. Other Surgical Procedures on the Spine and Spinal Cord Codes

The CPT 62270 code is part of the Injection, Drainage, or Aspiration Procedures on the Spine and Spinal Cord services used for Surgical Procedures on the Spine and Spinal Cord. 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.

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