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 comparisonHealthcare 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.
| 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 GC - Service performed by resident under supervision AG - Primary physician |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 62328 |
| Medicaid Fee Schedule | View Medicaid rates for 62328 |
National average reimbursement for CPT 62328 by major payers:

$308.67

$354.67

$350.54

$168.60
Choose a payer to see a sample of rates for CPT 62328.
Westchester Medical Center Advanced Physician Services PC
Deaconess Hospital Inc
Town Center Orthopaedic Associates, P.C.
Advantagecare Physicians, P.C.
Town Center Orthopaedic Associates, P.C.
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 62328 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 62328 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 62328 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 |
|---|---|---|
| 62327-CPT | Moderate | Njx Interlaminar Lmbr Sac, Injection S Including Indwelling Catheter Placement Continuous Infusion Or Intermittent Bolus Of Diagnostic Or Therapeutic Substance S Eg Anesthetic Antispasmodic Opioid Steroid Other Solution Not Including Neurolytic Substances Interlaminar Epidural Or Subarachnoid Lumbar Or Sacral Caudal With Imaging Guidance Ie Fluoroscopy Or Ct |
| 62328-CPT | Moderate | 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. |
| 62329-CPT | Moderate | Ther Spi Pnxr Csf Fluor Ct, Spinal Puncture Therapeutic For Drainage Of Cerebrospinal Fluid By Needle Or Catheter With Fluoroscopic Or Ct Guidance |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 62328. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 62328 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.
Bring your top codes (like CPT 62328) and we'll show you how you compare in 15 minutes or less.