Rate Benchmarking
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Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 62351 is classified under Surgery, in the Surgical Procedures on the Nervous System subgroup.
| 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 | AS - PA/NP/CNS assistant at surgery 80 - Assistant surgeon |
| Complexity Level | High |
| Medicare Fee Schedule | $914.18 national non-facility rate (2026) · View Medicare rates for 62351 |
| Medicaid Fee Schedule | $703.94 median of the 8 states in the free preview · View Medicaid rates for 62351 |
National average reimbursement for CPT 62351 by major payers:

$1,105.64
BCBS / Anthem

$1,171.26
UnitedHealthcare

$1,224.85
Aetna

$1,430.41
Cigna
Choose a payer to see a sample of rates for CPT 62351.
Fort Worth Endoscopy Centers, LLC, Southwest Fort Worth Endoscopy Center
Fort Worth Endoscopy Centers LLC
Prohealth Ambulatory Surgery Center Inc
North Idaho Pain Center LLC
Endoscopy Center Of North Carolina
Amy Sullivan
Deaconess Hospital Inc
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 62351 vs. Other Surgical Procedures on the Nervous System Codes
The table lists codes related to 62351. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 62350-CPT | Moderate | Implant Spinal Canal Cath, Implantation Revision Or Repositioning Of Tunneled Intrathecal Or Epidural Catheter For Long Term Medication Administration Via An External Pump Or Implantable Reservoir Infusion Pump Without Laminectomy |
| 62351-CPT | High | Implant Spinal Canal Cath, Implantation Revision Or Repositioning Of Tunneled Intrathecal Or Epidural Catheter For Long Term Medication Administration Via An External Pump Or Implantable Reservoir Infusion Pump With Laminectomy |
| 62355-CPT | Moderate | Remove Medication Device, Surgery To Remove A Tube (Catheter) Implanted Into The Space Around The Spinal Cord. The Catheter Was Used With A Medicine Pump Or Reservoir. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 62351. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 62351 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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