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 63001 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Remove Spine Lamina 1 2 Crvl, Laminectomy With Exploration And Or Decompression Of Spinal Cord And Or Cauda Equina Without Facetectomy Foraminotomy Or Discectomy Eg Spinal Stenosis 1 Or 2 Vertebral Segments Cervical
| 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 AS - PA/NP/CNS assistant at surgery 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 63001 |
| Medicaid Fee Schedule | View Medicaid rates for 63001 |
National average reimbursement for CPT 63001 by major payers:
$1,553.66
$1,683.93
$1,820.10
$1,994.71
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 63001.
CPT 63001
5 of 25 sample ratesHigher to lower in this preview
Pediatric Surgery Centers, LLC
$8,394.00Published rateMaple Grove Center For Restorative Surgery
Center For Restorative Surgery At Maple Grove LLC
$4,627.00Published rateFairfax Colon & Rectal Surgery Center, LLC
$2,605.00Published rateJacksonville Beach Surgery Center, LLC, Jacksonville Beach Surgery Center
Jacksonville Beach Surgery Center LLC
$1,600.00Published rateThe Eye Surgical Center Of Fort Wayne, LLC
The Eye Surgical Center Of Fort Wayne LLC
$747.00Published 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 63001 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 63001 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 63001 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 |
|---|---|---|
| 62380-CPT | High | Ndsc Dcmprn 1 Ntrspc Lumbar, Endoscopic Decompression Of Spinal Cord Nerve Root S Including Laminotomy Partial Facetectomy Foraminotomy Discectomy And Or Excision Of Herniated Intervertebral Disc 1 Interspace Lumbar |
| 63001-CPT | High | Remove Spine Lamina 1 2 Crvl, Laminectomy With Exploration And Or Decompression Of Spinal Cord And Or Cauda Equina Without Facetectomy Foraminotomy Or Discectomy Eg Spinal Stenosis 1 Or 2 Vertebral Segments Cervical |
| 63003-CPT | High | Remove Spine Lamina 1 2 Thrc, Laminectomy With Exploration And Or Decompression Of Spinal Cord And Or Cauda Equina Without Facetectomy Foraminotomy Or Discectomy Eg Spinal Stenosis 1 Or 2 Vertebral Segments Thoracic |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 63001. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 63001 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 63001) and we'll show you how you compare in 15 minutes or less.