Rate Benchmarking
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See a sample rate comparisonCPT 63017 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 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | $1,245.19 national non-facility rate (2026) · View Medicare rates for 63017 |
| Medicaid Fee Schedule | $961.645 median of the 8 states in the free preview · View Medicaid rates for 63017 |
National average reimbursement for CPT 63017 by major payers:

$1,579.55
BCBS / Anthem

$1,712.33
UnitedHealthcare

$1,853.07
Aetna

$2,040.23
Cigna
Choose a payer to see a sample of rates for CPT 63017.
Westside Outpatient Center, LLC, Palms Wellington Surgical Center
Westside Outpatient Center, LLC
Medical City Surgery Center Of Allen, LLC
Apex Ambulatory Surgery Center Inc
Deaconess Hospital, Inc, <Unavail>
Deaconess Hospital Inc
Certified Ambulatory Surgery Center, Casc
Certified Ambulatory Surgery Center
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 63017 vs. Other Surgical Procedures on the Nervous System Codes
The table lists codes related to 63017. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 63016-CPT | High | Remove Spine Lamina 2 Thrc, Laminectomy With Exploration And Or Decompression Of Spinal Cord And Or Cauda Equina Without Facetectomy Foraminotomy Or Discectomy Eg Spinal Stenosis More Than 2 Vertebral Segments Thoracic |
| 63017-CPT | High | Remove Spine Lamina 2 Lmbr, Laminectomy With Exploration And Or Decompression Of Spinal Cord And Or Cauda Equina Without Facetectomy Foraminotomy Or Discectomy Eg Spinal Stenosis More Than 2 Vertebral Segments Lumbar |
| 63020-CPT | High | Laminotomy (Hemilaminectomy) With Decompression Of Nerve Root(S) Including Partial Facetectomy Foraminotomy And/Or Excision Of Herniated Intervertebral Disk Including Open And Endoscopically- Assisted Approaches; 1 Interspace Cervical |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 63017. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 63017 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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