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See a sample rate comparisonCPT 63035 Fee Schedule
Medicare rates as of October 2026
CPT 63035 is classified under Surgery, in the Surgical Procedures on the Nervous System subgroup.
Spinal Disk Surgery Add On, Laminotomy Hemilaminectomy With Decompression Of Nerve Root S Including Partial Facetectomy Foraminotomy And Or Excision Of Herniated Intervertebral Disc Each Additional Interspace Cervical Or Lumbar List Separately In Addition To Code For Primary Procedure
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $206.42 national non-facility rate (2026) · View Medicare rates for 63035 |
| Medicaid Fee Schedule | $157.68 median of the 8 states in the free preview · View Medicaid rates for 63035 |
National average reimbursement for CPT 63035 by major payers:
$309.33
BCBS / Anthem
$273.61
UnitedHealthcare
$327.44
Aetna
$348.24
Cigna
Compare published rates across providers.
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CPT 63035
5 of 25 sample ratesHigher to lower in this preview
Surgicare Of La Veta Inc., Barranca Surgery Center
$7,995.00Published rateMemorial Hermann Surgery Center, Memorial Hermann Surgery Center, The Woodlands
Memorial Hermann Surgery Center
$1,831.00Published ratePhysicians Surgery Center At Good Samaritan, LLC, Good Samaritan Surgery Center
Physicians Surgery Center At Good Samaritan LLC
$663.00Published rateLutherville Surgery Center, LLC
Lutherville Surgery Center LLC
$181.00Published rateThe Eye Surgical Center Of Fort Wayne, LLC
The Eye Surgical Center Of Fort Wayne LLC
$68.00Published rate
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See a sample payer proposalCPT 63035 vs. Other Surgical Procedures on the Nervous System Codes
The table lists codes related to 63035. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 63030-CPT | High | Laminotomy (Hemilaminectomy), Laminotomy (Hemilaminectomy) With Decompression Of Nerve Root(S) Including Partial Facetectomy Foraminotomy Andor Excision Of Herniated Intervertebral Disc Including Open And Endoscopically-Assis |
| 63035-CPT | Moderate | Spinal Disk Surgery Add On, Laminotomy Hemilaminectomy With Decompression Of Nerve Root S Including Partial Facetectomy Foraminotomy And Or Excision Of Herniated Intervertebral Disc Each Additional Interspace Cervical Or Lumbar List Separately In Addition To Code For Primary Procedure |
| 63040-CPT | High | Surgery For Pinched Nerve, Additional Surgery To Relieve Pressure On A Nerve In The Spine. The Surgery May Include The Removal Of Part Of A Spine Bone (Vertebra) And/Or The Removal Of A Bulging Disc (The Cushion Between The Vertebra). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 63035. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 63035 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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