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See a sample rate comparisonCPT 63045 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 | $1,249.53 national non-facility rate (2026) · View Medicare rates for 63045 |
| Medicaid Fee Schedule | $957.43 median of the 8 states in the free preview · View Medicaid rates for 63045 |
National average reimbursement for CPT 63045 by major payers:

$1,643.17
BCBS / Anthem

$1,754.34
UnitedHealthcare

$1,922.67
Aetna

$2,088.88
Cigna
Choose a payer to see a sample of rates for CPT 63045.
Central Virginia Surgi-Center Lp, Surgi-Center Of Central Virginia
Central Virginia Surgicenter Lp
Atlanta Hand Specialist Surgery Center LLC
Midwest Surgery Center, L.C.
Midwest Surgery Center, LLC
Graystone Eye Surgery Center Of Hickory, Lp, Graystone Eye Surgery Center
Tri-State Gastroenterology Associates, Psc, Tri-State Digestive Disorder Center
Tri-State Gastroenterology Associates, Psc
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 63045 vs. Other Surgical Procedures on the Nervous System Codes
The table lists codes related to 63045. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 63044-CPT | Moderate | Laminotomy Addl Lumbar, Laminotomy Hemilaminectomy With Decompression Of Nerve Root S Including Partial Facetectomy Foraminotomy And Or Excision Of Herniated Intervertebral Disc Reexploration Single Interspace Each Additional Lumbar Interspace List Separately In Addition To Code For Primary Procedure |
| 63045-CPT | High | Lam Facetec Foramot Crv, Laminectomy Facetectomy And Foraminotomy Unilateral Or Bilateral With Decompression Of Spinal Cord Cauda Equina And Or Nerve Root S Eg Spinal Or Lateral Recess Stenosis Single Vertebral Segment Cervical |
| 63046-CPT | High | Lam Facetec Foramot Thrc, Laminectomy Facetectomy And Foraminotomy Unilateral Or Bilateral With Decompression Of Spinal Cord Cauda Equina And Or Nerve Root S Eg Spinal Or Lateral Recess Stenosis Single Vertebral Segment Thoracic |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 63045. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 63045 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 63045) and we'll show you how you compare in 15 minutes or less.
A CPT (Current Procedural Terminology) code is a five-digit numerical code used by healthcare providers to describe specific medical, surgical, and diagnostic services. Each service you receive, from a simple office visit to a complex surgery, has a corresponding CPT code. These codes are crucial for medical billing and are a standardized way for insurance companies to process claims and for patients to understand what services they are being billed for, making them important for comparing costs.
To find out the cost of a specific medical procedure or service, you can utilize tools designed for price transparency. For an estimate tailored to your situation, we recommend using Payerprice. Payerprice offers a fee schedule lookup tool that allows you to search for costs using a CPT code and your specific location. It's also wise to contact your insurance provider directly to understand your specific benefits, deductibles, and co-pays, as these will affect your out-of-pocket expenses.
Several factors influence the final price you pay for a medical service. These include the specific CPT code for the procedure, the healthcare provider's own fee schedule, the geographical location where the service is rendered, the type of facility (e.g., hospital, outpatient clinic, doctor's office), your insurance plan and whether the provider is in-network, your deductible status, and any co-payments or co-insurance. The negotiated rates between your insurance company and the provider also play a significant role.
Payerprice provides a valuable resource for healthcare price transparency. Its fee schedule lookup tool allows users to input a CPT code and a specific location to retrieve estimated costs for medical procedures and services. By offering access to this information, Payerprice empowers consumers to compare prices, budget for healthcare expenses, and make more informed decisions about their medical care before receiving services.