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See a sample rate comparisonCPT 63064 Fee Schedule
Medicare rates as of October 2026
CPT 63064 is classified under Surgery, in the Surgical Procedures on the Nervous System subgroup.
Decompress Spinal Cord Thrc, Costovertebral Approach With Decompression Of Spinal Cord Or Nerve Root S Eg Herniated Intervertebral Disc Thoracic Single Segment
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 19 - Off Campus Outpatient Hospital |
| Common Modifiers | AS - PA/NP/CNS assistant at surgery 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | $1,685.74 national non-facility rate (2026) · View Medicare rates for 63064 |
| Medicaid Fee Schedule | $1,295.855 median of the 8 states in the free preview · View Medicaid rates for 63064 |
National average reimbursement for CPT 63064 by major payers:
$2,117.37
BCBS / Anthem
$2,437.66
UnitedHealthcare
$2,507.28
Aetna
$2,869.77
Cigna
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CPT 63064
5 of 25 sample ratesHigher to lower in this preview
Central Louisiana Ambulatory Surgical Center LLC
Central Louisiana Surgical Hospital, LLC
$8,662.00Published rateSurgcenter At Paradise Valley, LLC, Surgcenter At Pima Crossing
Surgcenter At Paradise Valley
$6,365.00Published rateFertility Partners Of Pennsylvania Surgery Center, LLC
Fertility Partners Of Pennsylvania Surgery Center LLC
$5,100.00Published rateLegent Outpatient Surgery Euless, LLC, Legent Interventional Pain Center
Legent Outpatient Surgery Euless LLC
$3,239.00Published rateLeon Brook
Deaconess Hospital Inc
$1,378.09Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 63064 vs. Other Surgical Procedures on the Nervous System Codes
The table lists codes related to 63064. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 63057-CPT | Moderate | Decompress Spine Cord Add On, Transpedicular Approach With Decompression Of Spinal Cord Equina And Or Nerve Root S Eg Herniated Intervertebral Disc Single Segment Each Additional Segment Thoracic Or Lumbar List Separately In Addition To Code For Primary Procedure |
| 63064-CPT | High | Decompress Spinal Cord Thrc, Costovertebral Approach With Decompression Of Spinal Cord Or Nerve Root S Eg Herniated Intervertebral Disc Thoracic Single Segment |
| 63066-CPT | Moderate | Decompress Spine Cord Add On, Costovertebral Approach With Decompression Of Spinal Cord Or Nerve Root S Eg Herniated Intervertebral Disc Thoracic Each Additional Segment List Separately In Addition To Code For Primary Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 63064. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 63064 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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