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 comparisonHealthcare 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.
| 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 59 - Distinct Procedural Service AS - PA/NP/CNS assistant at surgery |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 63077 |
| Medicaid Fee Schedule | View Medicaid rates for 63077 |
National average reimbursement for CPT 63077 by major payers:

$1,854.78

$2,060.18

$2,124.75

$2,445.30
Choose a payer to see a sample of rates for CPT 63077.
Pacific Ritz Surgery Center LLC
Huron Gastro Endoscopy Center LLC
Tampa Fl Endoscopy Asc LLC
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 63077 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 63077 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 63077 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 |
|---|---|---|
| 63076-CPT | Moderate | Neck Spine Disk Surgery, Discectomy Anterior With Decompression Of Spinal Cord And Or Nerve Root S Including Osteophytectomy Cervical Each Additional Interspace List Separately In Addition To Code For Primary Procedure |
| 63077-CPT | High | Relieve Pinched Nerve In Spine, Surgery To Remove A Portion Of A Bulging (Herniated) Disc And Vertebral (Spine) Bone Spurs In Order To Relieve A Pinched Nerve In The Upper Back. |
| 63078-CPT | Moderate | Spine Disk Surgery Thorax, Discectomy Anterior With Decompression Of Spinal Cord And Or Nerve Root S Including Osteophytectomy Thoracic Each Additional Interspace 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 63077. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 63077 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 63077) and we'll show you how you compare in 15 minutes or less.