Rate Benchmarking
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See a sample rate comparisonCPT 63088 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 23 - Emergency Room |
| Common Modifiers | AS - PA/NP/CNS assistant at surgery 62 - Co-Surgeons |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $234.47 national non-facility rate (2026) · View Medicare rates for 63088 |
| Medicaid Fee Schedule | $192.23 median of the 8 states in the free preview · View Medicaid rates for 63088 |
National average reimbursement for CPT 63088 by major payers:

$319.85
BCBS / Anthem

$360.66
UnitedHealthcare

$389.76
Aetna

$424.60
Cigna
Choose a payer to see a sample of rates for CPT 63088.
Lindustries, LLC, Seventh Avenue Surgery Center
Lindustries LLC
St. Luke'S Hospital Of Duluth, Aspirus St Lukes Duluth Surgery Center
St Lukes Hospital Of Duluth
Casa Colina Surgery Center LLC
Casa Colina Surgery Center L.P.
Waterfront Surgery Center LLC
Waterfront Surgery Center
North Valley Endoscopy Center 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 63088 vs. Other Surgical Procedures on the Nervous System Codes
The table lists codes related to 63088. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 63087-CPT | High | Remov Vertbr Dcmprn Thrclmbr, Vertebral Corpectomy Vertebral Body Resection Partial Or Complete Combined Thoracolumbar Approach With Decompression Of Spinal Cord Cauda Equina Or Nerve Root S Lower Thoracic Or Lumbar Single Segment |
| 63088-CPT | Moderate | Remove Vertebral Body Add On, Vertebral Corpectomy Vertebral Body Resection Partial Or Complete Combined Thoracolumbar Approach With Decompression Of Spinal Cord Cauda Equina Or Nerve Root S Lower Thoracic Or Lumbar Each Additional Segment List Separately In Addition To Code For Primary Procedure |
| 63090-CPT | High | Remove Vert Body Dcmprn Lmbr, Vertebral Corpectomy Vertebral Body Resection Partial Or Complete Transperitoneal Or Retroperitoneal Approach With Decompression Of Spinal Cord Cauda Equina Or Nerve Root S Lower Thoracic Lumbar Or Sacral Single Segment |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 63088. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 63088 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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