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 comparisonCPT 63173 Fee Schedule
Last Verified: September 2026
Healthcare 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.
Drain Cyst On Spinal Cord, Surgery To Remove A Portion Of Vertebra (Spine) And To Drain A Fluid-Filled Sac (Cyst) On The Spinal Cord.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital |
| Common Modifiers | None 62 - Co-Surgeons 22 - Increased Procedural Services |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 63173 |
| Medicaid Fee Schedule | View Medicaid rates for 63173 |
National average reimbursement for CPT 63173 by major payers:
$2,190.48
$2,342.99
$2,376.61
$2,832.20
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 63173.
CPT 63173
5 of 25 sample ratesHigher to lower in this preview
Nmc Surgery Center, L.P., The Surgery Center Of Nacogdoches
Nmc Surgery Center Lp
$9,043.00Published rateShriners Hospitals For Children, Shriners Hospitals For Children - Erie Ambulatory Surgery Center
Shriners Hospitals For Children
$2,375.00Published rateRichmond Asc LLC, Richmond Pain Management Asc
Richmond Asc LLC
$875.00Published rateCentral Florida Eye Institute Pl
$500.00Published rateThe Surgery & Endoscopy Center LLC
The Surgery Endoscopy Center LLC
$163.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 63173 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 63173 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 63173 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 |
|---|---|---|
| 63172-CPT | High | Drain Cyst On Spinal Cord, Surgery To Remove A Portion Of Vertebra (Spine) And To Drain A Fluid-Filled Sac (Cyst) On The Spinal Cord. |
| 63173-CPT | High | Drain Cyst On Spinal Cord, Surgery To Remove A Portion Of Vertebra (Spine) And To Drain A Fluid-Filled Sac (Cyst) On The Spinal Cord. |
| 63185-CPT | High | Surgery To Cut Spinal Nerves, Surgery To Remove One Or More Bones Of The Spine (Vertebrae) And Sever Nerves In The Spinal Cord. This Procedure Relieves Muscle Spasm And Pain. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 63173. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 63173 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 63173) and we'll show you how you compare in 15 minutes or less.