Rate Benchmarking
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Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 63173 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 |
| Common Modifiers | 62 - Co-Surgeons 22 - Increased Procedural Services |
| Complexity Level | High |
| Medicare Fee Schedule | $1,697.10 national non-facility rate (2026) · View Medicare rates for 63173 |
| Medicaid Fee Schedule | $1,297.505 median of the 8 states in the free preview · View Medicaid rates for 63173 |
National average reimbursement for CPT 63173 by major payers:

$2,190.48
BCBS / Anthem

$2,342.99
UnitedHealthcare

$2,376.61
Aetna

$2,832.20
Cigna
Choose a payer to see a sample of rates for CPT 63173.
Nmc Surgery Center, L.P., The Surgery Center Of Nacogdoches
Nmc Surgery Center Lp
Shriners Hospitals For Children, Shriners Hospitals For Children - Erie Ambulatory Surgery Center
Shriners Hospitals For Children
Richmond Asc LLC, Richmond Pain Management Asc
Richmond Asc LLC
Central Florida Eye Institute Pl
The Surgery & Endoscopy Center LLC
The Surgery 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 63173 vs. Other Surgical Procedures on the Nervous System Codes
The table lists codes related to 63173. Select one to see its fee schedule.
| 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.
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