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See a sample rate comparisonCPT 63191 Fee Schedule
Medicare rates as of October 2026
CPT 63191 is classified under Surgery, in the Surgical Procedures on the Nervous System subgroup.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 22 - On Campus Outpatient Hospital |
| Common Modifiers | AS - PA/NP/CNS assistant at surgery |
| Complexity Level | High |
| Medicare Fee Schedule | $1,376.79 national non-facility rate (2026) · View Medicare rates for 63191 |
| Medicaid Fee Schedule | $1,056.77 median of the 8 states in the free preview · View Medicaid rates for 63191 |
National average reimbursement for CPT 63191 by major payers:
$1,876.69
BCBS / Anthem
$1,831.92
UnitedHealthcare
$1,859.67
Aetna
$2,186.75
Cigna
Compare published rates across providers.
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CPT 63191
5 of 25 sample ratesHigher to lower in this preview
Indiana Endoscopy Centers LLC, Indiana Endoscopy Center West
$13,928.00Published rateOlney Endoscopy Center
$8,730.00Published rateOrlando Orthopaedic Outpatient Surgery Center LLC
$5,000.00Published rateRush Surgicenter At The Professional Building Ltd. Partnership, Rush Surgicenter Ltd. Partnership
Rush Surgicenter, Ltd.
$2,225.00Published rateSt Clair Shores Mi Ophthalmology Asc LLC
$1,250.00Published rate
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See a sample payer proposalCPT 63191 vs. Other Surgical Procedures on the Nervous System Codes
The table lists codes related to 63191. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 63190-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. |
| 63191-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. |
| 63197-CPT | High | Surgery On The Spinal Nerves, Surgery To Remove One Or More Bones Of The Spine (Vertebrae) And Disable Nerves In The Spinal Cord That Transmit Pain Signals To The Brain. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 63191. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 63191 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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