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See a sample rate comparisonCPT 63266 Fee Schedule
Medicare rates as of October 2026
CPT 63266 is classified under Surgery, in the Surgical Procedures on the Nervous System subgroup.
Remove Lesion From Spine, Surgery To Remove A Portion Of Vertebra (Spine) And Abnormal Tissue (Lesion) From The Spinal Cord In The Upper Back.
| 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 | AS - PA/NP/CNS assistant at surgery 78 - Return to OR - related procedure |
| Complexity Level | High |
| Medicare Fee Schedule | $1,658.02 national non-facility rate (2026) · View Medicare rates for 63266 |
| Medicaid Fee Schedule | $1,273.10 median of the 8 states in the free preview · View Medicaid rates for 63266 |
National average reimbursement for CPT 63266 by major payers:
$2,159.78
BCBS / Anthem
$2,344.86
UnitedHealthcare
$2,479.08
Aetna
$2,768.63
Cigna
Compare published rates across providers.
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CPT 63266
5 of 25 sample ratesHigher to lower in this preview
Saint Luke'S North Surgery Center, LLC
Saint Lukes North Surgery Center LLC
$15,525.00Published rateDmg Surgical Center LLC, Surgical Center Of Dupage Medical Group
$6,065.00Published rateRockwood Clinic Ps, Rockwood Eye Surgery Center
Multicare Health System
$3,236.00Published rateLos Angeles-Inglewood Endoscopy Lp, Airport Endoscopy Center
Los Angelesinglewood Endoscopy Lp
$2,266.00Published rateGeorgia Surgical Centers South, Inc
$1,191.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 63266 vs. Other Surgical Procedures on the Nervous System Codes
The table lists codes related to 63266. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 63265-CPT | High | Remove Lesion From Spine, Surgery To Remove A Portion Of Vertebra (Spine) And Abnormal Tissue (Lesion) From The Spinal Cord In The Neck. |
| 63266-CPT | High | Remove Lesion From Spine, Surgery To Remove A Portion Of Vertebra (Spine) And Abnormal Tissue (Lesion) From The Spinal Cord In The Upper Back. |
| 63267-CPT | High | Remove Lesion From Spine, Surgery To Remove A Portion Of Vertebra (Spine) And Abnormal Tissue (Lesion) From The Spinal Cord In The Mid-Lower Back. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 63266. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 63266 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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