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 63305 Fee Schedule
Last Verified: October 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.
Remove Vert Idrl Body Thrc, Vertebral Corpectomy Vertebral Body Resection Partial Or Complete For Excision Of Intraspinal Lesion Single Segment Intradural Thoracic By Transthoracic Approach
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital |
| Common Modifiers | None 58 - Staged or related procedure during postoperative period AS - PA/NP/CNS assistant at surgery |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 63305 |
| Medicaid Fee Schedule | View Medicaid rates for 63305 |
National average reimbursement for CPT 63305 by major payers:
$3,001.61
$3,346.01
$3,449.30
$4,050.82
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 63305.
CPT 63305
5 of 25 sample ratesHigher to lower in this preview
Aurora Gi Asc LLC, Wisconsin Digestive Health Center
Aurora Gi Asc LLC
$16,050.00Published rateCascade Endoscopy Center, LLC, Cascade Endoscopy Center
Cascade Endoscopy Center, LLC
$915.00Published ratePacific Cataract And Laser Institute, Inc., P.C.
Pacific Cataract And Laser Institute, Inc., PC
$624.00Published rateNovamed Surgery Center Of Jonesboro, LLC, Eye Surgery Center Of Arkansas
Novamed Surgery Center Of Jonesboro LLC
$369.00Published rateGlen Endoscopy Center, LLC
The Glen Endoscopy Center, LLC
$110.00Published 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 63305 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 63305 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 63305 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 |
|---|---|---|
| 63271-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. |
| 63276-CPT | High | Spine Surgery For Tumor, Surgery To Remove A Tumor Located Inside The Spine In The Middle Back. The Procedure Requires Removing A Spine Bone (Vertebra) And May Include Removing A Sample Of Tissue For Testing (Biopsy). |
| 63281-CPT | High | Spine Surgery For Tumor, Surgery To Remove A Tumor Located Inside The Spine In The Middle Back. The Procedure Requires Removing A Spine Bone (Vertebra) And May Include Removing A Sample Of Tissue For Testing (Biopsy). |
| 63305-CPT | High | Remove Vert Idrl Body Thrc, Vertebral Corpectomy Vertebral Body Resection Partial Or Complete For Excision Of Intraspinal Lesion Single Segment Intradural Thoracic By Transthoracic Approach |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 63305. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 63305 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 63305) and we'll show you how you compare in 15 minutes or less.