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 64583 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Revision Or Replacement Of Hyp, Revision Or Replacement Of Hypoglossal Nerve Neurostimulator Array And Distal Respiratory Sensor Electrode Or Electrode Array Including Connection Toexisting Pulse Generator
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None RT - Right side of body 52 - Reduced Services |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 64583 |
| Medicaid Fee Schedule | View Medicaid rates for 64583 |
National average reimbursement for CPT 64583 by major payers:
$999.37
$1,143.60
$1,139.26
$1,407.17
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 64583.
CPT 64583
5 of 25 sample ratesHigher to lower in this preview
Roc Surgery LLC, Riley Outpatient Surgery Center
Roc Surgery LLC
$13,928.00Published rateVirginia Mason Medical Center, Virginia Mason Lynnwood Asc
Virginia Mason Medical Center
$9,189.00Published rateAcute & Chronic Pain Management Center PA, Acute & Chronic Pain And Spine Center
Acute And Chronic Pain And Spine Center
$3,898.00Published rateWhite Oak Surgery Center
$1,234.00Published rateBrown Medicine, Brown Medicine Endoscopy Center
Brown Medicine
$700.00Published 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 64583 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64583 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 64583 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 |
|---|---|---|
| 64582-CPT | High | Open Impltj Hpglsl Nrv Nstim Ra Pg&Respir Sensor, Open Implantation Of Hypoglossal Nerve Neurostimulator Array Pulse Generator And Distal Respiratory Sensor Electrode O |
| 64583-CPT | Moderate | Revision Or Replacement Of Hyp, Revision Or Replacement Of Hypoglossal Nerve Neurostimulator Array And Distal Respiratory Sensor Electrode Or Electrode Array Including Connection Toexisting Pulse Generator |
| 64584-CPT | Moderate | Removal Hypoglossal Nerve Nstim Ra Pg&Respir Snr, Removal Of Hypoglossal Nerve Neurostimulator Array Pulse Generator And Distal Respiratory Sensor Electrode Or Electrod |
| 64585-CPT | Moderate | Revision Or Removal Of Periphe, Revision Or Removal Of Peripheral Neurostimulator Electrodesrevision Or Removal Of Peripheral Neurostimulator Electrodes |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64583. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64583 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 64583) and we'll show you how you compare in 15 minutes or less.