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 64625 Fee Schedule
Medicare rates as of October 2026
CPT 64625 is classified under Surgery, in the Surgical Procedures on the Nervous System subgroup.
Treat Pain In Hip And Spine, An Electrical Current Produced By A Radio Wave Is Used To Heat Up A Small Area Of Nerve Tissue At The Joint Of The Spine And Hip. This Procedure (Radiofrequency Ablation) Is Used To Treat Chronic Pain.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 24 - Ambulatory Surgical Center 11 - Office |
| Common Modifiers | RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $495.67 national non-facility rate (2026) · View Medicare rates for 64625 |
| Medicaid Fee Schedule | $381.735 median of the 8 states in the free preview · View Medicaid rates for 64625 |
National average reimbursement for CPT 64625 by major payers:
$618.66
BCBS / Anthem
$681.27
UnitedHealthcare
$668.52
Aetna
$796.84
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 64625.
CPT 64625
5 of 25 sample ratesHigher to lower in this preview
Texas Health Arlington Memorial Hospital
$6,245.00Published rateDay Surgery Center Of North Texas Ltd
$3,500.00Published rateAscension Saint Thomas Lebanon Surgery Center LLC, Lebanon Surgery Center
$2,101.00Published rateLegacy Surgery Center LLC
$1,309.00Published rateG.I.Endoscopy Center
Giendoscopy Center
$390.00Published 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 64625 vs. Other Surgical Procedures on the Nervous System Codes
The table lists codes related to 64625. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 64620-CPT | Moderate | Inject Nerve For Pain Control, An Injection Into A Nerve To Deaden The Sensation Of Pain At A Location. |
| 64624-CPT | Moderate | Destruction By Neurolytic Agen, Destruction By Neurolytic Agent Genicular Nerve Branches Including Imaging Guidance When Performed |
| 64625-CPT | Moderate | Treat Pain In Hip And Spine, An Electrical Current Produced By A Radio Wave Is Used To Heat Up A Small Area Of Nerve Tissue At The Joint Of The Spine And Hip. This Procedure (Radiofrequency Ablation) Is Used To Treat Chronic Pain. |
| 64630-CPT | Moderate | Destruct Neurolytic Pudendal |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64625. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64625 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 64625) and we'll show you how you compare in 15 minutes or less.