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See a sample rate comparisonCPT 64633 Fee Schedule
Medicare rates as of October 2026
CPT 64633 is classified under Surgery, in the Surgical Procedures on the Nervous System subgroup.
Destroy Cerv Thor Facet Jnt, Destruction By Neurolytic Agent Paravertebral Facet Joint Nerve S With Imaging Guidance Fluoroscopy Or Ct Cervical Or Thoracic Single Facet Joint
| 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 | $458.93 national non-facility rate (2026) · View Medicare rates for 64633 |
| Medicaid Fee Schedule | $361.99 median of the 8 states in the free preview · View Medicaid rates for 64633 |
National average reimbursement for CPT 64633 by major payers:
$547.29
BCBS / Anthem
$600.35
UnitedHealthcare
$621.12
Aetna
$702.72
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 64633.
CPT 64633
5 of 25 sample ratesHigher to lower in this preview
Portsmouth Surgicenter, LLC
Portsmouth Surgicenter LLC
$5,982.00Published rateFreeman Surgical Center LLC
Freeman Health System
$2,404.00Published ratePacific Cataract And Laser Institute, Inc., P.C.
Pacific Cataract And Laser Institute, Inc., PC
$1,514.00Published rateSki Ambulatory Surgical Centers, LLC
Ski Ambulatory Surgical Centers LLC
$975.00Published rateWest Wichita Family Physicians, P.A., West Wichita Surgery Center
West Wichita Family Physicians, P.A.
$505.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 64633 vs. Other Surgical Procedures on the Nervous System Codes
The table lists codes related to 64633. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 64633-CPT | Moderate | Destroy Cerv Thor Facet Jnt, Destruction By Neurolytic Agent Paravertebral Facet Joint Nerve S With Imaging Guidance Fluoroscopy Or Ct Cervical Or Thoracic Single Facet Joint |
| 64634-CPT | Moderate | Destroy C Th Facet Jnt Addl, Destruction By Neurolytic Agent Paravertebral Facet Joint Nerve S With Imaging Guidance Fluoroscopy Or Ct Cervical Or Thoracic Each Additional Facet Joint List Separately In Addition To Code For Primary Procedure |
| 64635-CPT | Moderate | Destruction By Neurolytic Agen, Destruction By Neurolytic Agent Paravertebral Facet Joint Nerve(S) With Imaging Guidance (Fluoroscopy Or Ct) Lumbar Or Sacral Single Facet Joint |
| 64636-CPT | Moderate | Destroy L S Facet Jnt Addl, Destruction By Neurolytic Agent Paravertebral Facet Joint Nerve S With Imaging Guidance Fluoroscopy Or Ct Lumbar Or Sacral Each Additional Facet Joint List Separately In Addition To Code For Primary Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64633. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64633 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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Frequently Asked Questions
CPT stands for Current Procedural Terminology. CPT codes are standardized numerical codes used by healthcare providers to describe medical, surgical, and diagnostic services to payers (like insurance companies) for reimbursement. They are essential for accurate billing and record-keeping.
To find out the cost of a medical procedure, you can start by contacting your healthcare provider's billing department for an estimate. It's also highly recommended to contact your insurance company directly to understand your specific benefits, deductibles, co-pays, and co-insurance for the procedure. For a general understanding of fee schedules based on CPT codes and specific locations, you can use tools like Payerprice to search for typical rates.
The 'charged' amount is the price the healthcare provider initially bills for a service, often referred to as the 'list price.' The 'allowed' amount, also known as the 'negotiated rate,' is the maximum amount an insurance company will pay for a covered service. Providers who are in-network with your insurance plan have agreed to accept the allowed amount as full payment for the service, with you being responsible for any deductibles, co-pays, or co-insurance.
Your insurance plan significantly affects your out-of-pocket costs through various mechanisms: - **Deductible:** The amount you must pay out of pocket before your insurance starts to cover costs. - **Co-pay:** A fixed amount you pay for a covered service after your deductible has been met. - **Co-insurance:** A percentage of the cost of a covered service you pay after your deductible has been met. - **Out-of-Pocket Maximum:** The maximum amount you will have to pay for covered services in a plan year. Once this limit is reached, your insurance typically pays 100% of covered costs. Your plan also determines which providers are in-network (lower cost) versus out-of-network (higher cost).
To find information about standard fees for medical services in your area, you can use specialized tools designed for this purpose. Payerprice offers a fee schedule lookup tool where you can search with specific CPT codes and your location to get insights into typical reimbursement rates and costs. Additionally, many insurance companies provide cost estimator tools specific to your plan, and you can always request a "Good Faith Estimate" from your healthcare provider.