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 64634 Fee Schedule
Last Verified: September 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.
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
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 24 - Ambulatory Surgical Center 11 - Office |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 64634 |
| Medicaid Fee Schedule | View Medicaid rates for 64634 |
National average reimbursement for CPT 64634 by major payers:
$276.46
$275.08
$318.08
$369.39
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 64634.
CPT 64634
5 of 25 sample ratesHigher to lower in this preview
Ambulatory Surgical Center Of Somerville LLC, Somerset Ambulatory Surgical Center
$1,251.00Published rateDekalb Gastroenterology Associates III, LLC, Dekalb Endoscopy Center
Dekalb Gastroenterology Associates III LLC
$360.00Published rateOptimum Surgical Center, LLC, Nascent Paradise Valley Surgical Center
Optimum Surgical Center LLC
$230.00Published ratePaducah Ophthalmology Asc LLC, The Eye Surgery Center Of Paducah
Paducah Ophthalmology Asc LLC
$112.00Published rateGi Asc LLC
$52.00Published 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 64634 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64634 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 64634 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 |
|---|---|---|
| 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 64634. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64634 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 64634) and we'll show you how you compare in 15 minutes or less.