How can I find out the cost of a medical procedure?

To find out the cost of a medical procedure, you can inquire directly with healthcare providers, review your insurance plan's explanation of benefits (EOB) if you've had similar procedures, or use online tools. For the most accurate and specific pricing information tailored to your CPT code and location, consider using Payerprice's fee schedule lookup tool.

CPT stands for Current Procedural Terminology. CPT codes are a set of medical codes used by physicians, hospitals, and other healthcare providers to describe the services they provide to patients. These codes are essential for billing, processing insurance claims, and determining the cost of medical procedures.

How do insurance companies determine what they pay?

Insurance companies determine what they pay based on several factors, including the specific CPT codes for services rendered, their negotiated rates with providers, your plan's deductible, copayment, coinsurance, and whether the service is covered under your policy. They also consider medical necessity and usual, customary, and reasonable (UCR) charges for services in a particular geographic area.

Why do prices for the same procedure vary so much?

Prices for the same medical procedure can vary significantly due to multiple factors, including geographic location, the type of facility (e.g., hospital vs. outpatient clinic), the provider's reputation or specialty, the specific insurance plan and its negotiated rates, and whether the procedure is performed in-network or out-of-network. Different healthcare systems and providers also have varying cost structures.

Where can I compare medical procedure costs?

You can compare medical procedure costs by contacting different providers directly, reviewing publicly available price transparency data (if available in your state), or utilizing online price comparison tools. For a comprehensive comparison based on specific CPT codes and your location, Payerprice offers a fee schedule lookup tool that can help you understand potential costs from various payers.

CPT 64640 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.

Destruct By Neurolytic Agnt; Other Periphral Nrve Or Branch, Destruction By Neurolytic Agent; Other Peripheral Nerve Or Branch

Key Fact	Detail
Service Type	Surgery Surgical Procedures on the Nervous System
Common Place of Service	11 - Office 24 - Ambulatory Surgical Center
Common Modifiers	None RT - Right side of body LT - Left side of body
Complexity Level	Moderate
Medicare Fee Schedule	View Medicare rates for 64640
Medicaid Fee Schedule	View Medicaid rates for 64640

National average reimbursement for CPT 64640 by major payers:

$285.01

$302.96

$317.07

$367.07

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 64640.

CPT 64640

5 of 25 sample ratesHigher to lower in this preview

Summit Medical Group PA
Summit Medical Group, P.A.
NJAmbulatory Surgical Clinic/CenterNPI 1093444010Tax ID 22-3487984
$2,281.00Published rate
Coastal Surgical Center, LLC
Coastal Surgical Center LLC
NHAmbulatory Surgical Clinic/CenterNPI 1336713890Tax ID 85-3207147
$809.00Published rate
South Jersey Eye Physicians, LLC, The Surgical Center At South Jersey Eye Physicians, PA
South Jersey Eye Physicians, PA
NJAmbulatory Surgical Clinic/CenterNPI 1023072824Tax ID 22-2116946
$550.00Published rate
Georgia Vascular & Vein Center
Georgia Vascular Vein Center
GAAmbulatory Surgical Clinic/CenterNPI 1437642857Tax ID 82-2239594
$402.00Published rate
Lutherville Surgicenter, LLC
Lutherville Surgicenter LLC
MDAmbulatory Surgical Clinic/CenterNPI 1124058946Tax ID 52-2109473
$201.00Published rate

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Summit Women's CareDenver, Colorado

September 2, 2026

Contracting Manager
UnitedHealthcare
Commercial PPO

Re: Request for fee schedule renegotiation

We request a formal review of our Commercial PPO fee schedule. The comparison below summarizes our current rate alongside published rates for comparable Denver-area practices.

Market evidence · CPT 59485

Current rate: $152.40
Market median: $147.00
Market position: 61st percentile

The comparison includes 1,284 published rates from 96 provider groups, scoped to OB/GYN providers in a professional, office-based setting.

We would welcome a discussion of our fee schedule and the supporting July 2026 market analysis. Please let us know a suitable time to review the comparison together.

Sincerely,
Summit Women's Care

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CPT 64640 vs. Other Surgical Procedures on the Nervous System Codes

The CPT 64640 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 64640 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
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.
64640-CPT	Moderate	Destruct By Neurolytic Agnt; Other Periphral Nrve Or Branch, Destruction By Neurolytic Agent; Other Peripheral Nerve Or Branch

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64640. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 64640 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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CPT 64640 Fee Schedule

Compare published rates across providers.

Summit Medical Group PA

Coastal Surgical Center, LLC

South Jersey Eye Physicians, LLC, The Surgical Center At South Jersey Eye Physicians, PA

Georgia Vascular & Vein Center

Lutherville Surgicenter, LLC