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 64804 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Surgery On Sensory Nerves, Surgery To Cut Sensory Nerves Associated With Blood Flow Pain Sweating Or Other Sensing Related Function.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None LT - Left side of body AS - PA/NP/CNS assistant at surgery |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 64804 |
| Medicaid Fee Schedule | View Medicaid rates for 64804 |
National average reimbursement for CPT 64804 by major payers:
$1,593.91
$1,468.12
$1,522.47
$1,797.67
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 64804.
CPT 64804
5 of 25 sample ratesHigher to lower in this preview
Aurora Surgery Centers, LLC, Aurora Pleasant Prairie Ambulatory Surgery Center
Aurora Surgery Centers LLC
$3,024.00Published rateSanta Barbara Outpatient Surgery Centers LLC, Santa Barbara Surgery Center
$1,528.00Published rateAdvanced Surgery Center Of Lancaster, LLC
Advanced Surgery Center Of Lancaster LLC
$788.00Published rateJohns Hopkins Surgery Centers Series, Green Spring Station Surgery Center
Johns Hopkins Surgery Center Series
$614.00Published rateSt Johns Surgery Center LLC
$381.00Published 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 64804 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64804 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 64804 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 |
|---|---|---|
| 64802-CPT | High | Surgery On Sensory Nerves, Surgery To Cut Sensory Nerves Associated With Blood Flow Pain Sweating Or Other Sensing Related Function. |
| 64804-CPT | High | Surgery On Sensory Nerves, Surgery To Cut Sensory Nerves Associated With Blood Flow Pain Sweating Or Other Sensing Related Function. |
| 64809-CPT | High | Surgery On Sensory Nerves, Surgery To Cut Sensory Nerves Associated With Blood Flow Pain Sweating Or Other Sensing Related Function. |
| 64818-CPT | Moderate | Surgery On Sensory Nerves, Surgery To Cut Sensory Nerves Associated With Blood Flow Pain Sweating Or Other Sensing Related Function. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64804. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64804 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 64804) and we'll show you how you compare in 15 minutes or less.