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 64872 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.
Suture Of Nerve Requiring Sec, Suture Of Nerve Requiring Secondary Or Delayed Suture (Listseparately In Addition To Code For Primary Neurorrhaphy)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 64872 |
| Medicaid Fee Schedule | View Medicaid rates for 64872 |
National average reimbursement for CPT 64872 by major payers:
$170.10
$170.05
$159.37
$192.17
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 64872.
CPT 64872
5 of 25 sample ratesHigher to lower in this preview
Gastroenterology Diagnostics Of Northern New Jersey, PA
Gastroenterology Diagnostics Of Northern New Jersey, P.A.
$1,306.00Published rateSummit Ambulatory Surgical Center, LLC
$531.00Published rateCentral Arizona Gi & Liver Institute LLC
$285.00Published rateWaco Gastroenterology Endoscopy Center LLC, Waco Gastroenterology Endoscopy Center
Waco Gastroenterology Endoscopy Center LLC
$116.00Published rateSurgeyecare, Inc., Surgeyecare General Partnership
$60.00Published 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 64872 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64872 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 64872 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 |
|---|---|---|
| 64865-CPT | High | Suture-Facial Nrv;Intratmp,W/Wo Gft |
| 64866-CPT | High | Surgery To Repair Facial Nerve, Surgery To Restore Nerve Function To The Face By Connecting Two Nerves That Are Not Normally Joined (Anastomosis). |
| 64868-CPT | High | Surgery To Repair Facial Nerve, Surgery To Restore Nerve Function To The Face By Connecting Two Nerves That Are Not Normally Joined (Anastomosis). |
| 64872-CPT | Low | Suture Of Nerve Requiring Sec, Suture Of Nerve Requiring Secondary Or Delayed Suture (Listseparately In Addition To Code For Primary Neurorrhaphy) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64872. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64872 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 64872) and we'll show you how you compare in 15 minutes or less.