CPT 63281 Surgery - Nervous
Bx/exc idrl spine lesn thrc Cost
Body System: Nervous
Medicare Facility Rate
$2,046
CMS PFS CY2026
Medicare Non-Facility Rate
$2,046
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
29.24
Work RVU
19.83
Facility PE RVU
12.20
Malpractice RVU
61.27
Total RVU
Frequently Asked Questions
How much does Bx/exc idrl spine lesn thrc cost?
The Medicare facility rate is $2,046. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Bx/exc idrl spine lesn thrc cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $2,046.