How much does Medicare pay for CPT 63045?

Medicare allowed an average of $692.40 per service and paid $551.13 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $5797.28, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 63045?

Partial removal of spine bone with release of upper spinal cord and/or nerves, 1 segment. It was billed 2,268 times to 2,239 Medicare beneficiaries by 152 providers in 2024.

Which specialty bills 63045 most?

Neurosurgery, with 1,290 services from 87 clinicians. Next are Orthopedic Surgery, Physician Assistant, Nurse Practitioner.

CPT 63045

Partial removal of spine bone with release of upper spinal cord and/or nerves, 1 segment

$692.40Medicare-allowed amount per service, averaged across 2,268 services

Providers submitted

$5797.28

Asking price, not received

Medicare allowed

$692.40

The fee schedule figure

Medicare paid

$551.13

Balance is patient coinsurance

Providers submitted an average of $5797.28 for this code and Medicare allowed $692.40 — 8.4× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $551.13 (80%); the rest is the patient’s coinsurance and deductible.

Services: 2,268
Beneficiaries: 2,239
Providers billing it: 152
Total allowed: $1,570,363

What Medicare pays for CPT 63045

Across 2,268 services billed by 152 providers to 2,239 beneficiaries, Medicare allowed an average of $692.40 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 63045

Specialty	Services	Beneficiaries	Avg allowed	Providers
Neurosurgery	1,290	1,279	$784.73	87
Orthopedic Surgery	466	459	$682.93	30
Physician Assistant	281	279	$130.21	19
Nurse Practitioner	146	145	$98.19	11
Ambulatory Surgical Center	43	38	$3949.46	2
Podiatry	16	13	$210.71	1
Undefined Physician type	14	14	$606.89	1
Neurology	12	12	$600.26	1

63045 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
Maryland	251	$741.39	$533.14	17
California	248	$974.91	$663.50	17
Texas	224	$595.08	$474.87	13
Florida	209	$587.69	$419.14	14
New York	102	$775.49	$535.14	7
North Carolina	102	$1191.68	$938.74	6
Massachusetts	101	$718.67	$533.83	7
Pennsylvania	97	$723.14	$583.19	6
Ohio	87	$730.33	$585.60	7
Kansas	83	$471.20	$415.96	4
Missouri	82	$615.59	$493.99	5
South Carolina	82	$532.16	$435.35	4
Nevada	66	$703.96	$551.64	4
Indiana	51	$524.14	$455.45	4
Tennessee	39	$558.17	$503.89	3
Oklahoma	38	$689.68	$569.71	3
Delaware	36	$407.27	$330.97	2
Illinois	36	$488.78	$335.11	3
Virginia	33	$440.04	$363.16	3
District of Columbia	32	$819.40	$577.29	2
Hawaii	27	$344.25	$281.71	2
North Dakota	27	$481.88	$393.53	2
Arizona	26	$397.73	$328.51	2
Alabama	25	$411.31	$351.85	2
Georgia	25	$958.16	$826.64	2
Alaska	24	$470.03	$311.06	2
New Jersey	24	$473.49	$363.09	2
Colorado	20	$691.90	$529.29	1
Wisconsin	14	$642.46	$583.99	1
Oregon	12	$600.26	$510.81	1
Utah	12	$892.79	$723.94	1
Arkansas	11	$1109.68	$1017.92	1
Connecticut	11	$751.99	$554.22	1
Iowa	11	$117.93	$69.26	1

Related codes

63048Partial removal of spine bone$147.82
63047Partial removal of spine bone$700.79
63052Partial removal of bone of single segment of spine in lower back$172.81
63053Partial removal of bone of additional segment of spine in lower back$156.39
63030Partial removal of spine bone$1056.97
63056Release of lower spinal cord and/or nerves$948.73
63042Partial removal of spine bone$1003.68
63057Release of middle or lower spinal cord and/or nerves$201.97

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.