How much does Medicare pay for CPT 63650?

Medicare allowed an average of $2401.98 per service and paid $1912.21 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $10,855, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 63650?

Insertion of spinal neurostimulator electrode array through skin. It was billed 79,790 times to 31,388 Medicare beneficiaries by 1,374 providers in 2024.

Does 63650 pay differently in an office than a hospital?

Yes. The allowed amount averaged $1502.42 in an office setting and $2504.74 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 63650 most?

Ambulatory Surgical Center, with 35,409 services from 509 clinicians. Next are Pain Management, Anesthesiology, Interventional Pain Management.

CPT 63650

Insertion of spinal neurostimulator electrode array through skin

$2401.98Medicare-allowed amount per service, averaged across 79,790 services

Providers submitted

$10,855

Asking price, not received

Medicare allowed

$2401.98

The fee schedule figure

Medicare paid

$1912.21

Balance is patient coinsurance

Providers submitted an average of $10,855 for this code and Medicare allowed $2401.98 — 4.5× 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 $1912.21 (80%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $1502.42
Hospital / facility: $2504.74

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 8,180 services were billed in an office setting and 71,610 in a facility.

Services: 79,790
Beneficiaries: 31,388
Providers billing it: 1,374
Total allowed: $191,653,984

What Medicare pays for CPT 63650

Across 79,790 services billed by 1,374 providers to 31,388 beneficiaries, Medicare allowed an average of $2401.98 per service. That is 2.5 services per beneficiary, so this is a code patients typically receive more than once. 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 63650

Specialty	Services	Beneficiaries	Avg allowed	Providers
Ambulatory Surgical Center	35,409	13,422	$4757.16	509
Pain Management	13,965	5,594	$501.47	275
Anesthesiology	11,844	4,784	$534.70	237
Interventional Pain Management	8,756	3,500	$583.90	162
Physical Medicine and Rehabilitation	5,477	2,255	$542.32	111
Neurosurgery	2,185	970	$373.00	48
Orthopedic Surgery	1,036	446	$500.24	17
Neurology	784	281	$379.16	8
Interventional Radiology	134	49	$307.64	3
Diagnostic Radiology	63	36	$1164.23	1
Family Practice	49	17	$306.51	1
Sports Medicine	48	17	$308.66	1
Preventive Medicine	40	17	$355.06	1

63650 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
Texas	12,618	$2337.06	$1917.63	187
California	8,269	$2942.54	$2034.90	122
Florida	6,223	$2686.48	$2249.48	118
Arizona	3,467	$2723.29	$2196.75	59
Tennessee	3,239	$2524.56	$2213.89	47
Oklahoma	2,860	$1857.85	$1537.20	32
Maryland	2,812	$2863.01	$2277.00	55
Minnesota	2,419	$2628.57	$2041.34	29
Indiana	2,373	$2347.78	$1907.74	45
Ohio	2,306	$1908.93	$1574.28	40
Missouri	2,226	$1958.50	$1601.00	29
Mississippi	2,132	$1902.56	$1720.73	23
Pennsylvania	2,019	$2265.85	$1813.83	41
Illinois	1,983	$2143.82	$1667.67	40
North Carolina	1,938	$1594.17	$1271.15	47
Washington	1,865	$2781.87	$2053.73	29
Georgia	1,836	$2603.52	$2145.19	43
Kansas	1,683	$1842.73	$1536.05	28
South Carolina	1,620	$1906.19	$1583.21	37
New Jersey	1,399	$2998.91	$2193.35	22
Oregon	1,297	$3050.27	$2272.74	23
Wisconsin	1,215	$2210.16	$1784.54	24
Michigan	1,213	$2310.59	$1936.55	24
New York	1,063	$2018.57	$1536.26	25
Utah	1,041	$2347.44	$1926.43	16
Arkansas	992	$1892.09	$1630.47	19
Nebraska	935	$2594.29	$2162.44	16
Nevada	898	$3128.45	$2396.56	19
Louisiana	878	$1767.52	$1515.34	20
Colorado	771	$2610.18	$2074.56	15
Kentucky	751	$2399.56	$2013.66	17
Virginia	662	$1667.00	$1144.16	15
Alabama	535	$1659.25	$1525.63	14
Idaho	431	$1968.85	$1684.09	8
Massachusetts	376	$2109.73	$1538.11	10
South Dakota	288	$1518.53	$1304.96	3
Iowa	265	$1591.62	$1275.60	8
North Dakota	248	$1289.39	$1105.74	5
Montana	183	$1299.91	$1013.68	4
Delaware	135	$3886.78	$3024.31	6
New Hampshire	120	$3806.78	$3077.25	3
Alaska	64	$5051.10	$3876.64	2
New Mexico	54	$3253.64	$2765.85	2
Connecticut	32	$1736.67	$1332.74	1
District of Columbia	28	$338.70	$161.69	1
Wyoming	28	$316.63	$161.69	1

Related codes

63685Insertion or replacement of spinal neurostimulator generator or receiv$10,072
63655Removal of spine bone for insertion of neurostimulator electrode plate$4462.44

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.