How much does Medicare pay for CPT 63655?

Medicare allowed an average of $4462.44 per service and paid $3553.72 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $12,951, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 63655?

Removal of spine bone for insertion of neurostimulator electrode plate in spine. It was billed 3,963 times to 3,940 Medicare beneficiaries by 207 providers in 2024.

Which specialty bills 63655 most?

Neurosurgery, with 1,621 services from 86 clinicians. Next are Ambulatory Surgical Center, Physician Assistant, Orthopedic Surgery.

CPT 63655

Removal of spine bone for insertion of neurostimulator electrode plate in spine

$4462.44Medicare-allowed amount per service, averaged across 3,963 services

Providers submitted

$12,951

Asking price, not received

Medicare allowed

$4462.44

The fee schedule figure

Medicare paid

$3553.72

Balance is patient coinsurance

Providers submitted an average of $12,951 for this code and Medicare allowed $4462.44 — 2.9× 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 $3553.72 (80%); the rest is the patient’s coinsurance and deductible.

Services: 3,963
Beneficiaries: 3,940
Providers billing it: 207
Total allowed: $17,684,650

What Medicare pays for CPT 63655

Across 3,963 services billed by 207 providers to 3,940 beneficiaries, Medicare allowed an average of $4462.44 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 63655

Specialty	Services	Beneficiaries	Avg allowed	Providers
Neurosurgery	1,621	1,607	$777.46	86
Ambulatory Surgical Center	957	950	$16,565	43
Physician Assistant	616	614	$109.72	33
Orthopedic Surgery	587	587	$792.05	34
Nurse Practitioner	156	156	$108.67	9
Neurology	15	15	$884.31	1
Cardiology	11	11	$786.95	1

63655 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
North Carolina	519	$4179.35	$3556.28	24
Texas	465	$6253.04	$5396.43	16
Florida	413	$2282.35	$1936.64	22
South Carolina	258	$4888.19	$4127.36	14
Utah	216	$6154.55	$5119.74	6
Mississippi	193	$5520.12	$5207.03	7
Georgia	165	$5960.36	$5010.08	9
Virginia	159	$4050.02	$3525.19	9
Pennsylvania	144	$3715.65	$3121.38	8
Alabama	118	$2976.40	$2640.02	6
Nevada	117	$7086.67	$5478.54	7
Arizona	110	$6369.60	$5265.11	7
Missouri	106	$3887.80	$3444.45	8
California	92	$3242.58	$2331.35	6
Indiana	89	$3061.79	$2495.17	4
Oregon	64	$8466.28	$6863.30	5
Louisiana	60	$631.91	$518.00	4
Delaware	58	$8288.09	$6449.03	3
Minnesota	57	$267.77	$198.02	3
Maryland	54	$5018.69	$4272.50	4
Arkansas	52	$4357.21	$3757.37	4
Kansas	51	$742.77	$651.93	3
Ohio	49	$7388.09	$6145.02	3
Kentucky	42	$818.26	$661.27	2
New York	40	$770.59	$665.29	3
Washington	40	$381.14	$276.94	3
Colorado	39	$517.27	$389.90	2
New Hampshire	36	$5149.00	$4635.97	3
Oklahoma	34	$7545.11	$7094.00	2
Tennessee	34	$5651.74	$4810.51	3
Wisconsin	28	$8219.84	$6900.96	2
Illinois	13	$756.32	$684.86	1
Nebraska	12	$719.08	$659.69	1
Montana	12	$606.22	$565.82	1
Maine	12	$766.65	$623.67	1
Michigan	12	$834.45	$654.43	1

Related codes

63650Insertion of spinal neurostimulator electrode array through skin$2401.98
63685Insertion or replacement of spinal neurostimulator generator or receiv$10,072

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.