CPT 63056

Transpedicular Dcmprn Spinal Cord 1 Seg Lumbar

CPT 63056 pays $1,404.84 in a non-facility setting and $1,404.84 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,220.29 in Wisconsin to $1,682.85 in Alaska, a 38% spread.

National non-facility rate

$1,404.84

Office and other outpatient settings

Facility rate
$1,404.84

Hospital and ASC settings

Highest state
$1,682.85

Alaska

Lowest state
$1,220.29

Wisconsin · 38% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $1,404.84
CPT 63056 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $1,404.84, national facility $1,404.84.
StateRate compared visuallyNon-facilityFacility
Alaska
$1,682.85$1,682.85
Florida
$1,632.75$1,632.75
Illinois
$1,609.88$1,609.88
New York
$1,577.05$1,577.05
District of Columbia
$1,551.10$1,551.10
New Jersey
$1,518.42$1,518.42
Connecticut
$1,504.25$1,504.25
Michigan
$1,474.61$1,474.61
Maryland
$1,451.92$1,451.92
West Virginia
$1,448.45$1,448.45
Massachusetts
$1,443.76$1,443.76
Washington
$1,440.35$1,440.35
Georgia
$1,432.02$1,432.02
Pennsylvania
$1,418.44$1,418.44
New Mexico
$1,415.24$1,415.24
Rhode Island
$1,407.52$1,407.52
Puerto Rico
$1,406.25$1,406.25
Virgin Islands
$1,406.25$1,406.25
Montana
$1,404.36$1,404.36
California
$1,404.09$1,404.09
New Hampshire
$1,393.56$1,393.56
Colorado
$1,390.06$1,390.06
Texas
$1,384.71$1,384.71
Delaware
$1,378.80$1,378.80
Louisiana
$1,376.59$1,376.59
Oregon
$1,368.70$1,368.70
Ohio
$1,367.26$1,367.26
Hawaii
$1,366.35$1,366.35
Nevada
$1,365.36$1,365.36
Missouri
$1,363.72$1,363.72
Arizona
$1,356.33$1,356.33
Utah
$1,353.21$1,353.21
Wyoming
$1,342.66$1,342.66
South Carolina
$1,334.47$1,334.47
Kentucky
$1,334.13$1,334.13
Virginia
$1,326.82$1,326.82
Oklahoma
$1,302.94$1,302.94
Maine
$1,295.32$1,295.32
North Carolina
$1,288.10$1,288.10
Vermont
$1,282.16$1,282.16
Mississippi
$1,279.33$1,279.33
North Dakota
$1,262.79$1,262.79
Tennessee
$1,252.81$1,252.81
Minnesota
$1,249.64$1,249.64
Indiana
$1,248.78$1,248.78
South Dakota
$1,246.05$1,246.05
Alabama
$1,244.31$1,244.31
Kansas
$1,242.65$1,242.65
Idaho
$1,242.50$1,242.50
Arkansas
$1,224.85$1,224.85
Iowa
$1,222.05$1,222.05
Nebraska
$1,221.14$1,221.14
Wisconsin
$1,220.29$1,220.29

Billed by 1 specialties

Commercial rates for 63056

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates