Cost analysis for CPT 62323 — Injection of substance into lower spine canal using imaging guidance
Average Medicare Payment
$143.54
2023 data
Total Payments (2023)
$94.0M
Services (2023)
618.9K
Price Change (2017–2023)
+11.6%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2017 | $128.64 | $119.7M | 890.5K | — |
| 2018 | $130.07 | $116.8M | 856.2K | +1.1% |
| 2019 | $136.56 | $120.8M | 838.3K | +5.0% |
| 2020 | $141.87 | $99.8M | 665.0K | +3.9% |
| 2021 | $146.14 | $109.8M | 709.2K | +3.0% |
| 2022 | $144.36 | $98.0M | 641.8K | -1.2% |
| 2023 | $143.54 | $94.0M | 618.9K | -0.6% |
The most expensive state pays 2.5x more than the cheapest for this procedure. AK averages $217.85 vs SD at $87.23.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $217.85 | $262.7K | 1.2K | 20 |
| HI | $205.99 | $78.1K | 379 | 8 |
| CT | $185.85 | $1.1M | 5.7K | 87 |
| NY | $185.55 | $6.0M | 32.6K | 392 |
| NV | $185.33 | $757.2K | 4.1K | 74 |
| CA | $180.89 | $8.1M | 44.7K | 599 |
| NJ | $180.48 | $2.7M | 15.0K | 252 |
| DE | $176.89 | $774.4K | 4.4K | 38 |
| FL | $173.99 | $8.6M | 49.5K | 581 |
| WY | $173.68 | $130.8K | 753 | 17 |
| OR | $170.73 | $500.6K | 2.9K | 57 |
| MD | $169.54 | $3.1M | 18.4K | 196 |
| UT | $169.18 | $1.5M | 8.9K | 82 |
| VA | $166.51 | $2.2M | 13.4K | 154 |
| AZ | $162.47 | $2.0M | 12.2K | 168 |
| DC | $158.84 | $122.0K | 768 | 11 |
| SC | $158.21 | $3.7M | 23.5K | 129 |
| IL | $157.20 | $4.2M | 26.9K | 269 |
| TN | $154.01 | $2.2M | 14.5K | 151 |
| GA | $153.31 | $2.6M | 17.2K | 283 |
| WA | $151.30 | $1.3M | 8.9K | 131 |
| NM | $150.57 | $354.1K | 2.4K | 30 |
| CO | $150.39 | $1.0M | 6.7K | 109 |
| TX | $149.17 | $5.3M | 35.5K | 528 |
| NC | $149.01 | $2.3M | 15.2K | 201 |
| MI | $148.12 | $2.5M | 17.0K | 224 |
| IN | $146.66 | $2.1M | 14.3K | 194 |
| NH | $146.53 | $663.3K | 4.5K | 48 |
| NE | $144.95 | $588.9K | 4.1K | 55 |
| RI | $144.57 | $278.0K | 1.9K | 21 |
| PA | $143.21 | $5.1M | 35.4K | 357 |
| MS | $136.08 | $1.4M | 10.6K | 74 |
| MN | $134.19 | $846.4K | 6.3K | 139 |
| OK | $133.38 | $1.4M | 10.5K | 93 |
| AL | $131.20 | $2.2M | 16.7K | 137 |
| KY | $129.15 | $1.7M | 13.5K | 116 |
| ME | $128.55 | $210.0K | 1.6K | 24 |
| MT | $127.03 | $376.4K | 3.0K | 42 |
| AR | $126.93 | $1.2M | 9.4K | 91 |
| WI | $125.08 | $1.2M | 9.2K | 157 |
| LA | $124.76 | $975.6K | 7.8K | 118 |
| ID | $123.72 | $336.3K | 2.7K | 39 |
| MA | $122.79 | $2.3M | 19.1K | 193 |
| OH | $120.29 | $2.4M | 20.4K | 276 |
| VT | $119.55 | $200.2K | 1.7K | 13 |
| MO | $116.73 | $1.7M | 14.2K | 139 |
| ND | $112.25 | $513.0K | 4.6K | 23 |
| KS | $110.08 | $1.4M | 13.0K | 116 |
| IA | $109.67 | $743.0K | 6.8K | 76 |
| WV | $103.92 | $220.9K | 2.1K | 27 |
| SD | $87.23 | $242.1K | 2.8K | 35 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| The Southeastern Spine Institute Ambulatory Surgery Center, Llc | Ambulatory Surgical Center | SC | $483.4K | 2.0K | $242.90 |
| Madison Physician Surgery Center, Llc | Ambulatory Surgical Center | MS | $254.6K | 1.1K | $234.43 |
| Northwest Orthopaedic Specialists, P.S. | Ambulatory Surgical Center | WA | $233.3K | 901 | $258.98 |
| Semmes-Murphey Clinic Pc | Ambulatory Surgical Center | TN | $232.5K | 1.0K | $232.25 |
| El Dorado Surgery Center Llc | Ambulatory Surgical Center | CA | $222.5K | 635 | $350.42 |
| Stephen Friedman | Anesthesiology | FL | $219.2K | 1.1K | $200.57 |
| Ruxton Surgicenter Llc | Ambulatory Surgical Center | MD | $200.3K | 800 | $250.34 |
| Midlands Orthopaedics Surgery Center, Llc | Ambulatory Surgical Center | SC | $198.5K | 850 | $233.57 |
| Keeran Kumar | Anesthesiology | CA | $197.5K | 928 | $212.82 |
| Harrisburg Interventional Pain Mgmt Ctr | Ambulatory Surgical Center | PA | $188.9K | 762 | $247.89 |
| North Fork Surgery Center Llc | Ambulatory Surgical Center | NY | $185.0K | 621 | $297.90 |
| Bismarck Surgical Associates, Llc | Ambulatory Surgical Center | ND | $183.7K | 794 | $231.32 |
| Dmg Pain Management Surgery Center, Llc | Ambulatory Surgical Center | IL | $180.8K | 694 | $260.55 |
| Egnm Llc | Ambulatory Surgical Center | DE | $171.5K | 704 | $243.58 |
| Blake Christensen | Pain Management | OK | $170.8K | 951 | $179.58 |
| Wilson Van Dam | Physical Medicine and Rehabilitation | SC | $170.6K | 1.4K | $121.78 |
| Surgery Center Of Allentown Llc | Ambulatory Surgical Center | PA | $166.9K | 671 | $248.79 |
| Spanish Hills Surgery Center, Llc | Ambulatory Surgical Center | CA | $166.0K | 557 | $297.94 |
| Bva United Llc | Ambulatory Surgical Center | TX | $160.0K | 611 | $261.80 |
| Nathaniel Lowen | Orthopedic Surgery | FL | $159.9K | 787 | $203.24 |
The data suggests significant pricing inconsistencies for CPT 62323. With a 2.5x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.
Costs have risen 11.6% since 2017, outpacing inflation and raising questions about whether reimbursement rates reflect actual costs.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.