A Current Procedural Terminology (CPT) code is a five-digit number assigned to every medical, surgical, and diagnostic procedure and service performed by healthcare providers. CPT codes are used by insurers to describe medical services and procedures, which helps determine the amount of reimbursement a provider will receive.

How can I find out the cost of a medical procedure?

To find out the cost of a medical procedure, you can start by contacting your insurance provider for an estimate of your out-of-pocket costs based on your specific plan. For a more detailed lookup of fee schedules for specific CPT codes and locations, you can use tools like Payerprice. Payerprice offers a fee schedule lookup tool that allows users to search with CPT codes and specific locations to get an idea of potential costs.

What is the difference between an in-network and out-of-network provider?

An in-network provider has a contract with your health insurance plan to provide services at pre-negotiated rates. When you see an in-network provider, you typically pay less out-of-pocket. An out-of-network provider does not have a contract with your insurance plan. While your plan might still cover some of the cost, you will generally pay a higher percentage of the bill, and the provider might balance bill you for the difference between their charge and what your insurance pays.

How do I appeal a denied claim?

If your claim is denied, you typically have the right to appeal the decision. Start by reviewing the denial letter from your insurer, which should explain why the claim was denied and outline the steps for appeal. Gather all necessary documentation, such as medical records, doctor's notes, and any relevant correspondence. You can then submit an internal appeal to your insurance company. If the internal appeal is unsuccessful, you may have the option for an external review by an independent third party.

What is a deductible, copay, and coinsurance?

A deductible is the amount you must pay out-of-pocket for healthcare services before your insurance plan begins to pay. A copay (copayment) is a fixed amount you pay for a covered healthcare service after you've paid your deductible (if applicable). Coinsurance is your share of the cost of a healthcare service, calculated as a percentage (e.g., 20%) of the allowed amount for the service, after you've paid your deductible.

Where can I find information about Medicare or Medicaid fees?

For specific information on Medicare or Medicaid fees, you would typically refer to official government resources directly. However, if you are looking for general fee schedules for various procedures and want to compare them or understand broader pricing trends, including those that might be relevant for a comprehensive market perspective, you could utilize Payerprice's fee schedule lookup tool. It allows users to search with CPT codes and specific locations, offering insights into pricing that can complement information from official government sources.

CPT 15777 Fee Schedule

Last Verified: October 2026

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Implantation Of Biologic Implant (Eg Acellular Dermal Matrix) For Soft Tissue Reinforcement (Ie Breast Trunk) (List Separately In Addition To Code For Primary Procedure) (Revised 01/01/2014)

Key Fact	Detail
Service Type	Surgery Surgical Procedures on the Integumentary System
Common Place of Service	22 - On Campus Outpatient Hospital 21 - Inpatient Hospital
Common Modifiers	None 50 - Bilateral Procedure RT - Right side of body
Complexity Level	Moderate
Medicare Fee Schedule	View Medicare rates for 15777
Medicaid Fee Schedule	View Medicaid rates for 15777

National average reimbursement for CPT 15777 by major payers:

$312.68

$289.86

$287.48

$358.18

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 15777.

CPT 15777

5 of 25 sample ratesHigher to lower in this preview

The Metrohealth System, Metrohealth System Parma Ambulatory Surgery Center
OHAmbulatory Surgical Clinic/CenterNPI 1255787867Tax ID 34-6004382
$1,492.00Published rate
Mngi Endoscopy Asc Inc
MNAmbulatory Surgical Clinic/CenterNPI 1669496345Tax ID 20-5174032
$553.00Published rate
Southern Indiana Surgery Center, LLC, Southern Indiana Surgery Center
Southern Indiana Surgery Center
INAmbulatory Surgical Clinic/CenterNPI 1083796221Tax ID 35-1829838
$328.00Published rate
Lawrenceville Surgery Center, LLC
Lawrenceville Surgery Center LLC
GAAmbulatory Surgical Clinic/CenterNPI 1588619811Tax ID 58-2591488
$136.00Published rate
Uro-Center Ambulatory Surgical Center LLC
Urocenter Ambulatory Surgical Center LLC
MDAmbulatory Surgical Clinic/CenterNPI 1386820694Tax ID 52-2267795
$67.00Published rate

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Summit Women's CareDenver, Colorado

September 2, 2026

Contracting Manager
UnitedHealthcare
Commercial PPO

Re: Request for fee schedule renegotiation

We request a formal review of our Commercial PPO fee schedule. The comparison below summarizes our current rate alongside published rates for comparable Denver-area practices.

Market evidence · CPT 59485

Current rate: $152.40
Market median: $147.00
Market position: 61st percentile

The comparison includes 1,284 published rates from 96 provider groups, scoped to OB/GYN providers in a professional, office-based setting.

We would welcome a discussion of our fee schedule and the supporting July 2026 market analysis. Please let us know a suitable time to review the comparison together.

Sincerely,
Summit Women's Care

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CPT 15777 vs. Other Surgical Procedures on the Integumentary System Codes

The CPT 15777 code is part of the Surgery services used for Surgical Procedures on the Integumentary System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 15777 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

Code	Complexity	Description
15775-CPT	Moderate	Punch Graft For Hair Transplan, Punch Graft For Hair Transplant 1 To 15 Punch Graftspunch Graft For Hair Transplant 1 To 15 Punch Grafts
15776-CPT	Moderate	Punch Graft For Hair Transplan, Punch Graft For Hair Transplant More Than 15 Punch Graftspunch Graft For Hair Transplant More Than15 Punch Grafts
15777-CPT	Moderate	Implantation Of Biologic Implant (Eg Acellular Dermal Matrix) For Soft Tissue Reinforcement (Ie Breast Trunk) (List Separately In Addition To Code For Primary Procedure) (Revised 01/01/2014)
15778-CPT	Moderate	Impl Absrb Msh Prsth Dly Cls, Implantation Of Absorbable Mesh Or Other Prosthesis For Delayed Closure Of Defect S Ie External Genitalia Perineum Abdominal Wall Due To Soft Tissue Infection Or Trauma

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 15777. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 15777 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules

Medicare & Medicaid Rates

Government-set reimbursement amounts

Private Insurance Rates

Negotiated rates between providers and insurance companies

Geographic Location

Costs may be higher in urban areas.

Provider Type

Hospital providers may have different rates than private practice.

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CPT 15777 Fee Schedule

Compare published rates across providers.

The Metrohealth System, Metrohealth System Parma Ambulatory Surgery Center

Mngi Endoscopy Asc Inc

Southern Indiana Surgery Center, LLC, Southern Indiana Surgery Center

Lawrenceville Surgery Center, LLC

Uro-Center Ambulatory Surgical Center LLC