Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 51705 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.
Change Cystostomy Tube Simple
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 58 - Staged or related procedure during postoperative period PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 51705 |
| Medicaid Fee Schedule | View Medicaid rates for 51705 |
National average reimbursement for CPT 51705 by major payers:
$121.58
$132.61
$148.08
$98.42
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 51705.
CPT 51705
5 of 25 sample ratesHigher to lower in this preview
Shari Goldfarb
Westchester Medical Center Advanced Physician Services PC
$637.64Published rateZahra Naseer
Stony Brook Internists P C
$320.45Published rateJeffrey Berg
Town Center Orthopaedic Associates, P.C.
$133.95Published rateRong-Bao Lu
$87.58Published rateChristopher Raio
St Francis Hospital
$71.67Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 51705 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 51705 code is part of the Surgery services used for Surgical Procedures on the Urinary 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 51705 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 |
|---|---|---|
| 51700-CPT | Low | Rinse Or Irrigate Bladder, Manual Or Continuous (Automated) Flushing Or Irrigating The Bladder To Wash Out Debris Or Clots. |
| 51701-CPT | Low | Insrt Of Non-Indwelli Bladder Cathet (Eg Straight Catheteriz, Insertion Of Non-Indwelling Bladder Catheter (Eg Straight Catheteriza |
| 51702-CPT | Low | Insrt Of Temp Indwelli Bladder Cathet; Smple (Eg Foley), Insertion Of Temporary Indwelling Bladder Catheter; Simple (Eg Foley) |
| 51705-CPT | Low | Change Cystostomy Tube Simple |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 51705. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 51705 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 51705) and we'll show you how you compare in 15 minutes or less.