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See a sample rate comparisonCPT 51720 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.
Bladder Nstillation Of Anticarcinogenic Agnt (Inclu Retent Ti, Bladder Instillation Of Anticarcinogenic Agent (Including Retention Ti
| 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 59 - Distinct Procedural Service PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 51720 |
| Medicaid Fee Schedule | View Medicaid rates for 51720 |
National average reimbursement for CPT 51720 by major payers:
$116.72
$130.96
$142.88
$99.47
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CPT 51720
5 of 25 sample ratesHigher to lower in this preview
Los Altos Surgery Center LLC
Los Altos
$1,675.00Published rateSan Antonio Endoscopy, Lp, San Antonio Endoscopy Center
San Antonio Endoscopy Lp
$688.00Published rateAdvanced Surgery Center Perimeter, LLC
$484.00Published rateSurgical And Diagnostic Center, L.P.
Surgical And Diagnostic Center Lp
$150.00Published rateOrthopaedic Associates Surgery Center, LLC
Orthopaedic Associates Surgery Ctr, LLC
$110.00Published rate
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See a sample payer proposalCPT 51720 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 51720 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 51720 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 |
|---|---|---|
| 51710-CPT | Low | Change Cystostomy Tube Complicated |
| 51715-CPT | Moderate | Endoscopic Injection Of Implan, Endoscopic Injection Of Implant Material Into The Submucosaltissues Of The Urethra Andor Bladder Neck Endoscopic Injection Of Implant Material Into The Submucosal |
| 51720-CPT | Low | Bladder Nstillation Of Anticarcinogenic Agnt (Inclu Retent Ti, Bladder Instillation Of Anticarcinogenic Agent (Including Retention Ti |
| 51725-CPT | Moderate | Bladder Function Test, A Bladder Function Test Is Called A Cystometrogram. The Test Can Record: Pressure Inside The Bladder And Urinary Tract The Amount Of Urine Produced And The Force (Pressure) Of The Urine Flow. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 51720. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 51720 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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