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See a sample rate comparisonCPT 51721 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.
Ins Trurl Ablt Trnsdc Thr Us, Insertion Of Transurethral Ablation Transducer For Delivery Of Thermal Ultrasound For Prostate Tissue Ablation Including Suprapubic Tube Placement During The Same Session And Placement Of An Endorectal Cooling Device When Performed
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 51721 |
| Medicaid Fee Schedule | View Medicaid rates for 51721 |
National average reimbursement for CPT 51721 by major payers:
$696.57
$761.14
$593.74
$367.37
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CPT 51721
5 of 25 sample ratesHigher to lower in this preview
Bismarck Surgical Associates, LLC
Bismarck Surgical Associates LLC
$2,445.00Published rateNazareth Endoscopy Center, LLC
Nazareth Endoscopy Center LLC
$1,050.00Published rateAdvanced Colon Care Inc, Shoreline Colonoscopy Suites
Advanced Colon Care Inc
$575.00Published rateKuresmart Pain Management Surgery Center-Columbia LLC, Clearway Surgery Center Of Columbia
Kuresmart Pain Management Surgery Centercolumbia LLC
$384.00Published rateTeaneck Gastroenterology&Endoscopy Center
Teaneck Gastroenterologyendoscopy Center
$125.00Published rate
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See a sample payer proposalCPT 51721 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 51721 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 51721 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 |
|---|---|---|
| 51721-CPT | Moderate | Ins Trurl Ablt Trnsdc Thr Us, Insertion Of Transurethral Ablation Transducer For Delivery Of Thermal Ultrasound For Prostate Tissue Ablation Including Suprapubic Tube Placement During The Same Session And Placement Of An Endorectal Cooling Device When Performed |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 51721. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 51721 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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