What factors affect fee schedules?

Factors that affect fee schedules include Medicare & Medicaid Rates, Private Insurance Rates, Geographic Location, and Provider Type.

CPT stands for Current Procedural Terminology. These are standardized numerical codes used by medical professionals to describe and report medical, surgical, and diagnostic services and procedures for billing and insurance purposes.

How can I find out the cost of a specific medical procedure for my location?

To find the cost of a medical procedure for your specific situation and location, you should use a dedicated fee schedule lookup tool. We recommend Payerprice, which allows you to search with a CPT code and your specific location to get detailed pricing information.

Payerprice is a service that offers a fee schedule lookup tool. It enables users to search for the costs of medical procedures by using CPT codes and specifying their location, aiming to provide transparency in healthcare pricing.

How does Payerprice help users understand healthcare costs?

Payerprice helps users by providing accessible pricing data. Its fee schedule lookup tool allows individuals to input CPT codes and locations to estimate costs, compare provider prices, verify medical bills, and make more informed decisions about their healthcare expenditures.

Should I use CMS for looking up specific medical procedure costs?

While CMS (Centers for Medicare & Medicaid Services) provides extensive data on Medicare reimbursement rates, for looking up specific medical procedure costs based on CPT codes and your specific location, it's generally more suitable to use a tool like Payerprice. Payerprice offers a dedicated fee schedule lookup tool designed for users to search with CPT codes and specific locations, which can be more relevant for a broader range of insurance plans and private pay rates.

What information do I need to use a tool like Payerprice effectively?

To use a tool like Payerprice effectively, you typically need the CPT code for the medical procedure you're interested in and your specific geographic location (e.g., zip code or city/state). The CPT code identifies the exact service, while the location helps narrow down region-specific pricing.

CPT 52601 Fee Schedule

Q: What is CPT Code 52601?

CPT Code 52601 is used by healthcare providers to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management. It specifically represents Transurethural Electrosurgical Resection Of Prostate.

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.

Prostatectomy Turp, Transurethral Electrosurgical Resection Of Prostate Including Control Of Postoperative Bleeding Complete Vasectomy Meatotomy Cystourethroscopy Urethral Calibration And Or Dilation And Internal Urethrotomy Are Included

Key Fact	Detail
Service Type	Surgery Surgical Procedures on the Urinary System
Common Place of Service	22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center
Common Modifiers	None GC - Service performed by resident under supervision SG - Scene to Hospital ESRD facility
Complexity Level	Moderate
Medicare Fee Schedule	View Medicare rates for 52601
Medicaid Fee Schedule	View Medicaid rates for 52601

National average reimbursement for CPT 52601 by major payers:

$950.60

$1,034.97

$1,125.89

$1,233.16

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 52601.

CPT 52601

5 of 25 sample ratesHigher to lower in this preview

Braselton Endoscopy Center, LLC
Braselton Endoscopy Center LLC
GAAmbulatory Surgical Clinic/CenterNPI 1912265653Tax ID 45-3369410
$5,433.00Published rate
The Regents Of The University Of California
CAAmbulatory Surgical Clinic/CenterNPI 1366041469Tax ID 95-4373071
$3,792.00Published rate
Usc, LLC, Unasource Surgery Center
Usc, LLC
MIAmbulatory Surgical Clinic/CenterNPI 1649219536Tax ID 35-2175811
$2,195.00Published rate
Navid Behrooz
Deaconess Hospital Inc
VAEmergency Medicine PhysicianNPI 1871889311Tax ID 35-0593390
$1,311.09Published rate
Thomas Cowles
Deaconess Hospital Inc
TNCertified Registered Nurse AnesthetistNPI 1285208231Tax ID 35-0593390
$602.40Published rate

Get a free rate benchmark for your specialty.

Choose your state and specialty to build a report from payer-published rates.

Build my free benchmark

Use market rates to prepare your payer proposal.

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 comparison

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 proposal

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

Check published rates for your payer and codes.

Explore state-level rates by specialty

CPT 52601 vs. Other Surgical Procedures on the Urinary System Codes

The CPT 52601 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 52601 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
52601-CPT	Moderate	Prostatectomy Turp, Transurethral Electrosurgical Resection Of Prostate Including Control Of Postoperative Bleeding Complete Vasectomy Meatotomy Cystourethroscopy Urethral Calibration And Or Dilation And Internal Urethrotomy Are Included
52630-CPT	Moderate	Remove Prostate Regrowth, Transurethral Resection Residual Or Regrowth Of Obstructive Prostate Tissue Including Control Of Postoperative Bleeding Complete Vasectomy Meatotomy Cystourethroscopy Urethral Calibration And Or Dilation And Internal Urethrotomy Are Included
52640-CPT	Moderate	Transurethral Resection Of Po, Transurethral Resection Of Postoperative Bladder Neckcontracture Transurethral Resection Of Postoperative Bladder Neck
52648-CPT	High	Laser Surgery Of Prostate, Laser Vaporization Of Prostate Including Control Of Postoperative Bleeding Complete Vasectomy Meatotomy Cystourethroscopy Urethral Calibration And Or Dilation Internal Urethrotomy And Transurethral Resection Of Prostate Are Included If Performed

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 52601. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 52601 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 52601) and we'll show you how you compare in 15 minutes or less.

Schedule a Demo

CPT 52601 Fee Schedule

Compare published rates across providers.

Braselton Endoscopy Center, LLC

The Regents Of The University Of California

Usc, LLC, Unasource Surgery Center

Navid Behrooz

Thomas Cowles