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See a sample rate comparisonCPT 52700 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.
Transurethrl Drain-Prostatc Abscess
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 51 - Multiple procedures 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 52700 |
| Medicaid Fee Schedule | View Medicaid rates for 52700 |
National average reimbursement for CPT 52700 by major payers:
$560.52
$589.05
$618.26
$721.08
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CPT 52700
5 of 25 sample ratesHigher to lower in this preview
Lexington Health Inc, Lmc Northeast Asc
Lexington Health Inc
$4,707.00Published rateParkcreek Asc LLC
$2,859.00Published rateEndo Group, LLC
Endo Group LLC Dba Garden City Surgicenter
$1,751.00Published rateAtlanta Surgery Center Ltd
$1,175.00Published rateAndersen Eye Surgery Center, LLC
Andersen Eye Surgery Center LLC
$490.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 52700 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 52700 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 52700 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 |
|---|---|---|
| 52341-CPT | Moderate | Treat Narrowed Urinary Tract, Exam Of The Upper Urinary Tract Using A Scope (Cystourethroscopy). The Procedure Treats A Section Of The Urinary Tract That Has Become Too Narrow For Urine To Flow Freely. |
| 52700-CPT | Moderate | Transurethrl Drain-Prostatc Abscess |
| 53000-CPT | Low | Urethrotomy Or Urethrostomy Xtrnal (Sepa Proc); Pendulous, Urethrotomy Or Urethrostomy External (Separate Procedure); Pendulous |
| 53020-CPT | Low | Meatotomy Ex Infant Office |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 52700. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 52700 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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