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 53449 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.
Surgical Correction Of Hydraul, Surgical Correction Of Hydraulic Abnormality Of Inflatablesphincter Device Surgical Correction Of Hydraulic Abnormality Of Inflatable
| 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 78 - Return to OR - related procedure GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 53449 |
| Medicaid Fee Schedule | View Medicaid rates for 53449 |
National average reimbursement for CPT 53449 by major payers:
$810.29
$823.11
$845.81
$1,004.01
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 53449.
CPT 53449
5 of 25 sample ratesHigher to lower in this preview
Aloe Surgical Center Scottsdale, LLC
Aloe Surgical Center Scottsdale LLC
$4,339.00Published rateAloe Surgical Center Scottsdale, LLC
Aloe Surgical Center Scottsdale LLC
$3,570.00Published rateMaryland Ambulatory Surgery Center LLC
$1,850.00Published rateFox Eye Surgery, LLC, First Choice Surgery Center
Fox Eye Surgery LLC
$897.00Published rateMinimally Invasive Surgery Center, P.A.
$550.00Published 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 53449 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 53449 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 53449 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 |
|---|---|---|
| 53440-CPT | High | Operation For Correction Of Ma, Operation For Correction Of Male Urinary Incontinence With Or Without Introduction Of Prosthesis Operation For Correction Of Male Urinary Incontinence With |
| 53445-CPT | High | Operation For Correction Of Ur, Operation For Correction Of Urinary Incontinence Withplacement Of Inflatable Urethral Or Bladder Neck Sphincter Including Placement Of Pump Andor Reservoir |
| 53446-CPT | Moderate | Remval Of Inflate Urethral/Bladder Nck Sphincter Inclu Pump, Removal Of Inflatable Urethral/Bladder Neck Sphincter Including Pump |
| 53449-CPT | Moderate | Surgical Correction Of Hydraul, Surgical Correction Of Hydraulic Abnormality Of Inflatablesphincter Device Surgical Correction Of Hydraulic Abnormality Of Inflatable |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 53449. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 53449 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 53449) and we'll show you how you compare in 15 minutes or less.