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 53510 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.
Urethrorrhaphy Perineal
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None 51 - Multiple procedures 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 53510 |
| Medicaid Fee Schedule | View Medicaid rates for 53510 |
National average reimbursement for CPT 53510 by major payers:
$836.32
$851.43
$873.41
$1,035.57
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 53510.
CPT 53510
5 of 25 sample ratesHigher to lower in this preview
Texas Health Surgery Center Willow Park LLC, Texas Health Orthopedic And Spine Surgery Center
Texas Health Surgery Center Willow Park LLC
$4,141.00Published rateThe Hand And Upper Extremity Surgery Center Of Georgia, LLC
The Hand And Upper Extremity Surgery Center Of Georgia LLC
$2,114.00Published rateThe Surgery Center, LLC
The Surgery Center LLC
$1,453.00Published rateTosc, LLC, Osc-Hmhp, LLC
The Orthopaedic Surgery Center
$897.00Published rateAkdhc Surgery Center, LLC
$519.00Published 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 53510 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 53510 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 53510 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 |
|---|---|---|
| 53502-CPT | Moderate | Urethrorrhaphy Female |
| 53505-CPT | Moderate | Urethrorr,Suture Ureth.Wound;Penile |
| 53510-CPT | Moderate | Urethrorrhaphy Perineal |
| 53515-CPT | High | Urethrorrhaphy Suture Of Urethral Wound/Njury; Prostatomembrano, Urethrorrhaphy Suture Of Urethral Wound Or Injury; Prostatomembranous |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 53510. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 53510 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 53510) and we'll show you how you compare in 15 minutes or less.