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See a sample rate comparisonCPT 54057 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.
Remove Abnormal Penis Tissue, Removal Of Abnormal Tissue From The Surface Of The Penis. Methods Include Swabbing With A Chemical Freezing Laser Or Minor Surgery.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Male Genital System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None 51 - Multiple procedures 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 54057 |
| Medicaid Fee Schedule | View Medicaid rates for 54057 |
National average reimbursement for CPT 54057 by major payers:
$176.69
$181.61
$192.14
$163.06
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CPT 54057
5 of 25 sample ratesHigher to lower in this preview
Aurora Endoscopy Surgicenter, LLC
Aurora Endoscopy Surgicenter LLC
$1,558.00Published rateHss Palm Beach Ambulatory Surgery Center, LLC
Hss Palm Beach Ambulatory Surgery Center LLC
$1,258.00Published rateCataract And Laser Center Of The North Shore, LLC
Cataract And Laser Center Of The North Shore LLC
$873.00Published rateEndoscopic Surgical Centre Of Maryland-North LLC, Endoscopic Surgical Centre Of Maryland North
$496.00Published rateDavid Ryon
Deaconess Hospital Inc
$244.80Published rate
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See a sample payer proposalCPT 54057 vs. Other Surgical Procedures on the Male Genital System Codes
The CPT 54057 code is part of the Surgery services used for Surgical Procedures on the Male Genital 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 54057 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 |
|---|---|---|
| 54050-CPT | Low | Destruction Of Lesion(S) Pen, Destruction Of Lesion(S) Penis (Eg Condyloma Papilloma Molluscum Contagiosum Herpetic Vesicle) Simple Chemical Destruction Of Lesion(S) Penis (Eg Condyloma Papilloma |
| 54055-CPT | Low | Remove Abnormal Penis Tissue, Removal Of Abnormal Tissue From The Surface Of The Penis. Methods Include Swabbing With A Chemical Freezing Laser Or Minor Surgery. |
| 54056-CPT | Low | Remove Abnormal Penis Tissue, Removal Of Abnormal Tissue From The Surface Of The Penis. Methods Include Swabbing With A Chemical Freezing Laser Or Minor Surgery. |
| 54057-CPT | Low | Remove Abnormal Penis Tissue, Removal Of Abnormal Tissue From The Surface Of The Penis. Methods Include Swabbing With A Chemical Freezing Laser Or Minor Surgery. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 54057. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 54057 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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