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 54060 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 | 11 - Office 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 54060 |
| Medicaid Fee Schedule | View Medicaid rates for 54060 |
National average reimbursement for CPT 54060 by major payers:
$235.83
$248.46
$273.90
$228.32
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 54060.
CPT 54060
5 of 25 sample ratesHigher to lower in this preview
Parkview Ortho Center, LLC
Parkview Ortho Center LLC
$3,316.00Published rateEl Paso Center For Gastrointestinal Endoscopy, LLC
El Paso Center For Gastrointestinal Endoscopy LLC
$1,179.00Published rateSkypark Surgery Center LLC
$800.00Published rateAdvanced Outpatient Surgery Of Oklahoma, LLC
Advanced Outpatient Surgery Of
$520.00Published rateLon Baronne
Louisiana Orthopaedic Specialists, LLC
$172.60Published 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 54060 vs. Other Surgical Procedures on the Male Genital System Codes
The CPT 54060 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 54060 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. |
| 54060-CPT | Moderate | 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 54060. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 54060 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 54060) and we'll show you how you compare in 15 minutes or less.