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 54450 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 Foreskin Scar Tissue, Procedure To Cut The Foreskin Or Break Scar Tissue. This Enables The Foreskin To Be Moved. The Procedure May Be Done On A Newborn.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Male Genital System |
| Common Place of Service | 11 - Office 21 - Inpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service AG - Primary physician |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 54450 |
| Medicaid Fee Schedule | View Medicaid rates for 54450 |
National average reimbursement for CPT 54450 by major payers:
$94.51
$94.84
$101.01
$114.53
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 54450.
CPT 54450
5 of 25 sample ratesHigher to lower in this preview
Wasatch Endoscopy Center Ltd
$970.00Published rateAlliance Surgery Center At Augusta, LLC
Alliance Surgery Center At Augusta LLC
$500.00Published rateInfirmary Asc
$150.00Published rateColonial Outpatient Surgery Center, LLC
Colonial Outpatient Surgery Center LLC
$115.00Published rateOaks Surgery Center Lp
Oaks Surgery Center Lp The Oak
$71.00Published 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 54450 vs. Other Surgical Procedures on the Male Genital System Codes
The CPT 54450 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 54450 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 |
|---|---|---|
| 54420-CPT | Moderate | Release Of Prolonged Erection, One Of Various Surgeries Designed To Correct Uncontrolled Or Abnormal Blood Flow To The Penis Thus Releasing A Prolonged Erection (Priapism). |
| 54430-CPT | Moderate | Release Of Prolonged Erection, One Of Various Surgeries Designed To Correct Uncontrolled Or Abnormal Blood Flow To The Penis Thus Releasing A Prolonged Erection (Priapism). |
| 54435-CPT | Moderate | Release Of Prolonged Erection, One Of Various Surgeries Designed To Correct Uncontrolled Or Abnormal Blood Flow To The Penis Thus Releasing A Prolonged Erection (Priapism). |
| 54450-CPT | Low | Remove Foreskin Scar Tissue, Procedure To Cut The Foreskin Or Break Scar Tissue. This Enables The Foreskin To Be Moved. The Procedure May Be Done On A Newborn. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 54450. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 54450 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 54450) and we'll show you how you compare in 15 minutes or less.