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 55870 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.
Semen Collection, Collection Of Semen By Low-Voltage Electrical Stimulation. The Semen Is Used For Artificial Insemination.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Male Genital System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 19 - Off Campus Outpatient Hospital |
| Common Modifiers | None PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments 52 - Reduced Services |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 55870 |
| Medicaid Fee Schedule | View Medicaid rates for 55870 |
National average reimbursement for CPT 55870 by major payers:
$223.18
$231.55
$244.93
$236.95
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 55870.
CPT 55870
5 of 25 sample ratesHigher to lower in this preview
Texas Health Harris Methodist Hospital Fort Worth
Texas Health Harris Methodist Hospital Southwest Fort Worth
$2,265.00Published rateTria Orthopaedic Center LLC
$994.00Published rateBcc Chandler LLC
$689.00Published rateGsi Asc, LLC
Gsi Asc LLC
$262.00Published rateJaime Redman
Deaconess Hospital Inc
$143.66Published 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 55870 vs. Other Surgical Procedures on the Male Genital System Codes
The CPT 55870 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 55870 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 |
|---|---|---|
| 55870-CPT | Moderate | Semen Collection, Collection Of Semen By Low-Voltage Electrical Stimulation. The Semen Is Used For Artificial Insemination. |
| 55873-CPT | High | Prostate Surgery, Surgery Aided By Ultrasound (Image Made With Sound Waves) To Freeze The Prostate Gland. This Is A Minimally Invasive Procedure That Does Not Remove The Prostate Gland. |
| 55875-CPT | Moderate | Inject X-Ray Dye In Prostate, Placement Of Needles Or Catheters (Thin Tubes) Into The Prostate. These Will Carry A Contrast Solution (Saline Dye) To Aid An Imaging Procedure. |
| 55876-CPT | Low | Place Radiation Therapy Guide, Insertion Of One Or More Radiation Therapy Guidance Devices. The Devices Guide Regulate Or Deliver Radiation Therapy To A Specific Place Inside The Body. Insertion May Be Done By Puncturing The Skin Or During Surgery. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 55870. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 55870 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 55870) and we'll show you how you compare in 15 minutes or less.