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See a sample rate comparisonCPT 55873 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
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.
| 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 22 - Increased Procedural Services GC - Service performed by resident under supervision |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 55873 |
| Medicaid Fee Schedule | View Medicaid rates for 55873 |
National average reimbursement for CPT 55873 by major payers:
$5,256.62
$6,828.25
$7,978.67
$2,028.98
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CPT 55873
5 of 25 sample ratesHigher to lower in this preview
Sugar Land Surgery Center Ltd
$9,834.00Published rateThe Surgery Center, LLC
The Surgery Center LLC
$6,860.00Published rateThe Arcadia Ca Endoscopy Asc Lp, Valley Digestive Health Center
$4,636.00Published rateCenter For The Surgical Arts LLC, Csa
Center For The Surgical Arts LLC
$3,600.00Published rateHoliday Surgery Center Limited Partnership L L P
$720.00Published rate
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See a sample payer proposalCPT 55873 vs. Other Surgical Procedures on the Male Genital System Codes
The CPT 55873 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 55873 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. |
| 55874-CPT | High | Transperineal Placement Of Bio, Transperineal Placement Of Biodegradable Materialperi-Prostatic Single Or Multiple Injection(S) Including Image Guidance When Performed Ainage Procedure If Performed With Open Cervical Pharyngogastrostomy Or Esophagogastrostomy (Ie Th |
| 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. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 55873. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 55873 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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