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CPT 56441 Fee Schedule

Last Verified: December 2025

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.

Lysis/Labial Adh.
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Female Genital System

Common Place of Service

11 - Office

22 - On Campus Outpatient Hospital

Common Modifiers

None

59 - Distinct Procedural Service

51 - Multiple procedures

Complexity LevelModerate

National average reimbursement for CPT 56441 by major payers:

bcbs

$215.22

uhc

$210.48

aetna

$233.42

cigna

$285.70

Preview provider-level rates for...
For billing codeCPT 56441
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 56441

United
56441$1120.001093053381 - NORTH COUNTRY EC LLC, NORTHEASTERN NEW YORK SURGICAL CENTER453715451 - (NY) NORTH COUNTRY EC LLCNYAmbulatory Surgical Clinic/Center (261QA1903X)
United
56441$1125.001447225503 - BAPTIST DESOTO SURGERY CENTER, LP200804946 - (MS) BAPTIST DESOTO SURGERY CENTER LPMSAmbulatory Surgical Clinic/Center (261QA1903X)
United
56441$2717.001942267893 - GASTROENTEROLOGY DIAGNOSTICS OF NORTHERN NEW JERSEY, PA223345724 - (NJ) GASTROENTEROLOGY DIAGNOSTICS OF NORTHERN NEW JERSEY, P.A.NJAmbulatory Surgical Clinic/Center (261QA1903X)
United
56441$1493.001104933696 - WEST LAKES SURGERY CENTER LLC205345295 - (IA) WEST LAKES SURGERY CENTER, LLCIAAmbulatory Surgical Clinic/Center (261QA1903X)
United
56441$1224.001376556514 - EYE CARE SPECIALISTS PS, THE LASER AND SURGERY CENTER911895676 - (WA) EYECARE SPECIALIST, PSWAAmbulatory Surgical Clinic/Center (261QA1903X)
United
56441$1010.001013999580 - INTEG HEALTH SYSTEM, P.C., BLOOMINGTON SURGERY CENTER352045236 - (IN) INTEG HEALTH SYSTEM PCINAmbulatory Surgical Clinic/Center (261QA1903X)
United
56441$1112.001407932619 - PACIFIC EYE INSTITUTE A MEDICAL GROUP INC, PACIFIC EYE INSTITUTE AMBULATORY SURGERY CTR330303507 - (CA) PACIFIC EYE INSTITUTE MEDICAL CORPORATIONCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
56441$1128.001629409578 - PAIN CENTER OF WYOMING VALLEY, LLC462023592 - (PA) PAIN CENTER OF WYOMING VALLEY LLCPAAmbulatory Surgical Clinic/Center (261QA1903X)
United
56441$936.001124559679 - MIDATLANTIC ENDOSCOPY LLC, MID-ATLANTIC GASTROINTESTINAL CENTER III814079161PAAmbulatory Surgical Clinic/Center (261QA1903X)
United
56441$606.001770557233 - MESA AZ ENDOSCOPY ASC LLC, DESERT ENDOSCOPY CENTER510426858 - (AZ) THE MESA AZ ENDOSCOPY ASC, LLCAZAmbulatory Surgical Clinic/Center (261QA1903X)
United
56441$622.001033282173 - TEMECULA VALLEY DAY SURGERY & PAIN THERAPY CENTER, INC.330469645 - (CA) TEMECULA VALLEY DAY SURGERY PAIN THERAPY CENTER INCCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
56441$1270.001174520191 - AESTHETIC SURGERY CENTER OF EUGENE INC931320547 - (OR) AESTHETIC SURGERY CENTER OF EUGENE INCORAmbulatory Surgical Clinic/Center (261QA1903X)
United
56441$2300.001710177795 - ASPEN SURGERY CENTER, LLC, ASPEN SURGERY CENTER205090169 - (CA) ASPEN SURGERY CENTER LLCCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
56441$1725.001922211192 - VOORHEES SURGERY CENTER, LLC651203770 - (NJ) VOORHEES SURGERY CENTER LLCNJAmbulatory Surgical Clinic/Center (261QA1903X)
United
56441$900.001831167329 - THIBODAUX ENDOSCOPY LLC810548522 - (LA) THIBODAUX ENDOSCOPY, L.L.C.LAAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 56441 vs. Other Surgical Procedures on the Female Genital System Codes

The CPT 56441 code is part of the Surgery services used for Surgical Procedures on the Female 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 56441 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.

CodeComplexityDescription
56405-CPTLowI & D Vulva/Perineal Abscess
56420-CPTModerateI And D Bartholin's Gland Cyst
56440-CPTModerateMarsupialization Cyst Bartholin
56441-CPTModerateLysis/Labial Adh.

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 56441. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 56441 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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