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 56605 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.
Female Genital Biopsy, Surgery On A Womans External Genitals Or Groin To Remove A Sample Of Tissue For Testing (Biopsy).
| Key Fact | Detail |
|---|---|
| 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 AG - Primary physician |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 56605 |
| Medicaid Fee Schedule | View Medicaid rates for 56605 |
National average reimbursement for CPT 56605 by major payers:
$112.51
$116.99
$126.02
$103.34
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 56605.
CPT 56605
5 of 25 sample ratesHigher to lower in this preview
Jason Foil
Lakeshore Medical Clinic, Ltd.
$310.58Published rateColleen Raymond
The Cleveland Clinic Foundation
$184.52Published rateNavid Behrooz
Deaconess Hospital Inc
$149.78Published rateJason Liou
Town Center Orthopaedic Associates, P.C.
$114.28Published rateKristen Browning
Deaconess Hospital Inc
$68.81Published 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 56605 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 56605 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 56605 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 |
|---|---|---|
| 56501-CPT | Moderate | Destruct Of Lesion(S) Vulva; Smple (Eg Laser Surg Electrosur, Destruction Of Lesion(S) Vulva; Simple (Eg Laser Surgery Electrosur |
| 56515-CPT | Moderate | Destroy Vulva Lesion S Compl, Destruction Of Lesion S Vulva Extensive Eg Laser Surgery Electrosurgery Cryosurgery Chemosurgery |
| 56605-CPT | Low | Female Genital Biopsy, Surgery On A Womans External Genitals Or Groin To Remove A Sample Of Tissue For Testing (Biopsy). |
| 56606-CPT | Low | Biopsy Of Vulva Or Perineum (, Biopsy Of Vulva Or Perineum (Separate Procedure)Eachseparate Additional Lesion (List Separately I N Addition To Code For Primary Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 56605. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 56605 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 56605) and we'll show you how you compare in 15 minutes or less.