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CPT 56740 Fee Schedule

Last Verified: January 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.

Excision Bartholin Gland/Cyst
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Female Genital System

Common Place of Service

22 - On Campus Outpatient Hospital

11 - Office

Common Modifiers

None

LT - Left side of body

RT - Right side of body

Complexity LevelModerate
Medicare Fee ScheduleView Medicare rates for 56740

National average reimbursement for CPT 56740 by major payers:

bcbs

$408.20

uhc

$407.83

aetna

$421.27

cigna

$514.72

Preview provider-level rates for...
For billing codeCPT 56740
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 56740

United
56740$520.001962506618 - THE POLYCLINIC, ASC POLYCLINIC SURGERY CENTER910369070 - (WA) THE POLYCLINIC, PLLCWAAmbulatory Surgical Clinic/Center (261QA1903X)
United
56740$520.001457010209 - HNC, LLC, KAIZEN SURGERY CENTER364971722 - (CA) HNC LLCCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
56740$2307.001902807159 - SURGERY CENTER OF SCOTTSDALE, LLC, MOUNTAIN VIEW SURGERY CENTER OF SCOTTSDALE731553441 - (AZ) SURGERY CENTER OF SCOTTSDALE LLCAZAmbulatory Surgical Clinic/Center (261QA1903X)
United
56740$425.001245820042 - ALOE SURGICAL CENTER SCOTTSDALE, LLC845112576 - (AZ) ALOE SURGICAL CENTER SCOTTSDALE LLCAZAmbulatory Surgical Clinic/Center (261QA1903X)
United
56740$1530.001215455217 - DAKOTA GASTROENTEROLOGY, LTD383908818 - (ND) DAKOTA GASTROENTEROLOGY LTD.NDAmbulatory Surgical Clinic/Center (261QA1903X)
United
56740$1278.001356429765 - ASC OF GEORGIA DERMATOLOGIC SURGERY, ASC OF BAUCOM & MINA DERM SURGERY550892029 - (GA) ASC OF GEORGIA DERMATOLOGIC SURGERYGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
56740$1682.001326557653 - SJ EAST CAMPUS ASC, LLC, DENVER SURGERY CENTER821485491 - (CO) SJ EAST CAMPUS ASC LLCCOAmbulatory Surgical Clinic/Center (261QA1903X)
United
56740$1627.001609375682 - LUTHERVILLE SURGERY CENTER, LLC823355711 - (MD) LUTHERVILLE SURGERY CENTER LLCMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
56740$2388.001265534556 - SOUTH FLORIDA AMBULATORY SURGICAL CENTER LLC651093026 - (FL) SOUTH FLORIDA AMBULATORY SURGIFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
56740$750.001649662206 - ADVANCED SURGERY CENTER OF ARIZONA, LLP, ADVANCED SURGERY CENTER OF ARIZONA471883984AZAmbulatory Surgical Clinic/Center (261QA1903X)
United
56740$531.761295049377 - AHMED JAWAD350593390 - DEACONESS HOSPITAL INCINPulmonary Disease Physician (207RP1001X)
United
56740$1919.001326469172 - EHI SURGERY CENTER AUSTIN, LLC464266877 - (TX) EHI SURGERY CENTER AUSTIN LLCTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
56740$425.001518375641 - NORTH ANAHEIM SURGERY CENTER, LLC364790127CAAmbulatory Surgical Clinic/Center (261QA1903X)
United
56740$443.001144287665 - CHANNEL ISLANDS SURGICENTER LP770418197 - (CA) CHANNEL ISLANDS SURGICENTER LPCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
56740$2762.001245605633 - HARBOR HEIGHTS SURGERY CENTER, LLC473886948 - (MD) HARBOR HEIGHTS SURGERY CENTER LLCMDAmbulatory 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 56740 vs. Other Surgical Procedures on the Female Genital System Codes

The CPT 56740 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 56740 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
56700-CPTModeratePart. Hymenectomy/Rev. Hymen Ring
56740-CPTModerateExcision Bartholin Gland/Cyst
56800-CPTModeratePlastic Repair Of Introitus
56805-CPTHighReconstruction Or Creation Of The External Female Sexual Organ For Intersex State

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 56740. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 56740 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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