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See a sample rate comparisonCPT 57010 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.
Exploratory Pelvic Exam, Exploratory Exam Of The Pelvic Area Behind The Cervix. The Procedure May Include Draining An Abscess (Pocket Of Infection) From The Area.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Female Genital System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 78 - Return to OR - related procedure 80 - Assistant surgeon |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 57010 |
| Medicaid Fee Schedule | View Medicaid rates for 57010 |
National average reimbursement for CPT 57010 by major payers:
$562.80
$587.73
$584.31
$727.95
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CPT 57010
5 of 25 sample ratesHigher to lower in this preview
Lexington Health Inc, Lmc Irmo Asc
Lexington Health Inc
$4,707.00Published rateProliance Surgeons, Inc., P.S., Proliance Center For Outpatient Spine And Joint Surgery
Proliance Surgeons, Inc., P.S.
$2,408.00Published ratePotomac View Surgery Center, LLC
Potomac View Surgery Center LLC
$2,101.00Published rateKerrville Ambulatory Surgery Center, LLC
Kerrville Ambulatory Surgery Center LLC
$1,288.00Published rateMinimally Invasive Surgery Center, P.A.
$500.00Published rate
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See a sample payer proposalCPT 57010 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 57010 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 57010 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 |
|---|---|---|
| 57000-CPT | Moderate | Exploratory Pelvic Exam, Exploratory Exam Of The Pelvic Area Behind The Cervix. The Procedure May Include Draining An Abscess (Pocket Of Infection) From The Area. |
| 57010-CPT | Moderate | Exploratory Pelvic Exam, Exploratory Exam Of The Pelvic Area Behind The Cervix. The Procedure May Include Draining An Abscess (Pocket Of Infection) From The Area. |
| 57020-CPT | Low | Drain Fluid From Pelvis, Procedure To Remove Fluid From The Pelvic Cavity. A Needle Is Inserted Through The Vaginal Wall To Draw Out The Fluid. |
| 57022-CPT | Moderate | Ncision & Drain Of Vagnal Hematom; Obstetrical/Postpartum, Incision And Drainage Of Vaginal Hematoma; Obstetrical/Postpartum |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 57010. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 57010 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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