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See a sample rate comparisonCPT 57100 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.
Biopsy Of Vagina, A Procedure To Take A Sample Of Tissue Or Cells From The Vagina For Testing (Biopsy). The Procedure May Require Stitches.
| 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 51 - Multiple procedures |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 57100 |
| Medicaid Fee Schedule | View Medicaid rates for 57100 |
National average reimbursement for CPT 57100 by major payers:
$123.60
$124.31
$137.02
$112.58
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CPT 57100
5 of 25 sample ratesHigher to lower in this preview
Princess Anne Ambulatory Surgery Management LLC, Princess Anne Ambulatory Surgery Center
Princess Anne Ambulatory Surgery Management, LLC
$1,345.00Published ratePhysicians Surgery Center Of Chattanooga, LLC, Physicians Surgery Center Of Chattanooga
Physicians Surgery Center Of Chattanooga LLC
$893.00Published rateColumbia Endoscopy Center, LLC
Columbia Endoscopy Center LLC
$540.00Published ratePacific Endoscopy LLC, Atherton Endoscopy Center
$425.00Published rateSsl Endoscopy Center LLC, Avala Surgery Center
Ssl Endoscopy Center LLC
$269.00Published rate
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See a sample payer proposalCPT 57100 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 57100 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 57100 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 |
|---|---|---|
| 57100-CPT | Low | Biopsy Of Vagina, A Procedure To Take A Sample Of Tissue Or Cells From The Vagina For Testing (Biopsy). The Procedure May Require Stitches. |
| 57105-CPT | Moderate | Biopsy Of Vagina, A Procedure To Take A Sample Of Tissue Or Cells From The Vagina For Testing (Biopsy). The Procedure May Require Stitches. |
| 57106-CPT | Moderate | Surgery To Remove Vaginal Wall, Surgery To Remove Part Of The Vaginal Wall. The Procedure May Include Removing Supporting Tissues Or Lymph Nodes. |
| 57107-CPT | High | Surgery To Remove Vaginal Wall, Surgery To Remove Part Of The Vaginal Wall. The Procedure May Include Removing Supporting Tissues Or Lymph Nodes. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 57100. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 57100 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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