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See a sample rate comparisonCPT 57105 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 | Moderate |
| Medicare Fee Schedule | View Medicare rates for 57105 |
| Medicaid Fee Schedule | View Medicaid rates for 57105 |
National average reimbursement for CPT 57105 by major payers:
$205.83
$199.76
$219.65
$229.36
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CPT 57105
5 of 25 sample ratesHigher to lower in this preview
Texas Health Presbyterian Hospital Dallas
$6,245.00Published rateAdvocate Southwest Ambulatory Surgery Center LLC, Tinley Woods Surgery Center
Advocate Southwest Ambulatory Surge
$2,000.00Published rateAmbulatory Surgery Center Of Centralia
$1,501.00Published rateOcean County Eye Associates LLC, Ocean County Eye Surgery Center
Ocean County Eye Associates, P.C.
$1,150.00Published rateDeirdre Durkis
Deaconess Hospital Inc
$256.76Published rate
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See a sample payer proposalCPT 57105 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 57105 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 57105 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 57105. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 57105 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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