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See a sample rate comparisonCPT 57130 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.
Remove Partition In Vagina, Surgery To Remove An Abnormal Wall (Septum) That Is Separating The Vagina Into Two Sections.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Female Genital System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None 51 - Multiple procedures 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 57130 |
| Medicaid Fee Schedule | View Medicaid rates for 57130 |
National average reimbursement for CPT 57130 by major payers:
$256.68
$260.76
$292.50
$277.95
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CPT 57130
5 of 25 sample ratesHigher to lower in this preview
North State Surgery Centers, Lp, Mercy Surgery Center
$5,124.00Published rateSt. Louis Women'S Surgery Center, LLC, St. Louis Multispecialty Surgery Center
St Louis Womens Surgery Center LLC
$1,960.00Published rateSurgical Care Center, Inc.
Surgical Care Center Inc
$1,300.00Published rateMadison Physician Surgery Center, LLC, Madison Physicians Surgery Center, LLC
Madison Physician Surgery Center LLC
$1,130.00Published rateArmenia Ambulatory Surgery Center LLC, Medical Village Surgical Center
$519.00Published rate
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See a sample payer proposalCPT 57130 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 57130 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 57130 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 |
|---|---|---|
| 57120-CPT | Moderate | Surgery For Vaginal Collapse, Surgery For A Vagina That Has Collapsed In On Itself. The Vaginal Opening Is Closed In Order To Hold The Uterus In Place. |
| 57130-CPT | Moderate | Remove Partition In Vagina, Surgery To Remove An Abnormal Wall (Septum) That Is Separating The Vagina Into Two Sections. |
| 57135-CPT | Moderate | Remove Vaginal Cyst Or Tumor, Surgery To Remove A Pocket Of Fluid (Cyst) Or Abnormal Tissue (Tumor) From Inside The Vagina. |
| 57150-CPT | Low | Irrigation Of Vagina Andor A, Irrigation Of Vagina Andor Application Of Medicament Fortreatment Of Bacterial Parasitic Or Fungoid Disease |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 57130. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 57130 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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