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CPT 57150 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.

Application Medicine Vagina
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Female Genital System

Common Place of Service

11 - Office

22 - On Campus Outpatient Hospital

Common Modifiers

None

51 - Multiple procedures

59 - Distinct Procedural Service

Complexity LevelLow
Medicare Fee ScheduleView Medicare rates for 57150

National average reimbursement for CPT 57150 by major payers:

bcbs

$68.48

uhc

$69.95

aetna

$72.19

cigna

$91.81

Preview provider-level rates for...
For billing codeCPT 57150
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 57150

United
57150$293.001437250248 - GEORGIA SURGICAL CENTER ON PEACHTREE, LLC582394271 - (GA) GEORGIA SURGICAL CENTER ON PEACHTREE LLCGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
57150$555.001134262868 - NORTH SHORE SAME DAY SURGERY LLC, NORTH SHORE SURGICAL CENTER364120432 - (IL) NORTH SHORE SAME DAY SURGERY LLCILAmbulatory Surgical Clinic/Center (261QA1903X)
United
57150$350.001851520514 - CAPITOL SURGERY CENTER LLC, WAVERLY LAKE SURGERY CENTER270199061 - (OR) CAPITOL SURGERY CENTER LLCORAmbulatory Surgical Clinic/Center (261QA1903X)
United
57150$37.001356311419 - RIVERSIDE AMBULATORY SURGERY CENTER LLC522233625 - (MD) RIVERSIDE AMBULATORY SURGERY CENTER LLCMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
57150$381.001780797910 - CRYSTAL CITIES SURGERY CENTER, TWIN CITIES SURGERY CENTER260839397MOAmbulatory Surgical Clinic/Center (261QA1903X)
United
57150$1029.001386983260 - TEXAS HEALTH CRAIG RANCH SURGERY CENTER LLC383897811TXAmbulatory Surgical Clinic/Center (261QA1903X)
United
57150$300.001649250218 - LORAIN SURGERY CENTER, LLC201641777 - (OH) LORAIN SURGERY CENTER LLCOHAmbulatory Surgical Clinic/Center (261QA1903X)
United
57150$1029.001104341254 - TEXAS HEALTH SURGERY CENTER ALLIANCE, LLC, TEXAS HEALTH SURGERY CENTER ALLIANCE822296081TXAmbulatory Surgical Clinic/Center (261QA1903X)
United
57150$150.001922531268 - AMERICAN ACCESS CARE OF BALTIMORE ASC LLC814584087 - (MD) AMERICAN ACCESS CARE OF BALTIMORE ASC LLCMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
57150$92.001659594307 - EYE SURGERY CENTER OF NORTHERN NEVADA, LLC205368967 - (NV) EYE SURGERY CENTER OF NORTHERN NEVADA LLCNVAmbulatory Surgical Clinic/Center (261QA1903X)
United
57150$143.001346240751 - ROSWELL CENTER FOR FOOT & ANKLE SURGERY, LLC201549920GAAmbulatory Surgical Clinic/Center (261QA1903X)
United
57150$115.001487742680 - NOVAMED SURGERY CENTER OF CLEVELAND LLC, THE SURGERY CENTER OF CLEVELAND205493062 - (TN) NOVAMED SURGERY CENTER OF CLEVELAND LLCTNAmbulatory Surgical Clinic/Center (261QA1903X)
United
57150$1708.001669465209 - FOUNDATION SURGERY AFFILIATE OF HUNTINGDON VALLEY LP, HUNTINGDON VALLEY SURGERY CENTER680499459 - (PA) FOUNDATION SURGERY AFFILIATE OF HUNTINGDON VALLEYPAAmbulatory Surgical Clinic/Center (261QA1903X)
United
57150$300.001326247479 - CHEYENNE OCULAR SURGERY, LLC, CHEYENNE EYE SURGERY300347005 - (WY) CHEYENNE OCULAR SURGERY LLCWYAmbulatory Surgical Clinic/Center (261QA1903X)
United
57150$566.001194351833 - DELRAY BEACH ASC, LLC, DELRAY BEACH SURGERY CENTER843067076FLAmbulatory 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 57150 vs. Other Surgical Procedures on the Female Genital System Codes

The CPT 57150 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 57150 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
57120-CPTModerateColpoclesis Le Fort Type
57130-CPTModerateExcision Vaginal Septum
57135-CPTModerateExcision Cyst/Tumor Vagina
57150-CPTLowApplication Medicine Vagina

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 57150. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 57150 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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