Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 57156 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.
Insert Radiation Therapy Tool, Insertion Of A Cylinder Or Other Container That Will Hold Radiation Therapy Seeds Or Pellets. The Container Is Placed Into The Uterus Or Near An Ovary. This Type Of Radiation Therapy Is Called Brachytherapy.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Female Genital System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None 58 - Staged or related procedure during postoperative period 26 - Professional component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 57156 |
| Medicaid Fee Schedule | View Medicaid rates for 57156 |
National average reimbursement for CPT 57156 by major payers:
$237.88
$264.89
$281.77
$255.38
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 57156.
CPT 57156
5 of 25 sample ratesHigher to lower in this preview
Glastonbury Surgery Center, LLC
$1,543.00Published rateSaint Joseph Health Asc LLC
$637.00Published rateNorth Hills Surgery Center, LLC, North Hills Surgery Center
North Hills Surgery Center LLC
$236.00Published rateJohns Hopkins Surgery Centers Series, Bel Air Surgery Center
Johns Hopkins Surgery Center Series
$112.00Published rateTaylor Surgery Center, LLC, Surgical Arts Surgery Center
Taylor Surgery Center LLC
$45.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 57156 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 57156 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 57156 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. |
| 57156-CPT | Moderate | Insert Radiation Therapy Tool, Insertion Of A Cylinder Or Other Container That Will Hold Radiation Therapy Seeds Or Pellets. The Container Is Placed Into The Uterus Or Near An Ovary. This Type Of Radiation Therapy Is Called Brachytherapy. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 57156. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 57156 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 57156) and we'll show you how you compare in 15 minutes or less.