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CPT 57310 Fee Schedule

Last Verified: November 2025

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.

Closure Of Urethrovaginal Fistula
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Female Genital System

Common Place of Service

22 - On Campus Outpatient Hospital

21 - Inpatient Hospital

Common Modifiers

None

51 - Multiple procedures

62 - Co-Surgeons

Complexity LevelModerate

National average reimbursement for CPT 57310 by major payers:

bcbs

$600.04

uhc

$634.34

aetna

$635.15

cigna

$809.71

Preview provider-level rates for...
For billing codeCPT 57310
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 57310

United
57310$4712.351215904131 - NEBRASKA SURGERY CENTER LLC470812621 - (NE) NEBRASKA SURGERY CENTER, LLCNEAmbulatory Surgical Clinic/Center (261QA1903X)
United
57310$4325.001487693123 - CLARKSVILLE SURGERY CENTER LLC621752518 - (TN) CLARKSVILLE SURGERY CENTER LLCTNAmbulatory Surgical Clinic/Center (261QA1903X)
United
57310$3283.001235683798 - ASSOCIATED SURGICAL CENTER LLC813492018 - (IL) ASSOCIATED SURGICAL CENTER LLCILAmbulatory Surgical Clinic/Center (261QA1903X)
United
57310$2693.001407004534 - ASC DEVELOPMENT COMPANY, LLC203405773 - (MD) ASC DEVELOPMENT COMPANY LLCMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
57310$5354.001346383155 - BRIARCLIFF AMBULATORY SURGERY CENTER LP, BRIARCLIFF SURGERY CENTER202852584 - (MO) BRIARCLIFF AMBULATORY SURGERY CENTER LPMOAmbulatory Surgical Clinic/Center (261QA1903X)
United
57310$390.001982696894 - AFFILIATED AMBULATORY SURGERY CENTER LLC311719268 - (OH) AFFILIATED AMBULATORY SURGERY CENTER, LLCOHAmbulatory Surgical Clinic/Center (261QA1903X)
United
57310$819.001265442537 - BRIGHTON SURGERY CENTER, LLC743060570 - (NY) BRIGHTON SURGERY CENTER, LLCNYAmbulatory Surgical Clinic/Center (261QA1903X)
United
57310$4781.001750499950 - MEDPLEX OUTPATIENT SURGERY CENTER LTD, MEDPLEX OUTPATIENT SURGERY CENTER760353620 - (AL) MEDPLEX OUTPATIENT SURGERY CENTER LTDALAmbulatory Surgical Clinic/Center (261QA1903X)
United
57310$2875.001649317660 - ORTHOVIRGINIA, INC540885859 - (VA) ORTHOVIRGINIA, INC.VAAmbulatory Surgical Clinic/Center (261QA1903X)
United
57310$5020.001972092146 - SURGERY CENTRE OF SW FLORIDA LLC, FORT MYERS SURGERY CENTER10735856FLAmbulatory Surgical Clinic/Center (261QA1903X)
United
57310$2083.001326136177 - TEANECK GASTROENTEROLOGY&ENDOSCOPY CENTER223348806 - (NJ) TEANECK GASTROENTEROLOGYENDOSCOPY CENTERNJAmbulatory Surgical Clinic/Center (261QA1903X)
United
57310$1233.001588665665 - CERTIFIED AMBULATORY SURGERY CENTER, CASC522031681 - (MD) CERTIFIED AMBULATORY SURGERY CENTERMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
57310$5354.001538461348 - THE OUTPATIENT CENTER, LLC, THE OUTPATIENT CENTER OF BOYNTON BEACH, LTD. D/B/A THE OUTPATIENT CENT650440864 - (FL) THE OUTPATIENT CENTER OF BOYNTON BEACH, LTD.FLAmbulatory Surgical Clinic/Center (261QA1903X)
United
57310$2378.001033102140 - SSC HOLDINGS LLC, SEDONA SURGERY CENTER470887316 - (CA) SSC HOLDINGS LLCCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
57310$2420.001346249604 - ST. MARY'S SURGICAL CENTER LLC, ST. MARY'S SURGICAL CENTER201685516 - (MO) ST MARYS SURGICAL CENTER LLCMOAmbulatory 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 57310 vs. Other Surgical Procedures on the Female Genital System Codes

The CPT 57310 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 57310 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
57288-CPTModerateSling Oper Stress Incontinence
57307-CPTHighFistulectomy Rectovaginal W Colost
57310-CPTModerateClosure Of Urethrovaginal Fistula
57311-CPTModerateFistulect Urethrovagin W Transplant

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 57310. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 57310 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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