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CPT 57311 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.

Fistulect Urethrovagin W Transplant
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

52 - Reduced Services

Complexity LevelModerate

National average reimbursement for CPT 57311 by major payers:

bcbs

$664.14

uhc

$719.68

aetna

$716.83

cigna

$910.50

Preview provider-level rates for...
For billing codeCPT 57311
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 57311

United
57311$1357.001336138635 - EYE SURGICAL SPECIALISTS OF NEW JERSEY, SURGERY CENTER OF CENTRAL NEW JERSEY223411416 - (NJ) EYE SURGICAL SPECIALISTS OF NEW JERSEYNJAmbulatory Surgical Clinic/Center (261QA1903X)
United
57311$2025.001386721249 - ALLIED PHYSICIANS SURGERY CENTER, LLC352057452 - (IN) ALLIED PHYSICIANS SURGERY CENTER LLCINAmbulatory Surgical Clinic/Center (261QA1903X)
United
57311$1500.001255309951 - BAYFRONT SAME DAY SURGERY CENTER, LLC.845074208 - (FL) OHI WEST INCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
57311$1363.001700884608 - SPRINGHILL SURGERY CENTER, DAUPHIN WEST SURGERY CENTER630982952 - (AL) SPRINGHILL SURGERY CENTERALAmbulatory Surgical Clinic/Center (261QA1903X)
United
57311$640.001457640112 - MID-MICHIGAN ENDOSCOPY CENTER, PLLC, CHARTER ENDOSCOPY CENTER201979186 - (MI) MID MICHIGAN ENDOSCOPY CENTERMIAmbulatory Surgical Clinic/Center (261QA1903X)
United
57311$2536.001386999662 - PALOS HILLS SURGERY CENTER, LLC451617538 - (IL) PALOS HILLS SURGERY CENTER LLCILAmbulatory Surgical Clinic/Center (261QA1903X)
United
57311$1434.001316533474 - SANDHILLS ENDOSCOPY CENTER851392224 - (SC) SANDHILLS ENDOSCOPY CENTERSCAmbulatory Surgical Clinic/Center (261QA1903X)
United
57311$2000.001770907172 - EYE AND LASER SURGERY CENTERS OF NEW JERSEY LLC462875016 - (NJ) EYE AND LASER SURGERY CENTERS OF NEW JERSEY LLCNJAmbulatory Surgical Clinic/Center (261QA1903X)
United
57311$2370.001609871847 - THE SURGERY CENTER, LLC582520623 - (GA) THE SURGERY CENTER LLCGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
57311$3201.001669787958 - PINE RIDGE SURGERY CENTER, LLC271609169 - (WI) PINE RIDGE SURGERY CENTER, LLCWIAmbulatory Surgical Clinic/Center (261QA1903X)
United
57311$2547.001912906157 - SOUTHERN SURGERY CENTER, LLC522200293 - (MS) SOUTHERN SURGERY CENTER LLCMSAmbulatory Surgical Clinic/Center (261QA1903X)
United
57311$4143.101699252395 - LINDUSTRIES, LLC, SEVENTH AVENUE SURGERY CENTER825145499 - (NE) LINDUSTRIES LLCNEAmbulatory Surgical Clinic/Center (261QA1903X)
United
57311$4192.001134431323 - BETHESDA CHEVY CHASE SURGERY CENTER, LLC272875760 - (MD) BETHESDA CHEVY CHASE SURGERY CENMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
57311$2493.001346621893 - NORTHERN NEW JERSEY CENTER FOR ADVANCED ENDOSCOPY LLC472128570 - (NJ) NORTHERN NEW JERSEY CENTER FOR ADVANCED ENDOSCOPY LLCNJAmbulatory Surgical Clinic/Center (261QA1903X)
United
57311$962.001326202086 - LAKEFOREST AMBULATORY SURGERY CENTER, DISTRICT HEIGHTS AMBULATORY SURGERY CENTER521944179 - (MD) LAKEFOREST AMBULATORY SURGERY CENTERMDAmbulatory 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 57311 vs. Other Surgical Procedures on the Female Genital System Codes

The CPT 57311 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 57311 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
57287-CPTModerateRemoval Or Revision Of Sling For Stress Incontinence
57300-CPTModerateFistulectomy Rectovaginal Vag Appr
57305-CPTHighFistulectomy Rectovaginal Abd Appr
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 57311. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 57311 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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