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 57426 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Rvision (Inclu Remval) Of Prosthet Vagnal Grft Laparoscopic, Revision (Including Removal) Of Prosthetic Vaginal Graft Laparoscopic
| Key Fact | Detail |
|---|---|
| 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 AS - PA/NP/CNS assistant at surgery |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 57426 |
| Medicaid Fee Schedule | View Medicaid rates for 57426 |
National average reimbursement for CPT 57426 by major payers:
$1,072.20
$1,168.17
$1,150.75
$1,428.68
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 57426.
CPT 57426
5 of 25 sample ratesHigher to lower in this preview
Saint Lukes South Surgery Center LLC
$6,623.00Published rateAsc Surgical Ventures, LLC, Osmc Outpatient Surgery Center
$3,008.00Published rateEndoscopy Center Of Southeast Texas Lp, Endoscopy Center Of Southeast Texas
Endoscopy Center Of Southeast Texas Lp
$1,723.00Published rateTriad Surgery Center, LLC, Triad Eye Institute
$1,403.00Published rateMontgomery Eye Surgery Center LLC, The Montgomery Eye Surgery Center
Montgomery Eye Surgery Center LLC
$712.00Published 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 57426 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 57426 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 57426 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 |
|---|---|---|
| 57292-CPT | High | Construction Artificial Vagina;W Graft |
| 57295-CPT | Moderate | Rvision (Inclu Remval) Of Prosthet Vagnal Grft; Vagnal Appr, Revision (Including Removal) Of Prosthetic Vaginal Graft; Vaginal Appr |
| 57425-CPT | High | Surgery For Prolapsed Vagina, Surgery To Attach The Vagina With A Patch Graft Or Ligaments To A Bony Structure Within The Pelvis Such As The Tip Of The Sacrum. The Muscles Of A Prolapsed Vagina Can No Longer Hold It In Its Correct Position. |
| 57426-CPT | High | Rvision (Inclu Remval) Of Prosthet Vagnal Grft Laparoscopic, Revision (Including Removal) Of Prosthetic Vaginal Graft Laparoscopic |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 57426. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 57426 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 57426) and we'll show you how you compare in 15 minutes or less.