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See a sample rate comparisonCPT 57461 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.
Leep With Scope Exam Of Cervix, Scope-Assisted Exam (Colposcopy) Of The Vagina And Cervix. The Procedure Uses Electricity To Burn Out A Section Of Tissue From The Cervix.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Female Genital System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None AG - Primary physician UA |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 57461 |
| Medicaid Fee Schedule | View Medicaid rates for 57461 |
National average reimbursement for CPT 57461 by major payers:
$396.66
$451.88
$481.51
$331.47
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CPT 57461
5 of 25 sample ratesHigher to lower in this preview
Med City Dallas Outpatient Surgery Center, L.P., Medical City Surgery Center/Dallas
$5,464.00Published ratePueblo Ambulatory Surgery Center LLC
$2,388.00Published rateMelville Sc LLC, Melville Surgery Center
Melville Surgery Center, LLC
$1,876.00Published rateSurgical Associates Northwest, PC, Rainier Surgical Center
Surgical Associates Northwest, PC
$1,192.00Published rateBilal Hijazi
Deaconess Hospital Inc
$575.67Published rate
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See a sample payer proposalCPT 57461 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 57461 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 57461 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 |
|---|---|---|
| 57426-CPT | High | Rvision (Inclu Remval) Of Prosthet Vagnal Grft Laparoscopic, Revision (Including Removal) Of Prosthetic Vaginal Graft Laparoscopic |
| 57454-CPT | Low | Scope Exam For Cervix Biopsy, An Exam Of The Cervix Using A Scope (Colposcopy). The Procedure Includes Removing A Sample Of Tissue For Testing (Biopsy). |
| 57460-CPT | Moderate | Vagina And Cervix Biopsy, An Exam Of The Vagina And Cervix Using A Scope (Colposcopy). The Procedure Removes A Sample Of Tissue For Testing (Biopsy). |
| 57461-CPT | Moderate | Leep With Scope Exam Of Cervix, Scope-Assisted Exam (Colposcopy) Of The Vagina And Cervix. The Procedure Uses Electricity To Burn Out A Section Of Tissue From The Cervix. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 57461. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 57461 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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