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 57800 Fee Schedule
Last Verified: September 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.
Dilation Cervical Canal
| 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 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 57800 |
| Medicaid Fee Schedule | View Medicaid rates for 57800 |
National average reimbursement for CPT 57800 by major payers:
$86.88
$88.04
$94.77
$82.17
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 57800.
CPT 57800
5 of 25 sample ratesHigher to lower in this preview
Lisa Lloyd
Aurora Medical Group Inc
$290.04Published rateChristopher Raio
St Joseph Hospital
$143.19Published rateAlexandra Foxx
University Of Rochester
$114.59Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$87.69Published rateCarolyn Cole
Deaconess Hospital Inc
$52.33Published 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 57800 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 57800 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 57800 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 |
|---|---|---|
| 57720-CPT | Moderate | Trachelorrhaphy Plstic Rpair Of Uterine Cervix Vagnal Approa, Trachelorrhaphy Plastic Repair Of Uterine Cervix Vaginal Approach |
| 57800-CPT | Low | Dilation Cervical Canal |
| 58100-CPT | Low | Biopsy Of The Uterine Lining, A Procedure To Remove A Sample Of Tissue From The Lining Of The Uterus For Testing (Biopsy). The Procedure May Include Examining The Cervix With A Scope (Colposcopy) And Taking Tissue For Testing (Biopsy). |
| 58340-CPT | Moderate | Catheter For Hysterography, Catheterization And Introduction Of Saline Or Contrast Material For Saline Infusion Sonohysterography (Sis) Or Hysterosalpingography |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 57800. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 57800 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 57800) and we'll show you how you compare in 15 minutes or less.