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 58120 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.
Removal Of Uterine Lining, A Procedure To Open The Cervix Manually And Scrape Out The Lining Of The Uterus. The Procedure Is Commonly Referred To As A D And C (Dilation And Curettage).
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Female Genital System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 58120 |
| Medicaid Fee Schedule | View Medicaid rates for 58120 |
National average reimbursement for CPT 58120 by major payers:
$345.70
$356.92
$392.94
$374.27
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 58120.
CPT 58120
5 of 25 sample ratesHigher to lower in this preview
Park Central Surgical Center, Ltd, Medical City Surgery Center/Park Central
Park Central Surgical Center Ltd
$3,871.00Published rateSt. Joseph'S Outpatient Surgery Center, LLC
St Josephs Outpatient Surgery Center LLC
$2,353.00Published rateBaptist Desoto Surgery Center, Lp
Baptist Desoto Surgery Center Lp
$1,125.00Published rateCenter For Endoscopy LLC
$640.00Published rateZachary Edwards
Deaconess Hospital Inc
$216.44Published 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 58120 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 58120 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 58120 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 |
|---|---|---|
| 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). |
| 58120-CPT | Moderate | Removal Of Uterine Lining, A Procedure To Open The Cervix Manually And Scrape Out The Lining Of The Uterus. The Procedure Is Commonly Referred To As A D And C (Dilation And Curettage). |
| 58323-CPT | Low | Sperm Washing For Artificial Insemination |
| 58550-CPT | High | Vaginal Hysterectomy, Surgery To Remove The Uterus Through The Cervix (Vaginal Hysterectomy). The Procedure May Be Aided By A Scope (Laparoscope). The Fallopian Tubes Or Ovaries Also May Be Removed. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58120. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58120 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 58120) and we'll show you how you compare in 15 minutes or less.