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See a sample rate comparisonCPT 58263 Fee Schedule
Medicare rates as of October 2026
CPT 58263 is classified under Surgery, in the Surgical Procedures on the Female Genital System subgroup.
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.
| 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 | 80 - Assistant surgeon 59 - Distinct Procedural Service |
| Complexity Level | High |
| Medicare Fee Schedule | $877.44 national non-facility rate (2026) · View Medicare rates for 58263 |
| Medicaid Fee Schedule | $700.505 median of the 8 states in the free preview · View Medicaid rates for 58263 |
National average reimbursement for CPT 58263 by major payers:
$1,280.55
BCBS / Anthem
$1,335.44
UnitedHealthcare
$1,336.85
Aetna
$1,610.97
Cigna
Compare published rates across providers.
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CPT 58263
5 of 25 sample ratesHigher to lower in this preview
Outpatient Women'S And Children'S Surgery Center, Ltd
Outpatient Womens And Childrens Surgery Center Ltd
$3,794.00Published rateSurgcenter Of Southern Maryland, LLC
Surgcenter Of Southern Maryland
$2,490.00Published rateSurgicore, Inc.
Surgicore Inc
$1,831.00Published rateKuresmart Pain Management Surgery Center, Clearway Surgery Center Of Dundalk
Kuresmart Pain Management Surgery Center
$1,334.00Published rateUro-Center Ambulatory Surgical Center LLC
Urocenter Ambulatory Surgical Center LLC
$1,040.00Published rate
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See a sample payer proposalCPT 58263 vs. Other Surgical Procedures on the Female Genital System Codes
The table lists codes related to 58263. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 58262-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. |
| 58263-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. |
| 58267-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. |
| 58356-CPT | High | Remove Lining Of Uterus, Removal Of The Endometrium (Lining Of The Uterus) With Heated Or Super-Cooled Liquid. Ultrasound May Be Used To Assist Viewing The Area. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58263. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58263 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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