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See a sample rate comparisonCPT 58280 is classified under Surgery, in the Surgical Procedures on the Female Genital System subgroup.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Female Genital System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | GC - Service performed by resident under supervision 80 - Assistant surgeon AS - PA/NP/CNS assistant at surgery |
| Complexity Level | High |
| Medicare Fee Schedule | $932.55 national non-facility rate (2026) · View Medicare rates for 58280 |
| Medicaid Fee Schedule | $744.165 median of the 8 states in the free preview · View Medicaid rates for 58280 |
National average reimbursement for CPT 58280 by major payers:

$1,277.35
BCBS / Anthem

$1,417.34
UnitedHealthcare

$1,390.31
Aetna

$1,710.57
Cigna
Choose a payer to see a sample of rates for CPT 58280.
South Bend Specialty Surgery Center, LLC
South Bend Specialty Surgery Center LLC
Hays Surgery Center, LLC
Hays Surgery Center LLC
East Fort Lauderdale Asc LLC, Ft. Lauderdale Heart & Rhythm Surgery Center
East Fort Lauderdale Asc LLC
Affiliated Physicians & Surgeons, Ltd
Affiliated Physicians Surgeons Ltd
Surgicenter Of Norfolk, LLC, Fountain Point Surgery Center
Surgicenter Of Norfolk LLC
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 58280 vs. Other Surgical Procedures on the Female Genital System Codes
The table lists codes related to 58280. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 58152-CPT | High | Total Hysterectomy, Total Abdominal Hysterectomy Corpus And Cervix With Or Without Removal Of Tube S With Or Without Removal Of Ovary S With Colpo Urethrocystopexy Eg Marshall Marchetti Krantz Burch |
| 58280-CPT | High | Hysterectomy Vaginal Approach, Surgical Removal Of The Uterus Through An Incision In The Cervix (Vaginal Hysterectomy). All Or Part Of The Vaginal Walls Also May Be Removed. |
| 58285-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. |
| 58294-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 58280. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58280 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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