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See a sample rate comparisonCPT 58294 Fee Schedule
Medicare rates as of October 2026
CPT 58294 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 | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | 82 - Assistant surgeon - no qualified resident GC - Service performed by resident under supervision |
| Complexity Level | High |
| Medicare Fee Schedule | $1,069.50 national non-facility rate (2026) · View Medicare rates for 58294 |
| Medicaid Fee Schedule | $852.815 median of the 8 states in the free preview · View Medicaid rates for 58294 |
National average reimbursement for CPT 58294 by major payers:
$1,527.69
BCBS / Anthem
$1,639.56
UnitedHealthcare
$1,607.41
Aetna
$1,972.12
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 58294.
CPT 58294
5 of 25 sample ratesHigher to lower in this preview
Northshore Regional Medical Center Dba The Surgery Suite, The Surgery Suite
Ochsner Clinic Foundation
$21,412.00Published rateAnkeny Medical Park Surgery Center Lc
$4,975.08Published rateBaptist Surgery And Endoscopy Centers LLC, Baptist Health Surgery Center At Northpoint
$3,320.00Published rateEast Side Endoscopy LLC
$1,306.00Published rateMcdowell Ambulatory Surgery Center LLC
$153.00Published rate
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See a sample payer proposalCPT 58294 vs. Other Surgical Procedures on the Female Genital System Codes
The table lists codes related to 58294. 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. |
| 58290-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. |
| 58292-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 58294. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58294 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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