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See a sample rate comparisonCPT 58321 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.
Artificial Insemination, Artificial Insemination Is A Procedure That Places Sperm Into The Uterus To Increase The Likelihood Of Becoming Pregnant.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Female Genital System |
| Common Place of Service | 11 - Office 19 - Off Campus Outpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 58321 |
National average reimbursement for CPT 58321 by major payers:
$101.16
$104.12
$104.09
$84.10
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CPT 58321
5 of 25 sample ratesHigher to lower in this preview
Mercy Catholic Medical Center Of Southeastern PA, Mercy Philadelphia Hospital Short Procedure Unit
Mercy Catholic Medical Center Of Southeastern PA
$3,598.00Published rateLutherville Endoscopy Center LLC
$601.00Published rateCentury City Endoscopy, LLC
Century City Endoscopy LLC
$178.00Published rateMinimally Invasive Surgical And Neuroscience LLC, Delaware Outpatient Center For Surgery
Delaware Outpatient Center For Surgery
$113.00Published rateGynemed Surgical Center
$40.00Published rate
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See a sample payer proposalCPT 58321 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 58321 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 58321 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 |
|---|---|---|
| 58300-CPT | Low | Insert Birth Control Device, Fitting Insertion And Instructions For Using A Birth Control Device: Diaphragm Cervical Cap Or Iud (Intrauterine Device). |
| 58321-CPT | Low | Artificial Insemination, Artificial Insemination Is A Procedure That Places Sperm Into The Uterus To Increase The Likelihood Of Becoming Pregnant. |
| 58322-CPT | Low | Artificial Insemination, Artificial Insemination Is A Procedure That Places Sperm Into The Uterus To Increase The Likelihood Of Becoming Pregnant. |
| 58323-CPT | Low | Sperm Washing For Artificial Insemination |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58321. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58321 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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