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 58542 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Laparoscopic Hysterectomy, Surgery Aided By A Scope (Laparoscopy) To Remove The Uterus. The Procedure May Also Remove One Or Both Fallopian Tubes And Ovaries As Well As Nearby Lymph Nodes.
| 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 | None 51 - Multiple procedures 80 - Assistant surgeon |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 58542 |
| Medicaid Fee Schedule | View Medicaid rates for 58542 |
National average reimbursement for CPT 58542 by major payers:
$1,062.82
$1,159.15
$1,205.90
$1,395.96
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 58542.
CPT 58542
5 of 25 sample ratesHigher to lower in this preview
The Emory Clinic Inc, The Emory Clinic Lagrange Surgery Center
Emory University
$7,254.00Published rateWestlake Spine & Outpatient Surgery Center
Journey Lite Of The Central Coast LLC
$4,350.00Published rateRenal Associates, P.A.
Renal Associates, PA
$3,275.00Published rateSloan Eye Clinic, Arkansas Surgery Center
Sloan Eye Clinic
$1,967.00Published rateIsland Eye Surgicenter LLC
$1,053.00Published 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 58542 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 58542 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 58542 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 |
|---|---|---|
| 58180-CPT | High | Abdominal Hysterectomy, Abdominal Surgery To Remove The Uterus (Hysterectomy). The Procedure May Include Removal Of The Cervix Nearby Lymph Nodes Fallopian Tubes Or Ovaries. |
| 58346-CPT | Moderate | Uterine Radiation Therapy, Insertion Of Radiation Therapy Seeds Or Pellets Into The Uterus For Treatment Of Endometrial Cancer (Cancer Of The Uterine Lining). |
| 58542-CPT | High | Laparoscopic Hysterectomy, Surgery Aided By A Scope (Laparoscopy) To Remove The Uterus. The Procedure May Also Remove One Or Both Fallopian Tubes And Ovaries As Well As Nearby Lymph Nodes. |
| 58543-CPT | High | Laparoscopic Hysterectomy, Surgery Aided By A Scope (Laparoscopy) To Remove The Uterus. The Procedure May Also Remove One Or Both Fallopian Tubes And Ovaries As Well As Nearby Lymph Nodes. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58542. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58542 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 58542) and we'll show you how you compare in 15 minutes or less.