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 58550 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.
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 | None 80 - Assistant surgeon AS - PA/NP/CNS assistant at surgery |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 58550 |
| Medicaid Fee Schedule | View Medicaid rates for 58550 |
National average reimbursement for CPT 58550 by major payers:
$1,102.51
$1,186.44
$1,204.57
$1,433.25
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 58550.
CPT 58550
5 of 25 sample ratesHigher to lower in this preview
Saint Lukes South Pain Management Center LLC
$15,525.00Published rateCentral Virginia Surgi-Center Lp, Surgi-Center Of Central Virginia
Central Virginia Surgicenter Lp
$5,797.00Published rateSouthern Surgery Center, LLC
Southern Surgery Center LLC
$3,749.00Published rateJervey Eye Center,LLC
$2,382.00Published rateMarc Zabate
Deaconess Hospital Inc
$709.07Published 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 58550 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 58550 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 58550 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 |
|---|---|---|
| 58210-CPT | High | Extensive Hysterectomy, Radical Abdominal Hysterectomy With Bilateral Total Pelvic Lymphadenectomy And Para Aortic Lymph Node Sampling Biopsy With Or Without Removal Of Tube S With Or Without Removal Of Ovary S |
| 58541-CPT | Moderate | 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. |
| 58550-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. |
| 58552-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 58550. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58550 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 58550) and we'll show you how you compare in 15 minutes or less.