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 58920 Fee Schedule
Last Verified: October 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.
Wedge Resec/Bisection-Ovary,Uni/Bil
| 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 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 58920 |
| Medicaid Fee Schedule | View Medicaid rates for 58920 |
National average reimbursement for CPT 58920 by major payers:
$902.69
$952.84
$935.49
$1,153.20
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 58920.
CPT 58920
5 of 25 sample ratesHigher to lower in this preview
Lubbock County Hospital District, University Medical Center
Lubbock County Hospital District
$6,609.00Published rateClear Creek Surgery Center LLC
Clear Creek Surgery Center, LLC
$3,353.00Published rateNhpe, LLC, New Hyde Park Endoscopy
$2,009.00Published rateBrown Urology, Inc., Collyer Street Operatory
Brown Urology Inc
$1,229.00Published rateNovamed Eye Surgery Center Of Overland Park, LLC, Overland Park Surgery Center
Novamed Eye Surgery Center Of Overland Park LLC
$570.00Published 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 58920 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 58920 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 58920 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 |
|---|---|---|
| 58825-CPT | Moderate | Move Ovary For Radiation, Surgery To Move One Or Both Ovaries Behind The Uterus Prior To Radiation Therapy. The Uterus Shields The Ovary From The Radiation. |
| 58900-CPT | Moderate | Biopsy Ovary |
| 58920-CPT | Moderate | Wedge Resec/Bisection-Ovary,Uni/Bil |
| 58925-CPT | Moderate | Cystectomy Ovarian |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58920. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58920 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 58920) and we'll show you how you compare in 15 minutes or less.