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See a sample rate comparisonCPT 58974 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.
Embryo Transfer, Any Method
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Female Genital System |
| Common Place of Service | 11 - Office 24 - Ambulatory Surgical Center |
| Common Modifiers | None 52 - Reduced Services 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 58974 |
| Medicaid Fee Schedule | View Medicaid rates for 58974 |
National average reimbursement for CPT 58974 by major payers:
$286.51
$189.13
$224.22
$254.51
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CPT 58974
5 of 25 sample ratesHigher to lower in this preview
Childrens National Medical Center
Childrens Hospital
$384.20Published rateIsabelle Wilkins
UPMC
$312.23Published rateDhananjay Bhavsar
Deaconess Hospital Inc
$252.03Published rateGregg Bean
$193.21Published rateAllan Akerman
Clinica Prenatal San Jose Inc
$99.66Published rate
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See a sample payer proposalCPT 58974 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 58974 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 58974 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 |
|---|---|---|
| 58970-CPT | Moderate | Human Egg Donation, Procedure To Remove Donor Eggs And Prepare Them For Transplantation As Part Of In Vitro Fertilization. |
| 58974-CPT | Moderate | Embryo Transfer, Any Method |
| 58976-CPT | Moderate | Transfer Gamete Intrafallopian |
| 58999-CPT | High | Unlisted Proc Female Genital System (Nonobstetric), Unlisted Procedure Female Genital System (Nonobstetrical) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58974. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58974 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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