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 59840 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.
Termination Of A Pregnancy, Procedure To Terminate A Pregnancy. Involves Dilating (Opening) The Cervix And Removing The Contents Of The Uterus By Scraping Or Suction.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures for Maternity Care and Delivery |
| Common Place of Service | 11 - Office 24 - Ambulatory Surgical Center |
| Common Modifiers | None AG - Primary physician UA |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 59840 |
| Medicaid Fee Schedule | View Medicaid rates for 59840 |
National average reimbursement for CPT 59840 by major payers:
$295.63
$304.27
$331.30
$383.55
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 59840.
CPT 59840
5 of 25 sample ratesHigher to lower in this preview
Ochsner Medical Center, Ochsner Outpatient Surgery Suite
Ochsner Clinic Foundation
$12,055.00Published rateSacred Heart Asc, LLC
Sacred Heart Asc LLC
$2,025.00Published rateBarnet Dulaney Perkins Eye Center, PC, Bdpec Asc Tucson 5th St
Barnet Dulaney Perkins Eye Center PLLC
$1,505.00Published rateAlabama Eye Surgery Center LLC
$879.00Published rateCalifornia Skin Surgery Center Inc
$390.00Published 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 59840 vs. Other Surgical Procedures for Maternity Care and Delivery Codes
The CPT 59840 code is part of the Surgery services used for Surgical Procedures for Maternity Care and Delivery. 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 59840 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 |
|---|---|---|
| 59812-CPT | Moderate | Surgery For Miscarriage, When A Pregnancy Ends Spontaneously Without Going To Term The Event Is Called A Miscarriage. Material Remaining In The Uterus Is Removed As Quickly As Possible Especially If Infection Is Present. |
| 59820-CPT | Moderate | Surgery For Miscarriage, When A Pregnancy Ends Spontaneously Without Going To Term The Event Is Called A Miscarriage. Material Remaining In The Uterus Is Removed As Quickly As Possible Especially If Infection Is Present. |
| 59821-CPT | Moderate | Surgery For Miscarriage, When A Pregnancy Ends Spontaneously Without Going To Term The Event Is Called A Miscarriage. Material Remaining In The Uterus Is Removed As Quickly As Possible Especially If Infection Is Present. |
| 59840-CPT | Moderate | Termination Of A Pregnancy, Procedure To Terminate A Pregnancy. Involves Dilating (Opening) The Cervix And Removing The Contents Of The Uterus By Scraping Or Suction. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 59840. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 59840 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 59840) and we'll show you how you compare in 15 minutes or less.