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 59851 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.
Induced Abortion 1+Njx D&C, Induced Abortion By 1 Or More Intra-Amniotic Injections (Amniocentesis-Injections) Including Hospital Admission And Visits Delivery Of Fetus And Secundines; With Dilation And Curettage And/Or Evacuation
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures for Maternity Care and Delivery |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None AG - Primary physician GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 59851 |
| Medicaid Fee Schedule | View Medicaid rates for 59851 |
National average reimbursement for CPT 59851 by major payers:
$529.00
$540.52
$531.86
$668.09
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 59851.
CPT 59851
5 of 25 sample ratesHigher to lower in this preview
The Hand And Upper Extremity Surgery Center Of Georgia, LLC
The Hand And Upper Extremity Surgery Center Of Georgia LLC
$1,630.00Published rateEndo Group, LLC
Endo Group LLC Dba Garden City Surgicenter
$1,030.00Published rateCypress Ambulatory Surgery Center
Cypress Ambulatory Surgery Cen
$816.00Published rateCleburne Endoscopy Center, LLC
Cleburne Endoscopy Center LLC
$410.00Published rateCentral Arizona Endoscopy LLC
$97.00Published 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 59851 vs. Other Surgical Procedures for Maternity Care and Delivery Codes
The CPT 59851 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 59851 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 |
|---|---|---|
| 59850-CPT | Moderate | Termination Of A Pregnancy, Termination Of A Pregnancy. The Procedure Involves A Series Of Injections Into The Amniotic Fluid. The Uterine Contents May Be Removed Surgically Or By Dilation (Opening) The Cervix. |
| 59851-CPT | Moderate | Induced Abortion 1+Njx D&C, Induced Abortion By 1 Or More Intra-Amniotic Injections (Amniocentesis-Injections) Including Hospital Admission And Visits Delivery Of Fetus And Secundines; With Dilation And Curettage And/Or Evacuation |
| 59852-CPT | Moderate | Induced Abortion 1+Njx Hyst, Induced Abortion By 1 Or More Intra-Amniotic Injections (Amniocentesis-Injections) Including Hospital Admission And Visits Delivery Of Fetus And Secundines; With Hysterotomy (Failed Intra-Amniotic Injection) |
| 59856-CPT | Moderate | Induced Ab 1+Vag Supp D&C, Induced Abortion By 1 Or More Vaginal Suppositories (Eg Prostaglandin) With Or Without Cervical Dilation (Eg Laminaria) Including Hospital Admission And Visits Delivery Of Fetus And Secundines; With Dilation And Curettage And/Or Evacuation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 59851. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 59851 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 59851) and we'll show you how you compare in 15 minutes or less.