CPT 58571: Laparoscopic Total Hysterectomy, Uterus ≤250 g
Medicare pays $839 and commercial payers pay $3799 on average nationally for this procedure.
CPT code 58571 describes a laparoscopic total hysterectomy where the provider removes the uterus and cervix and transects uterine, ovarian, and cervical attachments via trocar ports or through the vaginal canal for a uterus of normal size (250 g or less); service type: minimally invasive surgical procedure (laparoscopic hysterectomy); typical site of service: hospital operating room or ambulatory surgery center using laparoscopy with possible vaginal specimen removal.
For related coverage guidance, see recent payer policy updates: Site of Service Ambulatory Service Center (ASC) Select — Surgical or Diagnostic Procedures in Adults, Site of Service Ambulatory Surgical Center (ASC) Select — Surgical or Diagnostic Procedures in Adults, Site of Service Ambulatory Service Center (ASC) Select.
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National Reimbursement Benchmarks
Medicare’s national mean of $839 sits well below the BUCA average commercial mean of $3,799.40, highlighting a substantial gap between government and aggregated commercial pricing for CPT 58571. Blue Cross Blue Shield and BUCA show notably higher central tendencies than Medicare, while Aetna, Cigna, and UnitedHealth Group fall between those extremes, reflecting a multi-modal market where commercial contracts generally pay multiples of the Medicare mean.
Dispersion (P75−P25) calculations show Blue Cross Blue Shield has the widest interquartile spread at $6,087.9 (P75 $7,828.6 − P25 $1,840.7), indicating significant variability in negotiated rates. BUCA’s spread is $3,837.1 (P75 $5,279.1 − P25 $1,442.0) and UnitedHealth Group’s spread is $936.3 (P75 $1,972.8 − P25 $1,036.5). Aetna and Cigna are tighter, with ranges of $828.1 and $859.9 respectively, suggesting more clustered commercial pricing for those payers.