# CPT 58571: Laparoscopic total hysterectomy with removal of tube(s)/ovary(s), uterus 250g or less

Medicare CPT 58571 pays $828.68 in a non-facility setting and $828.68 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $746.61 in Arkansas to $1,044.12 in Alaska, a 40% spread.

Web page: https://www.med-reveal.com/rates/58571-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Obstetrics & Gynecology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $828.68 |
| National facility | $828.68 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,044.12 | $1,044.12 |
| Florida | $923.39 | $923.39 |
| New York | $915.35 | $915.35 |
| Illinois | $912.63 | $912.63 |
| District of Columbia | $909.14 | $909.14 |
| New Jersey | $892.37 | $892.37 |
| Connecticut | $877.82 | $877.82 |
| Washington | $856.85 | $856.85 |
| Massachusetts | $856.82 | $856.82 |
| Michigan | $854.41 | $854.41 |
| Maryland | $852.96 | $852.96 |
| California | $844.92 | $844.92 |
| West Virginia | $839.88 | $839.88 |
| Georgia | $837.82 | $837.82 |
| Rhode Island | $835.19 | $835.19 |
| Pennsylvania | $834.98 | $834.98 |
| Puerto Rico | $829.84 | $829.84 |
| Virgin Islands | $829.84 | $829.84 |
| New Mexico | $828.63 | $828.63 |
| Montana | $828.48 | $828.48 |
| Colorado | $828.23 | $828.23 |
| New Hampshire | $826.15 | $826.15 |
| Texas | $820.58 | $820.58 |
| Hawaii | $819.91 | $819.91 |
| Delaware | $818.21 | $818.21 |
| Oregon | $818.04 | $818.04 |
| Louisiana | $812.39 | $812.39 |
| Nevada | $812.35 | $812.35 |
| Ohio | $808.52 | $808.52 |
| Missouri | $807.29 | $807.29 |
| Arizona | $806.93 | $806.93 |
| Utah | $804.11 | $804.11 |
| Wyoming | $802.88 | $802.88 |
| South Carolina | $795.49 | $795.49 |
| Virginia | $795.42 | $795.42 |
| Kentucky | $793.51 | $793.51 |
| Maine | $780.91 | $780.91 |
| Oklahoma | $780.79 | $780.79 |
| Vermont | $777.26 | $777.26 |
| North Carolina | $776.73 | $776.73 |
| North Dakota | $769.75 | $769.75 |
| Mississippi | $769.31 | $769.31 |
| Minnesota | $765.82 | $765.82 |
| South Dakota | $762.81 | $762.81 |
| Tennessee | $760.83 | $760.83 |
| Indiana | $760.11 | $760.11 |
| Idaho | $757.13 | $757.13 |
| Kansas | $756.35 | $756.35 |
| Alabama | $755.52 | $755.52 |
| Wisconsin | $749.92 | $749.92 |
| Nebraska | $748.43 | $748.43 |
| Iowa | $748.39 | $748.39 |
| Arkansas | $746.61 | $746.61 |

## Related codes

- 54150: Circumcision, using clamp/device, newborn — https://www.med-reveal.com/rates/54150-cpt-fee-schedule
- 54160: Circumcision, surgical excision, other than clamp, newborn — https://www.med-reveal.com/rates/54160-cpt-fee-schedule
- 54161: Circumcision, surgical excision, older than 28 days — https://www.med-reveal.com/rates/54161-cpt-fee-schedule
- 54405: Insertion of multi-component inflatable penile prosthesis — https://www.med-reveal.com/rates/54405-cpt-fee-schedule
- 54500: Biopsy of testis — https://www.med-reveal.com/rates/54500-cpt-fee-schedule
- 54520: Orchiectomy, simple — https://www.med-reveal.com/rates/54520-cpt-fee-schedule
- 54522: Orchiectomy, partial — https://www.med-reveal.com/rates/54522-cpt-fee-schedule
- 54600: Reduction of torsion of testis — https://www.med-reveal.com/rates/54600-cpt-fee-schedule

Commercial negotiated rates for 58571 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules