CPT code 54057: Penile lesion treatment, laser destruction2026 Medicare rate & RVUs in Napa, CA
Reports laser destruction of one or more penile lesions, such as genital warts, when laser treatment is the method performed.
In Napa, CA, Medicare pays $174.68 for 54057 in the office and $105.12 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 54057 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 54057 covers
Code 54057 represents laser ablation of one or more lesions on the penis, such as external genital warts (condylomata). A urologist or dermatologist typically performs the treatment in an outpatient procedure setting, directing laser energy at lesion tissue to destroy it rather than removing it by excision. Selection is based on the penile site and laser method, not simply the number of lesions; use a method-specific sibling code when the documented treatment is chemical, electrosurgical, or cryosurgical.
The record should identify the penile lesion or lesions and document the laser treatment performed. This code has a 10-day global period, so related postoperative visits during that period are included. When another procedure subject to multiple-procedure pricing is performed in the same session, the highest-valued procedure is paid in full and other procedures are reduced to 50%. Modifier 50 is inappropriate for this descriptor and anatomy. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How Napa, CA compares for 54057
Across 109 of 109 payment localities, the office rate for 54057 runs from $127.76 in Arkansas to $188.77 in San Benito County, CA. Napa, CA pays $174.68. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Napa, CA · this page$174.68
- Bakersfield, CA · California$151.93−$22.75
- Chico, CA · California$151.46−$23.22
- El Centro, CA · California$151.49−$23.19
- Fresno, CA · California$151.46−$23.22
- Hanford, CA · California$151.46−$23.22
- Los Angeles, CA · California$161.55−$13.13
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Madera, CACalifornia | $151.46 | $93.62 |
| Merced, CACalifornia | $151.46 | $93.62 |
| Modesto, CACalifornia | $151.46 | $93.62 |
| Oxnard, CACalifornia | $160.69 | $98.31 |
| Redding, CACalifornia | $151.46 | $93.62 |
| Rest of CaliforniaCalifornia | $151.46 | $93.62 |
| Riverside, CACalifornia | $153.20 | $95.36 |
| Sacramento, CACalifornia | $158.73 | $97.35 |
| Salinas, CACalifornia | $158.13 | $96.97 |
| San Diego, CACalifornia | $161.69 | $98.58 |
| Marin County, CACalifornia | $184.64 | $110.23 |
| San Francisco, CACalifornia | $184.46 | $110.05 |
| San Benito County, CACalifornia | $188.77 | $112.67 |
| Santa Clara County, CACalifornia | $188.03 | $111.93 |
| San Luis Obispo, CACalifornia | $155.61 | $95.50 |
| Santa Cruz, CACalifornia | $163.12 | $99.00 |
| Santa Maria, CACalifornia | $158.68 | $97.15 |
| Santa Rosa, CACalifornia | $164.75 | $99.94 |
| Stockton, CACalifornia | $151.46 | $93.62 |
| Vallejo, CACalifornia | $174.41 | $104.86 |
| Visalia, CACalifornia | $151.46 | $93.62 |
| Yuba City, CACalifornia | $151.46 | $93.62 |
| Washington, DC areaDistrict of Columbia | $164.02 | $101.85 |
| Miami, FLFlorida | $156.09 | $101.15 |
| Chicago, ILIllinois | $151.66 | $98.62 |
| Manhattan, NYNew York | $165.42 | $104.10 |
| AlaskaAlaska | $168.88 | $112.67 |
| AlabamaAlabama | $129.57 | $83.40 |
| ArkansasArkansas | $127.76 | $82.42 |
| ArizonaArizona | $140.20 | $89.06 |
| ColoradoColorado | $149.47 | $93.32 |
| ConnecticutConnecticut | $153.35 | $96.52 |
| DelawareDelaware | $142.47 | $90.33 |
| Fort Lauderdale, FLFlorida | $149.53 | $96.07 |
| Rest of FloridaFlorida | $142.40 | $91.95 |
| Atlanta, GAGeorgia | $146.70 | $93.08 |
| Rest of GeorgiaGeorgia | $134.56 | $87.48 |
| Hawaii, Guam, HIHawaii | $154.93 | $94.93 |
| IowaIowa | $132.53 | $84.24 |
| IdahoIdaho | $133.42 | $84.87 |
| East St. Louis, ILIllinois | $141.65 | $93.10 |
| Rest of IllinoisIllinois | $138.57 | $90.39 |
| Suburban Chicago, ILIllinois | $150.98 | $96.79 |
| IndianaIndiana | $134.16 | $85.24 |
| KansasKansas | $132.04 | $84.33 |
| KentuckyKentucky | $132.79 | $85.87 |
| New Orleans, LALouisiana | $138.99 | $89.33 |
| Rest of LouisianaLouisiana | $132.63 | $85.93 |
| Metropolitan Boston, MAMassachusetts | $163.82 | $100.81 |
| Rest of MassachusettsMassachusetts | $148.66 | $93.09 |
| Baltimore area, MDMaryland | $152.94 | $96.32 |
| Rest of MarylandMaryland | $145.10 | $91.69 |
| Rest of MaineMaine | $134.22 | $85.66 |
| Southern Maine, MEMaine | $141.12 | $88.82 |
| Detroit, MIMichigan | $144.25 | $93.32 |
| Rest of MichiganMichigan | $136.25 | $88.07 |
| MinnesotaMinnesota | $142.99 | $88.69 |
| Metropolitan Kansas City, MOMissouri | $137.95 | $88.39 |
| Metropolitan St. Louis, MOMissouri | $139.34 | $89.09 |
| Rest of MissouriMissouri | $130.50 | $85.01 |
| MississippiMississippi | $129.15 | $83.71 |
| MontanaMontana | $143.95 | $91.17 |
| North CarolinaNorth Carolina | $135.56 | $86.32 |
| North DakotaNorth Dakota | $140.78 | $88.01 |
| NebraskaNebraska | $133.20 | $84.49 |
| New HampshireNew Hampshire | $147.25 | $92.31 |
| Northern New JerseyNew Jersey | $162.42 | $101.20 |
| Rest of New JerseyNew Jersey | $155.04 | $97.41 |
| New MexicoNew Mexico | $137.02 | $88.63 |
| NevadaNevada | $143.16 | $90.34 |
| NYC suburbs and Long Island, NYNew York | $169.48 | $106.73 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $156.14 | $98.36 |
| Queens, NYNew York | $166.58 | $104.20 |
| Rest of New YorkNew York | $137.54 | $87.41 |
| OhioOhio | $135.60 | $87.42 |
| OklahomaOklahoma | $132.44 | $85.31 |
| Portland, OROregon | $153.98 | $95.35 |
| Rest of OregonOregon | $141.98 | $89.42 |
| Metropolitan Philadelphia, PAPennsylvania | $149.70 | $94.77 |
| Rest of PennsylvaniaPennsylvania | $135.75 | $87.30 |
| Puerto RicoPuerto Rico | $144.94 | $91.59 |
| Rhode IslandRhode Island | $147.37 | $92.85 |
| South CarolinaSouth Carolina | $135.82 | $87.06 |
| South DakotaSouth Dakota | $140.41 | $87.64 |
| TennesseeTennessee | $132.70 | $84.73 |
| Austin, TXTexas | $149.03 | $93.20 |
| Beaumont, TXTexas | $134.89 | $86.87 |
| Brazoria, TXTexas | $142.25 | $89.95 |
| Dallas, TXTexas | $143.19 | $90.63 |
| Fort Worth, TXTexas | $142.30 | $90.26 |
| Galveston, TXTexas | $142.70 | $90.30 |
| Houston, TXTexas | $145.63 | $93.22 |
| Rest of TexasTexas | $138.52 | $88.43 |
| UtahUtah | $137.62 | $88.01 |
| VirginiaVirginia | $140.75 | $88.87 |
| Virgin Islands, VIUnited States Virgin Islands | $144.94 | $91.59 |
| VermontVermont | $140.35 | $88.11 |
| Rest of WashingtonWashington | $148.34 | $92.77 |
| King County, WAWashington | $167.00 | $102.24 |
| WisconsinWisconsin | $136.21 | $85.65 |
| West VirginiaWest Virginia | $133.62 | $87.76 |
| WyomingWyoming | $142.57 | $89.79 |
54057 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$127.76
$170.12
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $168.88 | 1 |
| AL | $129.57 | 1 |
| AR | $127.76 | 1 |
| AZ | $140.20 | 1 |
| CA | $151.46–$188.77 | 29 |
| CO | $149.47 | 1 |
| CT | $153.35 | 1 |
| DC | $164.02 | 1 |
| DE | $142.47 | 1 |
| FL | $142.40–$156.09 | 3 |
| GA | $134.56–$146.70 | 2 |
| GU | $154.93 | 1 |
| HI | $154.93 | 1 |
| IA | $132.53 | 1 |
| ID | $133.42 | 1 |
| IL | $138.57–$151.66 | 4 |
| IN | $134.16 | 1 |
| KS | $132.04 | 1 |
| KY | $132.79 | 1 |
| LA | $132.63–$138.99 | 2 |
| MA | $148.66–$163.82 | 2 |
| MD | $145.10–$164.02 | 3 |
| ME | $134.22–$141.12 | 2 |
| MI | $136.25–$144.25 | 2 |
| MN | $142.99 | 1 |
| MO | $130.50–$139.34 | 3 |
| MS | $129.15 | 1 |
| MT | $143.95 | 1 |
| NC | $135.56 | 1 |
| ND | $140.78 | 1 |
| NE | $133.20 | 1 |
| NH | $147.25 | 1 |
| NJ | $155.04–$162.42 | 2 |
| NM | $137.02 | 1 |
| NV | $143.16 | 1 |
| NY | $137.54–$169.48 | 5 |
| OH | $135.60 | 1 |
| OK | $132.44 | 1 |
| OR | $141.98–$153.98 | 2 |
| PA | $135.75–$149.70 | 2 |
| PR | $144.94 | 1 |
| RI | $147.37 | 1 |
| SC | $135.82 | 1 |
| SD | $140.41 | 1 |
| TN | $132.70 | 1 |
| TX | $134.89–$149.03 | 8 |
| UT | $137.62 | 1 |
| VA | $140.75–$164.02 | 2 |
| VI | $144.94 | 1 |
| VT | $140.35 | 1 |
| WA | $148.34–$167.00 | 2 |
| WI | $136.21 | 1 |
| WV | $133.62 | 1 |
| WY | $142.57 | 1 |
How the 54057 rate is calculated
Each of 54057’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 54057
RVUs × geographic indexes × conversion factor
Work1.26
1.26 RVUs× 1.000 GPCI
Practice expense2.89
2.89 RVUs× 1.000 GPCI
Malpractice0.16
0.16 RVUs× 1.000 GPCI
Adjusted RVUs
4.3100
Conversion factor
$33.4009
Medicare rate
$143.96
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Napa, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,241
- Code
- 54057
- Physician work
- 1.26
- Practice expense
- 2.89
- Malpractice
- 0.16
GPCI2026.csv
17
- Locality
- Napa, CA
- Physician work
- 1.063
- Practice expense
- 1.318
- Malpractice
- 0.508
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.26 | × 1.063 | 1.3394 |
| Practice expense | 2.89 | × 1.318 | 3.8090 |
| Malpractice | 0.16 | × 0.508 | 0.0813 |
| Total RVUs | 5.2297 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Napa, CA$174.68
Office: (1.26 × 1.063 + 2.89 × 1.318 + 0.16 × 0.508) × $33.4009 = $174.68
Facility: (1.26 × 1.063 + 1.31 × 1.318 + 0.16 × 0.508) × $33.4009 = $105.12
Payment rules and modifiers for 54057
54057 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 54057
Penile lesion treatment, laser destruction
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 54057
Penile lesion treatment, laser destruction
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
54057 without 51 · national office
$143.96
Penile lesion treatment, laser destruction
54057-51 · Second procedure: 50%
$71.98
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 54057 has changed in Napa, CA
54057 · Office / nonfacility
$174.68
Effective 2026-10-01
The base rate is $11.31 higher than on 2025-10-01, moving from $163.37 to $174.68 (6.9%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$163.37changed to$174.68
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.29 changed to 1.26
- Practice expense RVU 2.75 changed to 2.89
- Work GPCI 1.058 changed to 1.063
- Practice expense GPCI 1.310 changed to 1.318
- Malpractice GPCI 0.521 changed to 0.508
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$172.92changed to$163.37
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 2.86 changed to 2.75
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$170.10changed to$172.92
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$169.79changed to$170.10
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 2.82 changed to 2.86
- Malpractice RVU 0.17 changed to 0.16
- Work GPCI 1.051 changed to 1.058
- Practice expense GPCI 1.265 changed to 1.310
- Malpractice GPCI 0.513 changed to 0.521
January 1, 2023
RVU23A
$165.15changed to$169.79
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 2.75 changed to 2.82
- Malpractice RVU 0.14 changed to 0.17
- Work GPCI 1.044 changed to 1.051
- Practice expense GPCI 1.220 changed to 1.265
- Malpractice GPCI 0.504 changed to 0.513
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$165.42changed to$165.15
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 2.72 changed to 2.75
- Malpractice RVU 0.15 changed to 0.14
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$163.75changed to$165.42
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 2.52 changed to 2.72
- Malpractice RVU 0.13 changed to 0.15
- Work GPCI 1.049 changed to 1.044
- Practice expense GPCI 1.238 changed to 1.220
- Malpractice GPCI 0.496 changed to 0.504
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$166.04changed to$163.75
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 2.53 changed to 2.52
- Malpractice RVU 0.15 changed to 0.13
- Work GPCI 1.055 changed to 1.049
- Practice expense GPCI 1.256 changed to 1.238
- Malpractice GPCI 0.458 changed to 0.496
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$167.22changed to$166.04
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 2.56 changed to 2.53
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$163.26changed to$167.22
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 2.45 changed to 2.56
- Work GPCI 1.057 changed to 1.055
- Practice expense GPCI 1.271 changed to 1.256
- Malpractice GPCI 0.477 changed to 0.458
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$163.26
Held through RVU17B, RVU17C, RVU17D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $174.68 | $105.12 | RVU26D |
| 2026-07-01 | $174.68 | $105.12 | RVU26C |
| 2026-04-01 | $174.68 | $105.12 | RVU26B |
| 2026-01-01 | $174.68 | $105.12 | RVU26A |
| 2025-10-01 | $163.37 | $109.56 | RVU25D |
| 2025-07-01 | $163.37 | $109.56 | RVU25C |
| 2025-04-01 | $163.37 | $109.56 | RVU25B |
| 2025-01-01 | $163.37 | $109.56 | RVU25A |
| 2024-10-01 | $172.92 | $114.05 | RVU24D |
| 2024-07-01 | $172.92 | $114.05 | RVU24C |
| 2024-04-01 | $172.92 | $114.05 | RVU24B |
| 2024-03-09 | $172.92 | $114.05 | RVU24AR |
| 2024-01-01 | $170.10 | $112.19 | RVU24A |
| 2023-10-01 | $169.79 | $111.49 | RVU23D |
| 2023-07-01 | $169.79 | $111.49 | RVU23C |
| 2023-04-01 | $169.79 | $111.49 | RVU23B |
| 2023-01-01 | $169.79 | $111.49 | RVU23A |
| 2022-10-01 | $165.15 | $108.16 | RVU22D |
| 2022-07-01 | $165.15 | $108.16 | RVU22C |
| 2022-04-01 | $165.15 | $108.16 | RVU22B |
| 2022-01-01 | $165.15 | $108.16 | RVU22A |
| 2021-10-01 | $165.42 | $107.53 | RVU21D |
| 2021-07-01 | $165.42 | $107.53 | RVU21C |
| 2021-04-01 | $165.42 | $107.53 | RVU21B |
| 2021-01-01 | $165.42 | $107.53 | RVU21A |
| 2020-10-01 | $163.75 | $109.25 | RVU20D |
| 2020-07-01 | $163.75 | $109.25 | RVU20C |
| 2020-04-01 | $163.75 | $109.25 | RVU20B |
| 2020-01-01 | $163.75 | $109.25 | RVU20A |
| 2019-10-01 | $166.04 | $111.27 | RVU19D |
| 2019-07-01 | $166.04 | $111.27 | RVU19C |
| 2019-04-01 | $166.04 | $111.27 | RVU19B |
| 2019-01-01 | $166.04 | $111.27 | RVU19A |
| 2018-10-01 | $167.22 | $112.06 | RVU18D |
| 2018-07-01 | $167.22 | $112.06 | RVU18C |
| 2018-04-01 | $167.22 | $112.06 | RVU18B |
| 2018-01-01 | $167.22 | $112.06 | RVU18AR1 |
| 2017-10-01 | $163.26 | $110.80 | RVU17D |
| 2017-07-01 | $163.26 | $110.80 | RVU17C |
| 2017-04-01 | $163.26 | $110.80 | RVU17B |
| 2017-01-01 | $163.26 | $110.80 | RVU17A |
| 2016-10-01 | Rate data unavailable | Rate data unavailable | RVU16D |
| 2016-07-01 | Rate data unavailable | Rate data unavailable | RVU16C |
| 2016-04-01 | Rate data unavailable | Rate data unavailable | RVU16B |
| 2016-01-01 | Rate data unavailable | Rate data unavailable | RVU16A |
| 2015-10-01 | Rate data unavailable | Rate data unavailable | RVU15D |
| 2015-07-01 | Rate data unavailable | Rate data unavailable | RVU15C |
| 2015-04-01 | Rate data unavailable | Rate data unavailable | RVU15B |
| 2015-01-01 | Rate data unavailable | Rate data unavailable | RVU15A |
| 2014-10-01 | Rate data unavailable | Rate data unavailable | RVU14D |
| 2014-07-01 | Rate data unavailable | Rate data unavailable | RVU14C |
| 2014-04-01 | Rate data unavailable | Rate data unavailable | RVU14B |
| 2014-01-01 | Rate data unavailable | Rate data unavailable | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Napa, CA rate applies
Napa, CA is a Medicare payment area, not a city. Our Census mapping connects it to 11 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Napa
- American Canyon
- Angwin
- Calistoga
- Deer Park
- Moskowite Corner
- Oakville
- Rutherford
54057 billing questions
How does 54057 differ from 54055?
54057 is for laser destruction of penile lesions. 54055 is the electrosurgical method, so the documented technique distinguishes the codes.
When should 54065 be considered instead?
54065 describes extensive destruction of penile lesions by any method. Consider it when the documented service is extensive rather than selecting a code solely for a particular destruction method.
Can modifier 50 be appended for lesions on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this descriptor and anatomy.
Are related follow-up visits separately included during the global period?
Related postoperative visits within the 10-day global period are included in the procedure.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this service, and co-surgeons and team surgery are not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
Fee sheets · Coming soon
Put 54057 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist