CPT code 56740: Bartholin excision, gland or cyst removal2026 Medicare rate & RVUs in Virginia

In Virginia, Medicare pays $272.75 for 56740 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 56740 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 56740 covers

A gynecologist removes a Bartholin gland or cyst through a surgical approach to the vulvar vestibule. Excision may be chosen for persistent or recurrent disease when simply opening the cyst or creating a drainage opening is not the treatment performed. The operative report should identify the gland or cyst removed and the extent of the excision. Services are commonly performed in an outpatient operating room or an appropriately equipped procedure setting.

Report 56740 for excision, not for incision and drainage or marsupialization alone. Document the indication, site and whether one or both sides were treated. The code has a 10-day global period, so related postoperative visits during that period are included. For bilateral treatment, modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Assistant-at-surgery payment is restricted; 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 Virginia compares for 56740

Across 109 of 109 payment localities, the facility rate for 56740 runs from $255.44 in Arkansas to $355.52 in Alaska. Virginia pays $272.75. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

56740 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 56740 in every payment locality

How the 56740 rate is calculated

Each of 56740’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.

Payment rules and modifiers for 56740

56740 has a 10-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 56740

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 56740 has changed in Virginia

Price 56740 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

• Abbs Valley
• Abingdon
• Accomac
• Adwolf
• Afton
• Alberta
• Aldie
• Allison Gap

Browse all communities in Virginia

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

Open CMS sourceHow we calculate rates