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CPT code 57150: Vaginal infection treatment, irrigation or medication2026 Medicare rate & RVUs in Chicago, IL

Reports vaginal irrigation, intravaginal medication, or both to treat an active infection, such as vaginitis, in an outpatient setting.

CMS RVU26DEffective Oct 1, 2026One payment locality16.2K Medicare services in 2024

In Chicago, IL, Medicare pays $56.42 for 57150 in the office and $25.54 when it’s performed in a hospital or facility.

$56.42Office (non-facility)
$25.54Hospital or facility
+6.2%vs the national office rate ($53.11)

Check a contract rate as a % of Medicare · 57150 nationwide

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

We’ll open 57150 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Chicago, IL
  2. What 57150 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 57150 covers

An ob-gyn or other qualified clinician uses vaginal irrigation, applies a topical medicament, or performs both to manage an active vaginal infection such as vaginitis. The service is typically performed in an office or outpatient setting; it concerns treatment within the vagina, not tissue sampling or placement of a support device.

Report 57150 when the documented treatment includes irrigation and/or intravaginal medication for infection, rather than an examination alone. Record the infection being treated, the method used, and the medication when applied. Medicare assigns a 0-day global period, so same-day preoperative and postoperative care is included. When another procedure subject to multiple-procedure reduction is performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate for this vaginal service. Medicare does not pay an assistant at surgery for it, and co-surgeon and team-surgery billing 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 Chicago, IL compares for 57150

Across 109 of 109 payment localities, the office rate for 57150 runs from $47.12 in Arkansas to $69.03 in San Benito County, CA. Chicago, IL pays $56.42. The RVUs are the same everywhere; the geographic indexes change the dollars.

57150 in Chicago, IL vs other payment areas
  1. Chicago, IL · this page$56.42
  2. East St. Louis, IL · Illinois$52.73−$3.69
  3. Rest of Illinois · Illinois$51.43−$4.99
  4. Suburban Chicago, IL · Illinois$55.96−$0.46
  5. Los Angeles, CA · California$59.29+$2.87
  6. Washington, DC area · District of Columbia$60.38+$3.96
  7. Miami, FL · Florida$58.09+$1.67

Other areas in Illinois first, then benchmark localities. Bars start at $0.

Every other payment area

57150 in every other Medicare payment locality
Payment localityOfficeFacility
Manhattan, NYNew York$61.10$25.39
AlaskaAlaska$62.48$29.75
AlabamaAlabama$47.79$20.90
ArkansasArkansas$47.12$20.73
ArizonaArizona$51.70$21.93
Bakersfield, CACalifornia$55.81$22.13
Chico, CACalifornia$55.60$21.92
El Centro, CACalifornia$55.62$21.94

57150 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$47.12

$62.48

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
57150 office rate range by state
State / territoryOffice rate rangeLocalities
AK$62.481
AL$47.791
AR$47.121
AZ$51.701
CA$55.60–$69.0329
CO$54.991
CT$56.571
DC$60.381
DE$52.541
FL$52.77–$58.093
GA$49.84–$54.182
GU$56.841
HI$56.841
IA$48.771
ID$49.121
IL$51.43–$56.424
IN$49.391
KS$48.651
KY$49.091
LA$49.05–$51.402
MA$54.72–$60.202
MD$53.49–$60.383
ME$49.47–$51.942
MI$50.42–$53.512
MN$52.461
MO$48.30–$51.463
MS$47.721
MT$53.101
NC$49.961
ND$51.721
NE$49.001
NH$54.231
NJ$57.15–$59.802
NM$50.721
NV$52.751
NY$50.69–$62.665
OH$50.131
OK$48.901
OR$52.28–$56.592
PA$50.16–$55.262
PR$53.451
RI$54.301
SC$50.141
SD$51.551
TN$48.891
TX$49.85–$54.878
UT$50.801
VA$51.84–$60.382
VI$53.451
VT$51.611
WA$54.58–$61.312
WI$50.041
WV$49.611
WY$52.501

See 57150 in every payment locality

How the 57150 rate is calculated

Each of 57150’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 · 57150

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.49

0.49 RVUs× 1.000 GPCI

Practice expense1.03

1.03 RVUs× 1.000 GPCI

Malpractice0.07

0.07 RVUs× 1.000 GPCI

Adjusted RVUs

1.5900

Conversion factor

$33.4009

Medicare rate

$53.11

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Chicago, IL inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,445

Code
57150
Physician work
0.49
Practice expense
1.03
Malpractice
0.07

GPCI2026.csv

48

Locality
Chicago, IL
Physician work
1.007
Practice expense
1.005
Malpractice
2.295
Office calculation for 57150 in Chicago, IL
ComponentRVULocality factorAdjusted
Physician work0.49× 1.0070.4934
Practice expense1.03× 1.0051.0352
Malpractice0.07× 2.2950.1607
Total RVUs1.6892
Conversion factor× 33.4009

Office rate, Chicago, IL$56.42

Office: (0.49 × 1.007 + 1.03 × 1.005 + 0.07 × 2.295) × $33.4009 = $56.42

Facility: (0.49 × 1.007 + 0.11 × 1.005 + 0.07 × 2.295) × $33.4009 = $25.54

Open 57150 in the RVU calculator

Payment rules and modifiers for 57150

The CMS indicators that decide how 57150 is paid alongside other services.

CMS payment indicators · 57150

Vaginal infection treatment, irrigation or medication

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

57150 without 51 · national office

$53.11

Vaginal infection treatment, irrigation or medication

57150-51 · Second procedure: 50%

$26.56

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%).

When to use modifier 51

Codes related to 57150

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

Codes related to 57150
CodeHow it relatesOffice range, Chicago, IL
Often billed with
87210Wet mount, saline, India ink, or KOHWet-mount microscopy may be performed on vaginal fluid during evaluation of suspected vaginitis.$5.82
87070Aerobic culture, non-urine, blood, or stoolA bacterial culture may be obtained to investigate vaginal infection during the encounter.$8.62
99213Office visit, established patient, low complexityA separately identifiable established-patient office E/M service may accompany infection treatment.$99.63

How 57150 has changed in Chicago, IL

57150 · Office / nonfacility

$56.42

Effective 2026-10-01

The base rate is $1.50 lower than on 2025-10-01, moving from $57.92 to $56.42 (2.6%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $57.92changed to$56.42

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.50 changed to 0.49
    • Practice expense RVU 1.12 changed to 1.03
    • Practice expense GPCI 1.023 changed to 1.005
    • Malpractice GPCI 2.018 changed to 2.295

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $61.64changed to$57.92

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.16 changed to 1.12
    • Malpractice RVU 0.08 changed to 0.07

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $60.63changed to$61.64

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $63.33changed to$60.63

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.17 changed to 1.16
    • Work GPCI 1.009 changed to 1.007
    • Practice expense GPCI 1.033 changed to 1.023
    • Malpractice GPCI 1.945 changed to 2.018

  5. January 1, 2023

    RVU23A

    $66.68changed to$63.33

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.20 changed to 1.17
    • Malpractice RVU 0.09 changed to 0.08
    • Work GPCI 1.011 changed to 1.009
    • Practice expense GPCI 1.044 changed to 1.033
    • Malpractice GPCI 1.871 changed to 1.945

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $64.68changed to$66.68

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.13 changed to 1.20

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $59.99changed to$64.68

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.95 changed to 1.13
    • Work GPCI 1.009 changed to 1.011
    • Practice expense GPCI 1.039 changed to 1.044
    • Malpractice GPCI 1.898 changed to 1.871

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $52.88changed to$59.99

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.82 changed to 0.95
    • Malpractice RVU 0.06 changed to 0.09
    • Work GPCI 1.008 changed to 1.009
    • Practice expense GPCI 1.034 changed to 1.039
    • Malpractice GPCI 1.925 changed to 1.898

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $49.06changed to$52.88

    • Conversion factor 35.9996 changed to 36.0391
    • Work RVU 0.55 changed to 0.50
    • Practice expense RVU 0.67 changed to 0.82

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $49.13changed to$49.06

    • Conversion factor 35.8887 changed to 35.9996
    • Work GPCI 1.012 changed to 1.008
    • Practice expense GPCI 1.036 changed to 1.034
    • Malpractice GPCI 1.972 changed to 1.925

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $48.85changed to$49.13

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.66 changed to 0.67
    • Work GPCI 1.016 changed to 1.012
    • Practice expense GPCI 1.037 changed to 1.036
    • Malpractice GPCI 2.019 changed to 1.972

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $49.40changed to$48.85

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 0.67 changed to 0.66

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $49.15changed to$49.40

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $50.71changed to$49.15

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.66 changed to 0.67
    • Malpractice RVU 0.08 changed to 0.06
    • Work GPCI 1.023 changed to 1.016
    • Practice expense GPCI 1.044 changed to 1.037
    • Malpractice GPCI 2.048 changed to 2.019

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $51.03changed to$50.71

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.73 changed to 0.66
    • Work GPCI 1.030 changed to 1.023
    • Practice expense GPCI 1.051 changed to 1.044
    • Malpractice GPCI 2.077 changed to 2.048

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$51.03

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$56.42$25.54RVU26D
2026-07-01$56.42$25.54RVU26C
2026-04-01$56.42$25.54RVU26B
2026-01-01$56.42$25.54RVU26A
2025-10-01$57.92$27.14RVU25D
2025-07-01$57.92$27.14RVU25C
2025-04-01$57.92$27.14RVU25B
2025-01-01$57.92$27.14RVU25A
2024-10-01$61.64$28.60RVU24D
2024-07-01$61.64$28.60RVU24C
2024-04-01$61.64$28.60RVU24B
2024-03-09$61.64$28.60RVU24AR
2024-01-01$60.63$28.14RVU24A
2023-10-01$63.33$29.02RVU23D
2023-07-01$63.33$29.02RVU23C
2023-04-01$63.33$29.02RVU23B
2023-01-01$63.33$29.02RVU23A
2022-10-01$66.68$30.19RVU22D
2022-07-01$66.68$30.19RVU22C
2022-04-01$66.68$30.19RVU22B
2022-01-01$66.68$30.19RVU22A
2021-10-01$64.68$30.44RVU21D
2021-07-01$64.68$30.44RVU21C
2021-04-01$64.68$30.44RVU21B
2021-01-01$64.68$30.44RVU21A
2020-10-01$59.99$31.50RVU20D
2020-07-01$59.99$31.50RVU20C
2020-04-01$59.99$31.50RVU20B
2020-01-01$59.99$31.50RVU20A
2019-10-01$52.88$29.41RVU19D
2019-07-01$52.88$29.41RVU19C
2019-04-01$52.88$29.41RVU19B
2019-01-01$52.88$29.41RVU19A
2018-10-01$49.06$31.93RVU18D
2018-07-01$49.06$31.93RVU18C
2018-04-01$49.06$31.93RVU18B
2018-01-01$49.06$31.93RVU18AR1
2017-10-01$49.13$32.40RVU17D
2017-07-01$49.13$32.40RVU17C
2017-04-01$49.13$32.40RVU17B
2017-01-01$49.13$32.40RVU17A
2016-10-01$48.85$32.14RVU16D
2016-07-01$48.85$32.14RVU16C
2016-04-01$48.85$32.14RVU16B
2016-01-01$48.85$32.14RVU16A
2015-10-01$49.40$32.26RVU15D
2015-07-01$49.40$32.26RVU15C
2015-04-01$49.15$32.10RVU15B
2015-01-01$49.15$32.10RVU15A
2014-10-01$50.71$34.25RVU14D
2014-07-01$50.71$34.25RVU14C
2014-04-01$50.71$34.25RVU14B
2014-01-01$50.71$34.25RVU14A
2013-10-01$51.03$33.15RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 57150 for an earlier date of service

Where the Chicago, IL rate applies

Chicago, IL is a Medicare payment area, not a city. Our Census mapping connects it to 137 cities and communities in Illinois. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Illinois

57150 billing questions

When should 57150 be reported instead of a vaginal biopsy?

Use 57150 for irrigation and/or intravaginal medication to treat an infection. A biopsy code is for sampling vaginal tissue, not treating vaginitis.

Can irrigation and medication application be reported as two services?

The code covers irrigation, application of medicament, or both for the infection treatment. Do not report separate units merely because both methods were used.

Can an office E/M service be reported on the same date?

A separately identifiable E/M service may be reported when the visit includes evaluation beyond the work of the infection treatment. Modifier 25 may be appropriate on the E/M code when its requirements are met.

Should modifier 50 be appended?

No. Modifier 50 is inappropriate for this vaginal service.

What documentation supports 57150?

Document the vaginal infection being treated and whether irrigation, medicament application, or both were performed; identify the medication when one is used.

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
RVUs for 57150PPRRVU2026_Oct_nonQPP.csv, line 6,445 (RVU26D)
Geographic factors for Chicago, ILGPCI2026.csv, line 48 (RVU26D)

Open CMS sourceHow we calculate rates

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