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

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 Indiana, Medicare pays $49.39 for 57150 in the office and $20.91 when it’s performed in a hospital or facility.

$49.39Office (non-facility)
$20.91Hospital or facility
−7.0%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 Indiana
  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 Indiana 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. Indiana pays $49.39. The RVUs are the same everywhere; the geographic indexes change the dollars.

57150 in Indiana vs other payment areas
  1. Indiana · this page$49.39
  2. Los Angeles, CA · California$59.29+$9.90
  3. Washington, DC area · District of Columbia$60.38+$10.99
  4. Miami, FL · Florida$58.09+$8.70
  5. Chicago, IL · Illinois$56.42+$7.03
  6. Manhattan, NY · New York$61.10+$11.71
  7. Alaska · Alaska$62.48+$13.09

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

Every other payment area

57150 in every other Medicare payment locality
Payment localityOfficeFacility
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
Fresno, CACalifornia$55.60$21.92
Hanford, CACalifornia$55.60$21.92

57150 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.

$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 Indiana 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

52

Locality
Indiana
Physician work
1.000
Practice expense
0.927
Malpractice
0.486
Office calculation for 57150 in Indiana
ComponentRVULocality factorAdjusted
Physician work0.49× 1.0000.4900
Practice expense1.03× 0.9270.9548
Malpractice0.07× 0.4860.0340
Total RVUs1.4788
Conversion factor× 33.4009

Office rate, Indiana$49.39

Office: (0.49 × 1 + 1.03 × 0.927 + 0.07 × 0.486) × $33.4009 = $49.39

Facility: (0.49 × 1 + 0.11 × 0.927 + 0.07 × 0.486) × $33.4009 = $20.91

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

How 57150 has changed in Indiana

57150 · Office / nonfacility

$49.39

Effective 2026-10-01

The base rate is $1.28 lower than on 2025-10-01, moving from $50.67 to $49.39 (2.5%).

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

    $50.67changed to$49.39

    • 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 0.922 changed to 0.927
    • Malpractice GPCI 0.485 changed to 0.486

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $53.54changed to$50.67

    • 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

    $52.66changed to$53.54

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $54.35changed to$52.66

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.17 changed to 1.16
    • Practice expense GPCI 0.911 changed to 0.922
    • Malpractice GPCI 0.475 changed to 0.485
  5. January 1, 2023

    RVU23A

    $56.13changed to$54.35

    • 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
    • Practice expense GPCI 0.900 changed to 0.911
    • Malpractice GPCI 0.465 changed to 0.475

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $54.39changed to$56.13

    • 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

    $50.61changed to$54.39

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.95 changed to 1.13
    • Practice expense GPCI 0.910 changed to 0.900
    • Malpractice GPCI 0.422 changed to 0.465

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $46.00changed to$50.61

    • 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
    • Practice expense GPCI 0.919 changed to 0.910
    • Malpractice GPCI 0.379 changed to 0.422

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $42.78changed to$46.00

    • 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

    $42.93changed to$42.78

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 0.920 changed to 0.919
    • Malpractice GPCI 0.498 changed to 0.379

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $42.78changed to$42.93

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.66 changed to 0.67
    • Practice expense GPCI 0.921 changed to 0.920
    • Malpractice GPCI 0.617 changed to 0.498

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $43.27changed to$42.78

    • 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

    $43.05changed to$43.27

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $43.26changed to$43.05

    • 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
    • Practice expense GPCI 0.922 changed to 0.921
    • Malpractice GPCI 0.615 changed to 0.617

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $43.31changed to$43.26

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.73 changed to 0.66
    • Practice expense GPCI 0.923 changed to 0.922
    • Malpractice GPCI 0.613 changed to 0.615

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $43.31

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$49.39$20.91RVU26D
2026-07-01$49.39$20.91RVU26C
2026-04-01$49.39$20.91RVU26B
2026-01-01$49.39$20.91RVU26A
2025-10-01$50.67$22.94RVU25D
2025-07-01$50.67$22.94RVU25C
2025-04-01$50.67$22.94RVU25B
2025-01-01$50.67$22.94RVU25A
2024-10-01$53.54$23.77RVU24D
2024-07-01$53.54$23.77RVU24C
2024-04-01$53.54$23.77RVU24B
2024-03-09$53.54$23.77RVU24AR
2024-01-01$52.66$23.38RVU24A
2023-10-01$54.35$24.10RVU23D
2023-07-01$54.35$24.10RVU23C
2023-04-01$54.35$24.10RVU23B
2023-01-01$54.35$24.10RVU23A
2022-10-01$56.13$24.67RVU22D
2022-07-01$56.13$24.67RVU22C
2022-04-01$56.13$24.67RVU22B
2022-01-01$56.13$24.67RVU22A
2021-10-01$54.39$24.87RVU21D
2021-07-01$54.39$24.87RVU21C
2021-04-01$54.39$24.87RVU21B
2021-01-01$54.39$24.87RVU21A
2020-10-01$50.61$25.66RVU20D
2020-07-01$50.61$25.66RVU20C
2020-04-01$50.61$25.66RVU20B
2020-01-01$50.61$25.66RVU20A
2019-10-01$46.00$25.13RVU19D
2019-07-01$46.00$25.13RVU19C
2019-04-01$46.00$25.13RVU19B
2019-01-01$46.00$25.13RVU19A
2018-10-01$42.78$27.57RVU18D
2018-07-01$42.78$27.57RVU18C
2018-04-01$42.78$27.57RVU18B
2018-01-01$42.78$27.57RVU18AR1
2017-10-01$42.93$28.08RVU17D
2017-07-01$42.93$28.08RVU17C
2017-04-01$42.93$28.08RVU17B
2017-01-01$42.93$28.08RVU17A
2016-10-01$42.78$27.94RVU16D
2016-07-01$42.78$27.94RVU16C
2016-04-01$42.78$27.94RVU16B
2016-01-01$42.78$27.94RVU16A
2015-10-01$43.27$28.04RVU15D
2015-07-01$43.27$28.04RVU15C
2015-04-01$43.05$27.90RVU15B
2015-01-01$43.05$27.90RVU15A
2014-10-01$43.26$28.73RVU14D
2014-07-01$43.26$28.73RVU14C
2014-04-01$43.26$28.73RVU14B
2014-01-01$43.26$28.73RVU14A
2013-10-01$43.31$27.60RVU13D
2013-07-01$43.31$27.60RVU13C
2013-04-01$43.31$27.60RVU13B
2013-01-01$43.31$27.60RVU13AR

Price 57150 for an earlier date of service

Where the Indiana rate applies

Indiana is a Medicare payment area, not a city. Our Census mapping connects it to 974 cities and communities in Indiana. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Abington
  • Adams
  • Adams Lake
  • Advance
  • Akron
  • Alamo
  • Albany

Browse all communities in Indiana

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 IndianaGPCI2026.csv, line 52 (RVU26D)

Open CMS sourceHow we calculate rates

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