CPT code 57156: Brachytherapy insertion, vaginal afterloading apparatus2026 Medicare rate & RVUs in San Diego, CA

In San Diego, CA, Medicare pays $248.53 for 57156 in the office and $132.69 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 57156 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 57156 covers

A radiation oncologist or gynecologic oncologist places an afterloading applicator in the vagina to prepare for intracavitary brachytherapy. A vaginal cylinder is a common example, including for treatment directed to the vaginal cuff after hysterectomy for endometrial cancer. The service involves positioning the applicator for the planned treatment, rather than excision or treatment of a vaginal lesion.

Report the insertion when the record supports placement of a vaginal brachytherapy apparatus; document the indication and the applicator placed. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this service. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted. Radiation delivery is a distinct service when performed and may be reported separately with the applicable delivery code.

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 San Diego, CA compares for 57156

Across 109 of 109 payment localities, the office rate for 57156 runs from $202.16 in Arkansas to $287.29 in San Benito County, CA. San Diego, CA pays $248.53. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

57156 rates by state

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

See 57156 in every payment locality

How the 57156 rate is calculated

Each of 57156’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 57156

The CMS indicators that decide how 57156 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 57156

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

How 57156 has changed in San Diego, CA

Price 57156 for an earlier date of service

Where the San Diego, CA rate applies

San Diego, CA is a Medicare payment area, not a city. Our Census mapping connects it to 57 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

• Carlsbad
• Chula Vista
• San Diego
• Vista
• Alpine
• Bonita
• Bonsall
• Borrego Springs

Browse all communities in California

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