CPT code 57156: Brachytherapy insertion, vaginal afterloading apparatus2026 Medicare rate & RVUs in Miami, FL

Report this service when a clinician inserts a vaginal afterloading applicator to prepare for intracavitary brachytherapy, such as treatment of a vaginal cuff.

CMS RVU26DEffective Oct 1, 2026One payment locality14.5K Medicare services in 2024

In Miami, FL, Medicare pays $239.81 for 57156 in the office and $138.98 when it’s performed in a hospital or facility.

$239.81Office (non-facility)
$138.98Hospital or facility
+7.2%vs the national office rate ($223.79)

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.

We’ll open 57156 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Miami, FL
  2. What 57156 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 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 Miami, FL 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. Miami, FL pays $239.81. The RVUs are the same everywhere; the geographic indexes change the dollars.

57156 in Miami, FL vs other payment areas
  1. Miami, FL · this page$239.81
  2. Fort Lauderdale, FL · Florida$231.13−$8.68
  3. Rest of Florida · Florida$221.63−$18.18
  4. Los Angeles, CA · California$248.67+$8.86
  5. Washington, DC area · District of Columbia$252.31+$12.50
  6. Chicago, IL · Illinois$234.13−$5.68
  7. Manhattan, NY · New York$254.44+$14.63

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

Every other payment area

57156 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$272.79$169.64
AlabamaAlabama$204.58$119.83
ArkansasArkansas$202.16$118.95
ArizonaArizona$218.77$124.91
Bakersfield, CACalifornia$235.12$128.95
Chico, CACalifornia$234.43$128.27
El Centro, CACalifornia$234.46$128.30
Fresno, CACalifornia$234.43$128.27

57156 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.

$202.16

$272.79

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

View every state and territory as a table
57156 office rate range by state
State / territoryOffice rate rangeLocalities
AK$272.791
AL$204.581
AR$202.161
AZ$218.771
CA$234.43–$287.2929
CO$231.571
CT$236.961
DC$252.311
DE$221.961
FL$221.63–$239.813
GA$211.17–$227.532
GU$238.541
HI$238.541
IA$208.571
ID$209.751
IL$216.49–$234.134
IN$210.741
KS$207.901
KY$208.841
LA$208.63–$217.112
MA$230.61–$251.682
MD$225.64–$252.313
ME$210.79–$220.032
MI$213.45–$224.072
MN$222.601
MO$205.77–$217.603
MS$203.991
MT$223.771
NC$212.591
ND$219.621
NE$209.471
NH$228.211
NJ$239.86–$250.462
NM$214.471
NV$222.741
NY$215.24–$259.835
OH$212.601
OK$208.391
OR$221.19–$237.742
PA$212.80–$232.012
PR$225.101
RI$228.961
SC$212.911
SD$219.131
TN$208.781
TX$211.65–$230.668
UT$215.311
VA$219.53–$252.312
VI$225.101
VT$219.031
WA$230.10–$256.222
WI$213.501
WV$209.881
WY$221.961

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.

How the rate is built · 57156

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.62

2.62 RVUs× 1.000 GPCI

Practice expense3.87

3.87 RVUs× 1.000 GPCI

Malpractice0.21

0.21 RVUs× 1.000 GPCI

Adjusted RVUs

6.7000

Conversion factor

$33.4009

Medicare rate

$223.79

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

The exact Miami, FL inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,447

Code
57156
Physician work
2.62
Practice expense
3.87
Malpractice
0.21

GPCI2026.csv

42

Locality
Miami, FL
Physician work
1.000
Practice expense
1.041
Malpractice
2.529
Office calculation for 57156 in Miami, FL
ComponentRVULocality factorAdjusted
Physician work2.62× 1.0002.6200
Practice expense3.87× 1.0414.0287
Malpractice0.21× 2.5290.5311
Total RVUs7.1798
Conversion factor× 33.4009

Office rate, Miami, FL$239.81

Office: (2.62 × 1 + 3.87 × 1.041 + 0.21 × 2.529) × $33.4009 = $239.81

Facility: (2.62 × 1 + 0.97 × 1.041 + 0.21 × 2.529) × $33.4009 = $138.98

Open 57156 in the RVU calculator

Payment rules and modifiers for 57156

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

CMS payment indicators · 57156

Brachytherapy insertion, vaginal afterloading apparatus

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)0Not paid without supporting documentation.
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

57156 without 51 · national office

$223.79

Brachytherapy insertion, vaginal afterloading apparatus

57156-51 · Second procedure: 50%

$111.90

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 57156 has changed in Miami, FL

57156 · Office / nonfacility

$239.81

Effective 2026-10-01

The base rate is $1.28 higher than on 2025-10-01, moving from $238.53 to $239.81 (0.5%).

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

    $238.53changed to$239.81

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.69 changed to 2.62
    • Practice expense RVU 4.05 changed to 3.87
    • Practice expense GPCI 1.027 changed to 1.041
    • Malpractice GPCI 2.500 changed to 2.529

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $243.91changed to$238.53

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 3.98 changed to 4.05
    • Malpractice RVU 0.22 changed to 0.21

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $239.93changed to$243.91

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $247.47changed to$239.93

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.95 changed to 3.98
    • Practice expense GPCI 1.025 changed to 1.027
    • Malpractice GPCI 2.564 changed to 2.500
  5. January 1, 2023

    RVU23A

    $247.23changed to$247.47

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.84 changed to 3.95
    • Malpractice RVU 0.20 changed to 0.22
    • Practice expense GPCI 1.023 changed to 1.025
    • Malpractice GPCI 2.629 changed to 2.564

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $242.50changed to$247.23

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 3.65 changed to 3.84

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $235.24changed to$242.50

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.25 changed to 3.65
    • Malpractice RVU 0.19 changed to 0.20
    • Practice expense GPCI 1.026 changed to 1.023
    • Malpractice GPCI 2.598 changed to 2.629

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $227.81changed to$235.24

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.03 changed to 3.25
    • Malpractice RVU 0.20 changed to 0.19
    • Practice expense GPCI 1.029 changed to 1.026
    • Malpractice GPCI 2.566 changed to 2.598

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $219.78changed to$227.81

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.82 changed to 3.03

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $216.81changed to$219.78

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.76 changed to 2.82
    • Practice expense GPCI 1.031 changed to 1.029
    • Malpractice GPCI 2.528 changed to 2.566

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $215.12changed to$216.81

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.73 changed to 2.76
    • Practice expense GPCI 1.033 changed to 1.031
    • Malpractice GPCI 2.490 changed to 2.528

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $215.45changed to$215.12

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.67 changed to 2.73
    • Malpractice RVU 0.22 changed to 0.20

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $214.38changed to$215.45

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $215.63changed to$214.38

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.63 changed to 2.67
    • Practice expense GPCI 1.044 changed to 1.033
    • Malpractice GPCI 2.653 changed to 2.490

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $213.24changed to$215.63

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.78 changed to 2.63
    • Malpractice RVU 0.23 changed to 0.22
    • Practice expense GPCI 1.054 changed to 1.044
    • Malpractice GPCI 2.815 changed to 2.653

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $213.24

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$239.81$138.98RVU26D
2026-07-01$239.81$138.98RVU26C
2026-04-01$239.81$138.98RVU26B
2026-01-01$239.81$138.98RVU26A
2025-10-01$238.53$160.14RVU25D
2025-07-01$238.53$160.14RVU25C
2025-04-01$238.53$160.14RVU25B
2025-01-01$238.53$160.14RVU25A
2024-10-01$243.91$162.89RVU24D
2024-07-01$243.91$162.89RVU24C
2024-04-01$243.91$162.89RVU24B
2024-03-09$243.91$162.89RVU24AR
2024-01-01$239.93$160.23RVU24A
2023-10-01$247.47$165.85RVU23D
2023-07-01$247.47$165.85RVU23C
2023-04-01$247.47$165.85RVU23B
2023-01-01$247.47$165.85RVU23A
2022-10-01$247.23$164.74RVU22D
2022-07-01$247.23$164.74RVU22C
2022-04-01$247.23$164.74RVU22B
2022-01-01$247.23$164.74RVU22A
2021-10-01$242.50$164.68RVU21D
2021-07-01$242.50$164.68RVU21C
2021-04-01$242.50$164.68RVU21B
2021-01-01$242.50$164.68RVU21A
2020-10-01$235.24$167.48RVU20D
2020-07-01$235.24$167.48RVU20C
2020-04-01$235.24$167.48RVU20B
2020-01-01$235.24$167.48RVU20A
2019-10-01$227.81$166.62RVU19D
2019-07-01$227.81$166.62RVU19C
2019-04-01$227.81$166.62RVU19B
2019-01-01$227.81$166.62RVU19A
2018-10-01$219.78$165.32RVU18D
2018-07-01$219.78$165.32RVU18C
2018-04-01$219.78$165.32RVU18B
2018-01-01$219.78$165.32RVU18AR1
2017-10-01$216.81$163.53RVU17D
2017-07-01$216.81$163.53RVU17C
2017-04-01$216.81$163.53RVU17B
2017-01-01$216.81$163.53RVU17A
2016-10-01$215.12$162.23RVU16D
2016-07-01$215.12$162.23RVU16C
2016-04-01$215.12$162.23RVU16B
2016-01-01$215.12$162.23RVU16A
2015-10-01$215.45$162.74RVU15D
2015-07-01$215.45$162.74RVU15C
2015-04-01$214.38$161.93RVU15B
2015-01-01$214.38$161.93RVU15A
2014-10-01$215.63$164.02RVU14D
2014-07-01$215.63$164.02RVU14C
2014-04-01$215.63$164.02RVU14B
2014-01-01$215.63$164.02RVU14A
2013-10-01$213.24$159.09RVU13D
2013-07-01$213.24$159.09RVU13C
2013-04-01$213.24$159.09RVU13B
2013-01-01$213.24$159.09RVU13AR

Price 57156 for an earlier date of service

Where the Miami, FL rate applies

Miami, FL is a Medicare payment area, not a city. Our Census mapping connects it to 83 cities and communities in Florida. Some span more than one payment area; confirm with the service ZIP.

  • Miami
  • Aventura
  • Bal Harbour
  • Bay Harbor Islands
  • Big Coppitt Key
  • Big Pine Key
  • Biscayne Gardens
  • Biscayne Park

Browse all communities in Florida

57156 billing questions

How does this differ from 57155?

57156 is for placing a vaginal afterloading apparatus, commonly a vaginal cylinder. 57155 describes placement of a uterine tandem and/or vaginal ovoids for brachytherapy.

Does this code include radiation delivery?

It reports applicator insertion, not the radiation delivery itself. Report a separately performed delivery service with the applicable brachytherapy delivery code.

Is modifier 50 appropriate when treatment is directed to both sides?

No. CMS identifies bilateral adjustment as inappropriate for this service, so do not use modifier 50.

What documentation supports reporting 57156?

Document the brachytherapy indication, the vaginal afterloading apparatus placed, and the placement performed. The record should distinguish this service from placement of a uterine tandem or vaginal ovoids.

Can an assistant or another surgeon be reported?

Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeon and team-surgery billing 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
RVUs for 57156PPRRVU2026_Oct_nonQPP.csv, line 6,447 (RVU26D)
Geographic factors for Miami, FLGPCI2026.csv, line 42 (RVU26D)

Open CMS sourceHow we calculate rates

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