CPT code 57284: Paravaginal repair, open abdominal approach2026 Medicare rate & RVUs in Connecticut

Open abdominal repair restores lateral vaginal support when a paravaginal defect contributes to prolapse, with associated cystocele repair included when performed.

CMS RVU26DEffective Oct 1, 2026One payment locality54 Medicare services in 2024

In Connecticut, Medicare pays $779.33 for 57284 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$779.33Hospital or facility

Check a contract rate as a % of Medicare · 57284 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 57284 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 57284 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 57284 covers

This operation restores support where the lateral vaginal wall has separated from its pelvic sidewall attachments, a defect that can contribute to anterior vaginal prolapse. A gynecologist or urogynecologist performs the repair through an open abdominal approach, commonly in an operating room as part of pelvic reconstructive surgery. The code includes repair of an associated cystocele when that repair is part of the procedure.

Choose this code when the operative findings and work document correction of a paravaginal defect through an open abdominal route. A vaginal route for the same defect is represented by 57285; a central anterior wall repair without the lateral defect is a different service. This major operation has a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery and co-surgeon payment are permitted; team surgery is not. Modifier 50 is inappropriate for this 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 Connecticut compares for 57284

Across 109 of 109 payment localities, the facility rate for 57284 runs from $671.61 in Arkansas to $946.88 in Alaska. Connecticut pays $779.33. The RVUs are the same everywhere; the geographic indexes change the dollars.

57284 in Connecticut vs other payment areas
  1. Connecticut · this page$779.33
  2. Los Angeles, CA · California$764.34−$14.99
  3. Washington, DC area · District of Columbia$806.35+$27.02
  4. Miami, FL · Florida$871.56+$92.23
  5. Chicago, IL · Illinois$848.78+$69.45
  6. Manhattan, NY · New York$846.85+$67.52
  7. Alaska · Alaska$946.88+$167.55

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

Every other payment area

57284 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$678.83
ArkansasArkansas—$671.61
ArizonaArizona—$720.46
Bakersfield, CACalifornia—$733.08
Chico, CACalifornia—$726.15
El Centro, CACalifornia—$726.56
Fresno, CACalifornia—$726.15
Hanford, CACalifornia—$726.15

57284 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.

View every state and territory as a table
57284 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 57284 in every payment locality

How the 57284 rate is calculated

Each of 57284’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 · 57284

RVUs × geographic indexes × conversion factor

Office or facility?

Work13.97

13.97 RVUs× 1.000 GPCI

Practice expense5.67

5.67 RVUs× 1.000 GPCI

Malpractice2.46

2.46 RVUs× 1.000 GPCI

Adjusted RVUs

22.1000

Conversion factor

$33.4009

Medicare rate

$738.16

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

The exact Connecticut inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,465

Code
57284
Physician work
13.97
Practice expense
5.67
Malpractice
2.46

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Facility calculation for 57284 in Connecticut
ComponentRVULocality factorAdjusted
Physician work13.97× 1.02014.2494
Practice expense5.67× 1.0776.1066
Malpractice2.46× 1.2102.9766
Total RVUs23.3326
Conversion factor× 33.4009

Facility rate, Connecticut$779.33

Facility: (13.97 × 1.02 + 5.67 × 1.077 + 2.46 × 1.21) × $33.4009 = $779.33

Open 57284 in the RVU calculator

Payment rules and modifiers for 57284

57284 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 57284

Paravaginal repair, open abdominal approach

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are 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)2Paid.
Co-surgeons (62)2Permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.08/0.83/0.09Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 57284

Paravaginal repair, open abdominal approach

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

57284 without 51 · national facility

$738.16

Paravaginal repair, open abdominal approach

57284-51 · Second procedure: 50%

$369.08

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 57284 has changed in Connecticut

57284 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$779.33RVU26D
2026-07-01Not available in this setting$779.33RVU26C
2026-04-01Not available in this setting$779.33RVU26B
2026-01-01Not available in this setting$779.33RVU26A
2025-10-01Not available in this setting$866.65RVU25D
2025-07-01Not available in this setting$866.65RVU25C
2025-04-01Not available in this setting$866.65RVU25B
2025-01-01Not available in this setting$866.65RVU25A
2024-10-01Not available in this setting$885.64RVU24D
2024-07-01Not available in this setting$885.64RVU24C
2024-04-01Not available in this setting$885.64RVU24B
2024-03-09Not available in this setting$885.64RVU24AR
2024-01-01Not available in this setting$871.18RVU24A
2023-10-01Not available in this setting$891.82RVU23D
2023-07-01Not available in this setting$891.82RVU23C
2023-04-01Not available in this setting$891.82RVU23B
2023-01-01Not available in this setting$891.82RVU23A
2022-10-01Not available in this setting$903.60RVU22D
2022-07-01Not available in this setting$903.60RVU22C
2022-04-01Not available in this setting$903.60RVU22B
2022-01-01Not available in this setting$903.60RVU22A
2021-10-01Not available in this setting$900.71RVU21D
2021-07-01Not available in this setting$900.71RVU21C
2021-04-01Not available in this setting$900.71RVU21B
2021-01-01Not available in this setting$900.71RVU21A
2020-10-01Not available in this setting$914.40RVU20D
2020-07-01Not available in this setting$914.40RVU20C
2020-04-01Not available in this setting$914.40RVU20B
2020-01-01Not available in this setting$914.40RVU20A
2019-10-01Not available in this setting$897.02RVU19D
2019-07-01Not available in this setting$897.02RVU19C
2019-04-01Not available in this setting$897.02RVU19B
2019-01-01Not available in this setting$897.02RVU19A
2018-10-01Not available in this setting$887.98RVU18D
2018-07-01Not available in this setting$887.98RVU18C
2018-04-01Not available in this setting$887.98RVU18B
2018-01-01Not available in this setting$887.98RVU18AR1
2017-10-01Not available in this setting$890.20RVU17D
2017-07-01Not available in this setting$890.20RVU17C
2017-04-01Not available in this setting$890.20RVU17B
2017-01-01Not available in this setting$890.20RVU17A
2016-10-01Not available in this setting$886.11RVU16D
2016-07-01Not available in this setting$886.11RVU16C
2016-04-01Not available in this setting$886.11RVU16B
2016-01-01Not available in this setting$886.11RVU16A
2015-10-01Not available in this setting$892.45RVU15D
2015-07-01Not available in this setting$892.45RVU15C
2015-04-01Not available in this setting$888.01RVU15B
2015-01-01Not available in this setting$888.01RVU15A
2014-10-01Not available in this setting$904.21RVU14D
2014-07-01Not available in this setting$904.21RVU14C
2014-04-01Not available in this setting$904.21RVU14B
2014-01-01Not available in this setting$904.21RVU14A
2013-10-01Not available in this setting$881.18RVU13D
2013-07-01Not available in this setting$881.18RVU13C
2013-04-01Not available in this setting$881.18RVU13B
2013-01-01Not available in this setting$881.18RVU13AR

Price 57284 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

  • Ansonia
  • Ball Pond
  • Baltic
  • Bantam
  • Bethel
  • Bethlehem Village
  • Bigelow Corners
  • Blue Hills

Browse all communities in Connecticut

57284 billing questions

How does 57284 differ from 57285?

The distinction is the operative route for repairing the paravaginal defect: 57284 is performed through an open abdominal approach, while 57285 uses a vaginal approach.

Can a cystocele repair be separately reported?

Repair of an associated cystocele is included when performed as part of the paravaginal repair. The operative note should clarify whether the work addresses the lateral defect, rather than only a central anterior wall defect.

Should modifier 50 be used for a bilateral defect?

No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 is not used.

What global period applies?

The procedure has a 90-day global period. The day-before preoperative visit and related postoperative care during that period are included.

May an assistant or another surgeon be reported?

Assistant-at-surgery and co-surgeon payment are permitted. Team surgery is not permitted for this code.

How does the multiple-procedure reduction affect payment?

When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction.

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 57284PPRRVU2026_Oct_nonQPP.csv, line 6,465 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 57284 pays in Connecticut?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 57284 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist