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CPT code 57420: Vaginal colposcopy, without vaginal biopsy2026 Medicare rate & RVUs in Virginia

Colposcopic inspection of vaginal mucosa without tissue sampling, typically used to evaluate abnormal vaginal cytology or a visible vaginal lesion.

CMS RVU26DEffective Oct 1, 2026One payment locality3.8K Medicare services in 2024

In Virginia, Medicare pays $133.38 for 57420 in the office and $77.89 when it’s performed in a hospital or facility.

$133.38Office (non-facility)
$77.89Hospital or facility
−3.1%vs the national office rate ($137.61)

Check a contract rate as a % of Medicare · 57420 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 57420 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Virginia
  2. What 57420 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 57420 covers

Code 57420 represents magnified inspection of vaginal mucosa with a colposcope, without tissue sampling. Gynecologists commonly perform it in an office or outpatient setting to assess abnormal vaginal cytology or a visible lesion, including possible vaginal intraepithelial neoplasia. Document the indication, areas examined, adequacy of visualization, and findings.

Report this code when the colposcopic assessment is directed to the vagina and no vaginal biopsy is taken. If vaginal tissue is biopsied during colposcopy, use 57421. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are reduced to 50%. Modifier 50 is inappropriate; assistant-at-surgery payment is restricted, and co-surgeon and team-surgery payment is 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 Virginia compares for 57420

Across 109 of 109 payment localities, the office rate for 57420 runs from $122.11 in Arkansas to $172.06 in San Benito County, CA. Virginia pays $133.38. The RVUs are the same everywhere; the geographic indexes change the dollars.

57420 in Virginia vs other payment areas
  1. Virginia · this page$133.38
  2. Los Angeles, CA · California$150.20+$16.82
  3. Washington, DC area · District of Columbia$154.99+$21.61
  4. Miami, FL · Florida$156.03+$22.65
  5. Chicago, IL · Illinois$151.33+$17.95
  6. Manhattan, NY · New York$159.05+$25.67
  7. Alaska · Alaska$164.07+$30.69

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

Every other payment area

57420 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$123.83$74.44
ArkansasArkansas$122.11$73.62
ArizonaArizona$133.83$79.13
Bakersfield, CACalifornia$141.93$80.06
Chico, CACalifornia$141.09$79.23
El Centro, CACalifornia$141.14$79.28
Fresno, CACalifornia$141.09$79.23
Hanford, CACalifornia$141.09$79.23

57420 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.

$122.11

$164.07

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

View every state and territory as a table
57420 office rate range by state
State / territoryOffice rate rangeLocalities
AK$164.071
AL$123.831
AR$122.111
AZ$133.831
CA$141.09–$172.0629
CO$140.871
CT$146.571
DC$154.991
DE$135.951
FL$139.33–$156.033
GA$131.38–$140.992
GU$143.731
HI$143.731
IA$125.151
ID$126.291
IL$136.69–$151.334
IN$126.951
KS$125.391
KY$128.381
LA$128.51–$134.522
MA$140.41–$153.292
MD$138.22–$154.993
ME$127.79–$133.232
MI$132.34–$141.842
MN$132.751
MO$126.93–$134.013
MS$124.501
MT$137.591
NC$128.941
ND$131.661
NE$125.571
NH$139.451
NJ$147.61–$153.652
NM$133.361
NV$136.011
NY$130.86–$163.805
OH$131.121
OK$127.301
OR$134.33–$144.262
PA$130.87–$143.582
PR$138.291
RI$140.011
SC$130.371
SD$130.961
TN$126.101
TX$130.11–$141.278
UT$132.061
VA$133.38–$154.992
VI$138.291
VT$131.911
WA$139.89–$155.522
WI$127.511
WV$132.041
WY$135.011

See 57420 in every payment locality

How the 57420 rate is calculated

Each of 57420’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 · 57420

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.56

1.56 RVUs× 1.000 GPCI

Practice expense2.26

2.26 RVUs× 1.000 GPCI

Malpractice0.30

0.30 RVUs× 1.000 GPCI

Adjusted RVUs

4.1200

Conversion factor

$33.4009

Medicare rate

$137.61

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

The exact Virginia inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,486

Code
57420
Physician work
1.56
Practice expense
2.26
Malpractice
0.30

GPCI2026.csv

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 57420 in Virginia
ComponentRVULocality factorAdjusted
Physician work1.56× 1.0001.5600
Practice expense2.26× 0.9832.2216
Malpractice0.30× 0.7060.2118
Total RVUs3.9934
Conversion factor× 33.4009

Office rate, Virginia$133.38

Office: (1.56 × 1 + 2.26 × 0.983 + 0.3 × 0.706) × $33.4009 = $133.38

Facility: (1.56 × 1 + 0.57 × 0.983 + 0.3 × 0.706) × $33.4009 = $77.89

Open 57420 in the RVU calculator

Payment rules and modifiers for 57420

The CMS indicators that decide how 57420 is paid alongside other services.

CMS payment indicators · 57420

Vaginal colposcopy, without vaginal biopsy

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

57420 without 51 · national office

$137.61

Vaginal colposcopy, without vaginal biopsy

57420-51 · Second procedure: 50%

$68.81

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 57420

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

Codes related to 57420
CodeHow it relatesOffice range, Virginia
Same family
57421Colposcopy, entire vagina with biopsyVaginal colposcopy with biopsy; distinguishes examination alone from examination with vaginal tissue sampling.$176.28
Used instead
57452Colposcopy, cervix, no tissue samplingCervical colposcopy when the examination is directed to the cervix rather than the vagina.$121.88
57455Cervical biopsy, colposcopy-guided biopsyCervical colposcopy with biopsy when cervical tissue, rather than vaginal tissue, is sampled.$156.03
57454Cervical colposcopy, biopsy and endocervical curettageCervical colposcopy with biopsy and endocervical curettage for a cervical evaluation.$160.77
57410Pelvic examination, under anesthesiaPelvic examination without the colposcopic vaginal assessment described by 57420.No office rate

How 57420 has changed in Virginia

57420 · Office / nonfacility

$133.38

Effective 2026-10-01

The base rate is $6.81 higher than on 2025-10-01, moving from $126.57 to $133.38 (5.4%).

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

    $126.57changed to$133.38

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.60 changed to 1.56
    • Practice expense RVU 2.14 changed to 2.26
    • Malpractice RVU 0.27 changed to 0.30
    • Work GPCI 1.002 changed to 1.000
    • Practice expense GPCI 0.984 changed to 0.983
    • Malpractice GPCI 0.755 changed to 0.706

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $130.65changed to$126.57

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.16 changed to 2.14
    • Malpractice RVU 0.26 changed to 0.27

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $128.52changed to$130.65

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $132.68changed to$128.52

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.13 changed to 2.16
    • Malpractice RVU 0.25 changed to 0.26
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.990 changed to 0.984
    • Malpractice GPCI 0.826 changed to 0.755

  5. January 1, 2023

    RVU23A

    $135.10changed to$132.68

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.09 changed to 2.13
    • Practice expense GPCI 0.995 changed to 0.990
    • Malpractice GPCI 0.897 changed to 0.826

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $132.05changed to$135.10

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.97 changed to 2.09

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $128.80changed to$132.05

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.75 changed to 1.97
    • Malpractice RVU 0.26 changed to 0.25
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.903 changed to 0.897

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $122.67changed to$128.80

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.59 changed to 1.75
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.908 changed to 0.903

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $119.34changed to$122.67

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.50 changed to 1.59

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $118.57changed to$119.34

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.51 changed to 1.50
    • Malpractice RVU 0.25 changed to 0.26
    • Practice expense GPCI 0.985 changed to 0.986
    • Malpractice GPCI 0.866 changed to 0.908

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $117.10changed to$118.57

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.49 changed to 1.51
    • Practice expense GPCI 0.983 changed to 0.985
    • Malpractice GPCI 0.824 changed to 0.866

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $118.47changed to$117.10

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.50 changed to 1.49
    • Malpractice RVU 0.27 changed to 0.25

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $117.88changed to$118.47

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $116.59changed to$117.88

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.49 changed to 1.50
    • Malpractice RVU 0.25 changed to 0.27
    • Practice expense GPCI 0.980 changed to 0.983
    • Malpractice GPCI 0.778 changed to 0.824

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $114.75changed to$116.59

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.62 changed to 1.49
    • Malpractice RVU 0.26 changed to 0.25
    • Practice expense GPCI 0.977 changed to 0.980
    • Malpractice GPCI 0.731 changed to 0.778

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $114.75

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$133.38$77.89RVU26D
2026-07-01$133.38$77.89RVU26C
2026-04-01$133.38$77.89RVU26B
2026-01-01$133.38$77.89RVU26A
2025-10-01$126.57$85.19RVU25D
2025-07-01$126.57$85.19RVU25C
2025-04-01$126.57$85.19RVU25B
2025-01-01$126.57$85.19RVU25A
2024-10-01$130.65$87.09RVU24D
2024-07-01$130.65$87.09RVU24C
2024-04-01$130.65$87.09RVU24B
2024-03-09$130.65$87.09RVU24AR
2024-01-01$128.52$85.67RVU24A
2023-10-01$132.68$88.39RVU23D
2023-07-01$132.68$88.39RVU23C
2023-04-01$132.68$88.39RVU23B
2023-01-01$132.68$88.39RVU23A
2022-10-01$135.10$89.99RVU22D
2022-07-01$135.10$89.99RVU22C
2022-04-01$135.10$89.99RVU22B
2022-01-01$135.10$89.99RVU22A
2021-10-01$132.05$90.73RVU21D
2021-07-01$132.05$90.73RVU21C
2021-04-01$132.05$90.73RVU21B
2021-01-01$132.05$90.73RVU21A
2020-10-01$128.80$93.40RVU20D
2020-07-01$128.80$93.40RVU20C
2020-04-01$128.80$93.40RVU20B
2020-01-01$128.80$93.40RVU20A
2019-10-01$122.67$93.18RVU19D
2019-07-01$122.67$93.18RVU19C
2019-04-01$122.67$93.18RVU19B
2019-01-01$122.67$93.18RVU19A
2018-10-01$119.34$93.43RVU18D
2018-07-01$119.34$93.43RVU18C
2018-04-01$119.34$93.43RVU18B
2018-01-01$119.34$93.43RVU18AR1
2017-10-01$118.57$93.12RVU17D
2017-07-01$118.57$93.12RVU17C
2017-04-01$118.57$93.12RVU17B
2017-01-01$118.57$93.12RVU17A
2016-10-01$117.10$91.76RVU16D
2016-07-01$117.10$91.76RVU16C
2016-04-01$117.10$91.76RVU16B
2016-01-01$117.10$91.76RVU16A
2015-10-01$118.47$93.04RVU15D
2015-07-01$118.47$93.04RVU15C
2015-04-01$117.88$92.58RVU15B
2015-01-01$117.88$92.58RVU15A
2014-10-01$116.59$91.67RVU14D
2014-07-01$116.59$91.67RVU14C
2014-04-01$116.59$91.67RVU14B
2014-01-01$116.59$91.67RVU14A
2013-10-01$114.75$88.49RVU13D
2013-07-01$114.75$88.49RVU13C
2013-04-01$114.75$88.49RVU13B
2013-01-01$114.75$88.49RVU13AR

Price 57420 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

57420 billing questions

When should 57420 be reported instead of 57421?

Use 57420 for vaginal colposcopy without vaginal tissue sampling. When a vaginal biopsy is performed during the colposcopy, report 57421.

How does 57420 differ from cervical colposcopy?

57420 describes colposcopic assessment directed to the vagina. For an examination directed to the cervix, consider the cervical colposcopy code that matches the services performed.

Is a vaginal biopsy separately reported with 57420?

When vaginal tissue is biopsied during colposcopy, 57421 describes the vaginal colposcopy with biopsy; do not report 57420 for that same service.

Can modifier 50 be used for bilateral vaginal colposcopy?

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

What same-day payment rules affect 57420?

The 0-day global period includes same-day preoperative and postoperative care. In a session with multiple procedures, the highest-valued procedure is paid in full and the others are reduced to 50%; assistant-at-surgery payment is restricted, and co-surgeons and team surgery 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 57420PPRRVU2026_Oct_nonQPP.csv, line 6,486 (RVU26D)
Geographic factors for VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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