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CPT code 57452: Colposcopy, cervix, no tissue sampling2026 Medicare rate & RVUs in Delaware

A visual colposcopic examination of the cervix and upper adjacent vagina, reported when inspection is performed without cervical biopsy or endocervical curettage.

CMS RVU26DEffective Oct 1, 2026One payment locality3.5K Medicare services in 2024

In Delaware, Medicare pays $124.14 for 57452 in the office and $81.57 when it’s performed in a hospital or facility.

$124.14Office (non-facility)
$81.57Hospital or facility
−1.2%vs the national office rate ($125.59)

Check a contract rate as a % of Medicare · 57452 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 57452 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 57452 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 57452 covers

A gynecologist or other qualified clinician uses a colposcope to examine the cervix and upper adjacent vagina, commonly after an abnormal cervical screening result or during evaluation of a suspected cervical lesion. The examination may include applying a solution to make abnormal areas easier to see, but this service is limited to visual assessment without cervical biopsy or endocervical curettage. It is performed in office and outpatient settings.

Report this code when the documented service is colposcopic inspection without tissue sampling; select a related code when cervical biopsy, endocervical curettage, or both are performed. The record should identify the reason for examination and document the cervical and adjacent vaginal findings. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When this service is performed in the same session as another procedure subject to multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%. Modifier 50 is inappropriate. CMS does not pay an assistant at surgery, and co-surgeons and team surgery 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 Delaware compares for 57452

Across 109 of 109 payment localities, the office rate for 57452 runs from $111.77 in Arkansas to $157.04 in San Benito County, CA. Delaware pays $124.14. The RVUs are the same everywhere; the geographic indexes change the dollars.

57452 in Delaware vs other payment areas
  1. Delaware · this page$124.14
  2. Los Angeles, CA · California$137.14+$13.00
  3. Washington, DC area · District of Columbia$141.33+$17.19
  4. Miami, FL · Florida$141.66+$17.52
  5. Chicago, IL · Illinois$137.52+$13.38
  6. Manhattan, NY · New York$144.84+$20.70
  7. Alaska · Alaska$150.50+$26.36

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

Every other payment area

57452 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$113.30$75.60
ArkansasArkansas$111.77$74.76
ArizonaArizona$122.22$80.47
Bakersfield, CACalifornia$129.66$82.44
Chico, CACalifornia$128.93$81.70
El Centro, CACalifornia$128.97$81.75
Fresno, CACalifornia$128.93$81.70
Hanford, CACalifornia$128.93$81.70

57452 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.

$111.77

$150.50

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

View every state and territory as a table
57452 office rate range by state
State / territoryOffice rate rangeLocalities
AK$150.501
AL$113.301
AR$111.771
AZ$122.221
CA$128.93–$157.0429
CO$128.631
CT$133.631
DC$141.331
DE$124.141
FL$126.96–$141.663
GA$119.90–$128.572
GU$131.271
HI$131.271
IA$114.561
ID$115.561
IL$124.55–$137.524
IN$116.151
KS$114.741
KY$117.291
LA$117.39–$122.752
MA$128.22–$139.852
MD$126.18–$141.333
ME$116.85–$121.772
MI$120.78–$129.162
MN$121.451
MO$115.96–$122.333
MS$113.851
MT$125.571
NC$117.891
ND$120.431
NE$114.941
NH$127.301
NJ$134.65–$140.152
NM$121.681
NV$124.211
NY$119.60–$149.035
OH$119.731
OK$116.361
OR$122.74–$131.712
PA$119.52–$130.932
PR$126.211
RI$127.821
SC$119.111
SD$119.821
TN$115.371
TX$118.84–$128.778
UT$120.611
VA$121.88–$141.332
VI$126.211
VT$120.621
WA$127.76–$141.902
WI$116.721
WV$120.401
WY$123.331

See 57452 in every payment locality

How the 57452 rate is calculated

Each of 57452’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 · 57452

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.46

1.46 RVUs× 1.000 GPCI

Practice expense2.04

2.04 RVUs× 1.000 GPCI

Malpractice0.26

0.26 RVUs× 1.000 GPCI

Adjusted RVUs

3.7600

Conversion factor

$33.4009

Medicare rate

$125.59

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

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,491

Code
57452
Physician work
1.46
Practice expense
2.04
Malpractice
0.26

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 57452 in Delaware
ComponentRVULocality factorAdjusted
Physician work1.46× 1.0051.4673
Practice expense2.04× 0.9882.0155
Malpractice0.26× 0.8990.2337
Total RVUs3.7166
Conversion factor× 33.4009

Office rate, Delaware$124.14

Office: (1.46 × 1.005 + 2.04 × 0.988 + 0.26 × 0.899) × $33.4009 = $124.14

Facility: (1.46 × 1.005 + 0.75 × 0.988 + 0.26 × 0.899) × $33.4009 = $81.57

Open 57452 in the RVU calculator

Payment rules and modifiers for 57452

The CMS indicators that decide how 57452 is paid alongside other services.

CMS payment indicators · 57452

Colposcopy, cervix, no tissue sampling

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

57452 without 51 · national office

$125.59

Colposcopy, cervix, no tissue sampling

57452-51 · Second procedure: 50%

$62.80

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 57452

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

Codes related to 57452
CodeHow it relatesOffice range, Delaware
Same family
57454Cervical colposcopy, biopsy and endocervical curettageColposcopy with cervical biopsy and endocervical curettage.$164.11
57455Cervical biopsy, colposcopy-guided biopsyColposcopy with cervical biopsy.$159.09
57456Cervical colposcopy, endocervical curettageColposcopy with endocervical curettage.$148.87
Used instead
57420Vaginal colposcopy, without vaginal biopsyColposcopic examination focused on the vagina rather than the cervix.$135.95

How 57452 has changed in Delaware

57452 · Office / nonfacility

$124.14

Effective 2026-10-01

The base rate is $1.72 higher than on 2025-10-01, moving from $122.42 to $124.14 (1.4%).

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

    $122.42changed to$124.14

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.50 changed to 1.46
    • Practice expense RVU 2.06 changed to 2.04
    • Malpractice RVU 0.24 changed to 0.26
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $126.98changed to$122.42

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.09 changed to 2.06

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $124.90changed to$126.98

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $129.77changed to$124.90

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.07 changed to 2.09
    • Malpractice RVU 0.25 changed to 0.24
    • Work GPCI 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949

  5. January 1, 2023

    RVU23A

    $132.37changed to$129.77

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.05 changed to 2.07
    • Malpractice RVU 0.24 changed to 0.25
    • Work GPCI 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $129.22changed to$132.37

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.94 changed to 2.05
    • Malpractice RVU 0.23 changed to 0.24

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $126.33changed to$129.22

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.71 changed to 1.94
    • Malpractice RVU 0.24 changed to 0.23
    • Work GPCI 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $119.46changed to$126.33

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.54 changed to 1.71
    • Malpractice RVU 0.21 changed to 0.24
    • Work GPCI 1.007 changed to 1.006
    • Practice expense GPCI 1.019 changed to 1.021
    • Malpractice GPCI 1.119 changed to 1.023

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $113.42changed to$119.46

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.39 changed to 1.54
    • Malpractice RVU 0.20 changed to 0.21

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $113.77changed to$113.42

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.40 changed to 1.39
    • Work GPCI 1.010 changed to 1.007
    • Practice expense GPCI 1.025 changed to 1.019
    • Malpractice GPCI 1.101 changed to 1.119

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $113.42changed to$113.77

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.39 changed to 1.40
    • Work GPCI 1.012 changed to 1.010
    • Practice expense GPCI 1.031 changed to 1.025
    • Malpractice GPCI 1.083 changed to 1.101

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $114.22changed to$113.42

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.21 changed to 0.20

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $113.65changed to$114.22

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $113.30changed to$113.65

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 0.23 changed to 0.21
    • Practice expense GPCI 1.038 changed to 1.031
    • Malpractice GPCI 0.878 changed to 1.083

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $111.12changed to$113.30

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.52 changed to 1.39
    • Malpractice RVU 0.24 changed to 0.23
    • Practice expense GPCI 1.044 changed to 1.038
    • Malpractice GPCI 0.672 changed to 0.878

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $111.12

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$124.14$81.57RVU26D
2026-07-01$124.14$81.57RVU26C
2026-04-01$124.14$81.57RVU26B
2026-01-01$124.14$81.57RVU26A
2025-10-01$122.42$88.41RVU25D
2025-07-01$122.42$88.41RVU25C
2025-04-01$122.42$88.41RVU25B
2025-01-01$122.42$88.41RVU25A
2024-10-01$126.98$90.65RVU24D
2024-07-01$126.98$90.65RVU24C
2024-04-01$126.98$90.65RVU24B
2024-03-09$126.98$90.65RVU24AR
2024-01-01$124.90$89.17RVU24A
2023-10-01$129.77$91.89RVU23D
2023-07-01$129.77$91.89RVU23C
2023-04-01$129.77$91.89RVU23B
2023-01-01$129.77$91.89RVU23A
2022-10-01$132.37$92.76RVU22D
2022-07-01$132.37$92.76RVU22C
2022-04-01$132.37$92.76RVU22B
2022-01-01$132.37$92.76RVU22A
2021-10-01$129.22$93.21RVU21D
2021-07-01$129.22$93.21RVU21C
2021-04-01$129.22$93.21RVU21B
2021-01-01$129.22$93.21RVU21A
2020-10-01$126.33$96.48RVU20D
2020-07-01$126.33$96.48RVU20C
2020-04-01$126.33$96.48RVU20B
2020-01-01$126.33$96.48RVU20A
2019-10-01$119.46$96.32RVU19D
2019-07-01$119.46$96.32RVU19C
2019-04-01$119.46$96.32RVU19B
2019-01-01$119.46$96.32RVU19A
2018-10-01$113.42$96.55RVU18D
2018-07-01$113.42$96.55RVU18C
2018-04-01$113.42$96.55RVU18B
2018-01-01$113.42$96.55RVU18AR1
2017-10-01$113.77$96.85RVU17D
2017-07-01$113.77$96.85RVU17C
2017-04-01$113.77$96.85RVU17B
2017-01-01$113.77$96.85RVU17A
2016-10-01$113.42$96.44RVU16D
2016-07-01$113.42$96.44RVU16C
2016-04-01$113.42$96.44RVU16B
2016-01-01$113.42$96.44RVU16A
2015-10-01$114.22$97.17RVU15D
2015-07-01$114.22$97.17RVU15C
2015-04-01$113.65$96.69RVU15B
2015-01-01$113.65$96.69RVU15A
2014-10-01$113.30$96.19RVU14D
2014-07-01$113.30$96.19RVU14C
2014-04-01$113.30$96.19RVU14B
2014-01-01$113.30$96.19RVU14A
2013-10-01$111.12$93.01RVU13D
2013-07-01$111.12$93.01RVU13C
2013-04-01$111.12$93.01RVU13B
2013-01-01$111.12$93.01RVU13AR

Price 57452 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

57452 billing questions

When should I report this instead of a cervical biopsy colposcopy code?

Use this code for colposcopic inspection without cervical biopsy or endocervical curettage. If sampling is performed, select the code that matches the sampling.

Can I report this when an endocervical curettage is performed?

No. This code describes visual examination without tissue sampling; use the applicable colposcopy code when endocervical curettage is performed.

Does the examination include the vagina?

It includes examination of the upper adjacent vagina along with the cervix. A colposcopic examination focused on the vagina rather than the cervix is represented by a different code.

Is modifier 50 appropriate?

No. CMS identifies bilateral adjustment as inappropriate for this code.

How does the multiple procedure reduction affect payment?

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

Can an assistant or co-surgeon be paid for this service?

CMS does not pay an assistant at surgery for this code. 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 57452PPRRVU2026_Oct_nonQPP.csv, line 6,491 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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