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

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 Manhattan, NY, Medicare pays $144.84 for 57452 in the office and $94.77 when it’s performed in a hospital or facility.

$144.84Office (non-facility)
$94.77Hospital or facility
+15.3%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 Manhattan, NY
  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 Manhattan, NY 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. Manhattan, NY pays $144.84. The RVUs are the same everywhere; the geographic indexes change the dollars.

57452 in Manhattan, NY vs other payment areas
  1. Manhattan, NY · this page$144.84
  2. NYC suburbs and Long Island, NY · New York$149.03+$4.19
  3. Poughkeepsie and northern NYC suburbs, NY · New York$136.08−$8.76
  4. Queens, NY · New York$144.95+$0.11
  5. Rest of New York · New York$119.60−$25.24
  6. Los Angeles, CA · California$137.14−$7.70
  7. Washington, DC area · District of Columbia$141.33−$3.51

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

Every other payment area

57452 in every other Medicare payment locality
Payment localityOfficeFacility
Miami, FLFlorida$141.66$96.81
Chicago, ILIllinois$137.52$94.21
AlaskaAlaska$150.50$104.61
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

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 Manhattan, NY 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

78

Locality
Manhattan, NY
Physician work
1.064
Practice expense
1.162
Malpractice
1.586
Office calculation for 57452 in Manhattan, NY
ComponentRVULocality factorAdjusted
Physician work1.46× 1.0641.5534
Practice expense2.04× 1.1622.3705
Malpractice0.26× 1.5860.4124
Total RVUs4.3363
Conversion factor× 33.4009

Office rate, Manhattan, NY$144.84

Office: (1.46 × 1.064 + 2.04 × 1.162 + 0.26 × 1.586) × $33.4009 = $144.84

Facility: (1.46 × 1.064 + 0.75 × 1.162 + 0.26 × 1.586) × $33.4009 = $94.77

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, Manhattan, NY
Same family
57454Cervical colposcopy, biopsy and endocervical curettageColposcopy with cervical biopsy and endocervical curettage.$191.13
57455Cervical biopsy, colposcopy-guided biopsyColposcopy with cervical biopsy.$185.82
57456Cervical colposcopy, endocervical curettageColposcopy with endocervical curettage.$173.82
Used instead
57420Vaginal colposcopy, without vaginal biopsyColposcopic examination focused on the vagina rather than the cervix.$159.05

How 57452 has changed in Manhattan, NY

57452 · Office / nonfacility

$144.84

Effective 2026-10-01

The base rate is $2.62 higher than on 2025-10-01, moving from $142.22 to $144.84 (1.8%).

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

    $142.22changed to$144.84

    • 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 1.065 changed to 1.064
    • Practice expense GPCI 1.166 changed to 1.162
    • Malpractice GPCI 1.656 changed to 1.586

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $147.53changed to$142.22

    • 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

    $145.12changed to$147.53

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $152.60changed to$145.12

    • 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 1.061 changed to 1.065
    • Practice expense GPCI 1.184 changed to 1.166
    • Malpractice GPCI 1.843 changed to 1.656

  5. January 1, 2023

    RVU23A

    $157.03changed to$152.60

    • 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 1.056 changed to 1.061
    • Practice expense GPCI 1.203 changed to 1.184
    • Malpractice GPCI 2.031 changed to 1.843

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $153.00changed to$157.03

    • 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

    $146.41changed to$153.00

    • 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 1.054 changed to 1.056
    • Practice expense GPCI 1.192 changed to 1.203
    • Malpractice GPCI 1.823 changed to 2.031

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $134.58changed to$146.41

    • 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 1.052 changed to 1.054
    • Practice expense GPCI 1.180 changed to 1.192
    • Malpractice GPCI 1.615 changed to 1.823

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $127.48changed to$134.58

    • 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

    $127.75changed to$127.48

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.40 changed to 1.39
    • Practice expense GPCI 1.174 changed to 1.180
    • Malpractice GPCI 1.690 changed to 1.615

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $127.26changed to$127.75

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.39 changed to 1.40
    • Practice expense GPCI 1.168 changed to 1.174
    • Malpractice GPCI 1.764 changed to 1.690

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $128.35changed to$127.26

    • 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

    $127.71changed to$128.35

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $127.31changed to$127.71

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 0.23 changed to 0.21
    • Work GPCI 1.057 changed to 1.052
    • Practice expense GPCI 1.165 changed to 1.168
    • Malpractice GPCI 1.518 changed to 1.764

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $124.67changed to$127.31

    • 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
    • Work GPCI 1.062 changed to 1.057
    • Practice expense GPCI 1.162 changed to 1.165
    • Malpractice GPCI 1.271 changed to 1.518

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $124.67

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$144.84$94.77RVU26D
2026-07-01$144.84$94.77RVU26C
2026-04-01$144.84$94.77RVU26B
2026-01-01$144.84$94.77RVU26A
2025-10-01$142.22$102.25RVU25D
2025-07-01$142.22$102.25RVU25C
2025-04-01$142.22$102.25RVU25B
2025-01-01$142.22$102.25RVU25A
2024-10-01$147.53$104.83RVU24D
2024-07-01$147.53$104.83RVU24C
2024-04-01$147.53$104.83RVU24B
2024-03-09$147.53$104.83RVU24AR
2024-01-01$145.12$103.12RVU24A
2023-10-01$152.60$108.06RVU23D
2023-07-01$152.60$108.06RVU23C
2023-04-01$152.60$108.06RVU23B
2023-01-01$152.60$108.06RVU23A
2022-10-01$157.03$110.40RVU22D
2022-07-01$157.03$110.40RVU22C
2022-04-01$157.03$110.40RVU22B
2022-01-01$157.03$110.40RVU22A
2021-10-01$153.00$110.61RVU21D
2021-07-01$153.00$110.61RVU21C
2021-04-01$153.00$110.61RVU21B
2021-01-01$153.00$110.61RVU21A
2020-10-01$146.41$111.56RVU20D
2020-07-01$146.41$111.56RVU20C
2020-04-01$146.41$111.56RVU20B
2020-01-01$146.41$111.56RVU20A
2019-10-01$134.58$107.79RVU19D
2019-07-01$134.58$107.79RVU19C
2019-04-01$134.58$107.79RVU19B
2019-01-01$134.58$107.79RVU19A
2018-10-01$127.48$107.94RVU18D
2018-07-01$127.48$107.94RVU18C
2018-04-01$127.48$107.94RVU18B
2018-01-01$127.48$107.94RVU18AR1
2017-10-01$127.75$108.37RVU17D
2017-07-01$127.75$108.37RVU17C
2017-04-01$127.75$108.37RVU17B
2017-01-01$127.75$108.37RVU17A
2016-10-01$127.26$108.02RVU16D
2016-07-01$127.26$108.02RVU16C
2016-04-01$127.26$108.02RVU16B
2016-01-01$127.26$108.02RVU16A
2015-10-01$128.35$109.05RVU15D
2015-07-01$128.35$109.05RVU15C
2015-04-01$127.71$108.50RVU15B
2015-01-01$127.71$108.50RVU15A
2014-10-01$127.31$108.12RVU14D
2014-07-01$127.31$108.12RVU14C
2014-04-01$127.31$108.12RVU14B
2014-01-01$127.31$108.12RVU14A
2013-10-01$124.67$104.51RVU13D
2013-07-01$124.67$104.51RVU13C
2013-04-01$124.67$104.51RVU13B
2013-01-01$124.67$104.51RVU13AR

Price 57452 for an earlier date of service

Where the Manhattan, NY rate applies

Manhattan, NY is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in New York. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in New York

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 Manhattan, NYGPCI2026.csv, line 78 (RVU26D)

Open CMS sourceHow we calculate rates

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