CPT code 57454: Cervical colposcopy, biopsy and endocervical curettage2026 Medicare rate & RVUs
Report this service when colposcopy for an abnormal cervical screening result includes directed cervical biopsy and endocervical curettage.
Medicare pays $166.00 for 57454 nationally in the office and $118.91 in a hospital or facility. Local office rates run $148.69–$202.91.
Medicare rate · 57454
Cervical colposcopy, biopsy and endocervical curettage
- Work RVUs
- 2.27
- Total RVUs
- 4.97
- Global days
- 000
National rate · 2026
$166.00
Office setting, before claim adjustments.
See every locality for 57454 →Billed by an NP, PA or therapist? →
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 10 sections
What 57454 covers
A clinician uses a colposcope to examine the cervix and directs one or more tissue samples from suspicious areas, then obtains endocervical tissue by curettage. Gynecologists commonly perform the procedure in an office or outpatient setting after abnormal cervical cytology or a high-risk HPV result. The cervical biopsy and endocervical curettage specimens are typically sent for histologic examination.
Select this code when both cervical biopsy and endocervical curettage are performed with colposcopy; document the examination, biopsy sites, and curettage. The code includes these diagnostic sampling services, so do not separately report the same biopsy or curettage. CMS assigns a 0-day global period, including same-day preoperative and postoperative care. When related endoscopies are performed together, endoscopy-family pricing applies. Modifier 50 is inappropriate; assistant-at-surgery payment is restricted, 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.
Where 57454 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$148.69 to $202.91
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $150.60 | $109.39 |
| Alaska | $202.91 | $152.75 |
| Arizona | $161.70 | $116.06 |
| Arkansas | $148.69 | $108.24 |
| Atlanta, GA | $170.14 | $122.30 |
| Austin, TX | $169.09 | $119.26 |
| Bakersfield, CA | $169.59 | $117.98 |
| Baltimore area, MD | $175.99 | $125.46 |
| Beaumont, TX | $158.14 | $115.28 |
| Brazoria, TX | $162.98 | $116.31 |
| Chicago, IL | $184.22 | $136.89 |
| Chico, CA | $168.47 | $116.85 |
| Colorado | $168.90 | $118.79 |
| Connecticut | $176.24 | $125.52 |
| Dallas, TX | $164.48 | $117.57 |
| Delaware | $164.11 | $117.58 |
| Detroit, MI | $172.48 | $127.03 |
| East St. Louis, IL | $173.40 | $130.08 |
| El Centro, CA | $168.53 | $116.92 |
| Fort Lauderdale, FL | $177.80 | $130.09 |
| Fort Worth, TX | $163.89 | $117.45 |
| Fresno, CA | $168.47 | $116.85 |
| Galveston, TX | $163.77 | $117.01 |
| Hanford, CA | $168.47 | $116.85 |
| Hawaii, Guam, HI | $170.90 | $117.36 |
| Houston, TX | $171.09 | $124.33 |
| Idaho | $152.82 | $109.49 |
| Indiana | $153.53 | $109.87 |
| Iowa | $151.42 | $108.32 |
| Kansas | $152.00 | $109.43 |
| Kentucky | $156.34 | $114.47 |
| King County, WA | $184.79 | $127.00 |
| Los Angeles, CA | $178.68 | $122.97 |
| Madera, CA | $168.47 | $116.85 |
| Manhattan, NY | $191.13 | $136.40 |
| Marin County, CA | $197.47 | $131.07 |
| Merced, CA | $168.47 | $116.85 |
| Metropolitan Boston, MA | $182.54 | $126.31 |
| Metropolitan Kansas City, MO | $161.01 | $116.79 |
| Metropolitan Philadelphia, PA | $173.10 | $124.07 |
| Metropolitan St. Louis, MO | $162.34 | $117.51 |
| Miami, FL | $189.58 | $140.55 |
| Minnesota | $158.82 | $110.36 |
| Mississippi | $151.84 | $111.29 |
| Modesto, CA | $168.47 | $116.85 |
| Montana | $165.98 | $118.88 |
| Napa, CA | $188.64 | $126.56 |
| Nebraska | $151.78 | $108.31 |
| Nevada | $163.85 | $116.71 |
| New Hampshire | $167.48 | $118.46 |
| New Mexico | $162.31 | $119.13 |
| New Orleans, LA | $163.29 | $118.97 |
| North Carolina | $156.03 | $112.09 |
| North Dakota | $158.07 | $110.97 |
| Northern New Jersey | $183.98 | $129.35 |
| NYC suburbs and Long Island, NY | $196.82 | $140.83 |
| Ohio | $159.43 | $116.43 |
| Oklahoma | $154.80 | $112.75 |
| Oxnard, CA | $177.07 | $121.40 |
| Portland, OR | $172.32 | $120.00 |
| Poughkeepsie and northern NYC suburbs, NY | $179.52 | $127.95 |
| Puerto Rico | $166.65 | $119.03 |
| Queens, NY | $190.74 | $135.08 |
| Redding, CA | $168.47 | $116.85 |
| Rest of California | $168.47 | $116.85 |
| Rest of Florida | $169.34 | $124.32 |
| Rest of Georgia | $160.27 | $118.26 |
| Rest of Illinois | $166.84 | $123.84 |
| Rest of Louisiana | $156.61 | $114.93 |
| Rest of Maine | $154.81 | $111.48 |
| Rest of Maryland | $166.59 | $118.93 |
| Rest of Massachusetts | $168.58 | $118.98 |
| Rest of Michigan | $161.04 | $118.04 |
| Rest of Missouri | $155.05 | $114.46 |
| Rest of New Jersey | $177.40 | $125.97 |
| Rest of New York | $158.19 | $113.45 |
| Rest of Oregon | $161.73 | $114.82 |
| Rest of Pennsylvania | $158.97 | $115.73 |
| Rest of Texas | $160.79 | $116.10 |
| Rest of Washington | $167.87 | $118.28 |
| Rhode Island | $168.54 | $119.89 |
| Riverside, CA | $172.78 | $121.16 |
| Sacramento, CA | $175.05 | $120.28 |
| Salinas, CA | $174.37 | $119.78 |
| San Benito County, CA | $202.10 | $134.19 |
| San Diego, CA | $177.22 | $120.89 |
| San Francisco, CA | $197.02 | $130.62 |
| San Luis Obispo, CA | $171.77 | $118.13 |
| Santa Clara County, CA | $200.24 | $132.33 |
| Santa Cruz, CA | $177.91 | $120.69 |
| Santa Maria, CA | $174.68 | $119.77 |
| Santa Rosa, CA | $179.59 | $121.76 |
| South Carolina | $158.16 | $114.64 |
| South Dakota | $157.13 | $110.04 |
| Southern Maine, ME | $160.38 | $113.71 |
| Stockton, CA | $168.47 | $116.85 |
| Suburban Chicago, IL | $178.92 | $130.55 |
| Tennessee | $152.83 | $110.02 |
| Utah | $160.03 | $115.76 |
| Vallejo, CA | $187.98 | $125.91 |
| Vermont | $158.63 | $112.01 |
| Virgin Islands, VI | $166.65 | $119.03 |
| Virginia | $160.77 | $114.47 |
| Visalia, CA | $168.47 | $116.85 |
| Washington, DC area | $185.28 | $129.80 |
| West Virginia | $161.70 | $120.77 |
| Wisconsin | $153.53 | $108.41 |
| Wyoming | $162.53 | $115.43 |
| Yuba City, CA | $168.47 | $116.85 |
57454 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.
$148.69
$202.91
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $202.91 | 1 |
| AL | $150.60 | 1 |
| AR | $148.69 | 1 |
| AZ | $161.70 | 1 |
| CA | $168.47–$202.10 | 29 |
| CO | $168.90 | 1 |
| CT | $176.24 | 1 |
| DC | $185.28 | 1 |
| DE | $164.11 | 1 |
| FL | $169.34–$189.58 | 3 |
| GA | $160.27–$170.14 | 2 |
| GU | $170.90 | 1 |
| HI | $170.90 | 1 |
| IA | $151.42 | 1 |
| ID | $152.82 | 1 |
| IL | $166.84–$184.22 | 4 |
| IN | $153.53 | 1 |
| KS | $152.00 | 1 |
| KY | $156.34 | 1 |
| LA | $156.61–$163.29 | 2 |
| MA | $168.58–$182.54 | 2 |
| MD | $166.59–$185.28 | 3 |
| ME | $154.81–$160.38 | 2 |
| MI | $161.04–$172.48 | 2 |
| MN | $158.82 | 1 |
| MO | $155.05–$162.34 | 3 |
| MS | $151.84 | 1 |
| MT | $165.98 | 1 |
| NC | $156.03 | 1 |
| ND | $158.07 | 1 |
| NE | $151.78 | 1 |
| NH | $167.48 | 1 |
| NJ | $177.40–$183.98 | 2 |
| NM | $162.31 | 1 |
| NV | $163.85 | 1 |
| NY | $158.19–$196.82 | 5 |
| OH | $159.43 | 1 |
| OK | $154.80 | 1 |
| OR | $161.73–$172.32 | 2 |
| PA | $158.97–$173.10 | 2 |
| PR | $166.65 | 1 |
| RI | $168.54 | 1 |
| SC | $158.16 | 1 |
| SD | $157.13 | 1 |
| TN | $152.83 | 1 |
| TX | $158.14–$171.09 | 8 |
| UT | $160.03 | 1 |
| VA | $160.77–$185.28 | 2 |
| VI | $166.65 | 1 |
| VT | $158.63 | 1 |
| WA | $167.87–$184.79 | 2 |
| WI | $153.53 | 1 |
| WV | $161.70 | 1 |
| WY | $162.53 | 1 |
How the 57454 rate is calculated
Each of 57454’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 · 57454
RVUs × geographic indexes × conversion factor
Work2.27
2.27 RVUs× 1.000 GPCI
Practice expense2.30
2.30 RVUs× 1.000 GPCI
Malpractice0.40
0.40 RVUs× 1.000 GPCI
Adjusted RVUs
4.9700
Conversion factor
$33.4009
Medicare rate
$166.00
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 57454
The CMS indicators that decide how 57454 is paid alongside other services.
CMS payment indicators · 57454
Cervical colposcopy, biopsy and endocervical curettage
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 3 | Endoscopy family rules apply. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
57454 without 51 · national office
$166.00
Cervical colposcopy, biopsy and endocervical curettage
57454-51 · Second procedure: 50%
$83.00
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%).
57454 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 57452ColposcopyCervix, no tissue sampling
- Use 57452 for colposcopic examination without cervical biopsy or endocervical curettage. This code requires both sampling components.
- 57455Cervical biopsyColposcopy-guided biopsy
- Use 57455 when colposcopy includes cervical biopsy but no endocervical curettage. Report this code when curettage is also performed.
- 57456Cervical colposcopyEndocervical curettage
- Use 57456 when colposcopy includes endocervical curettage but no cervical biopsy. This code covers the combination of curettage and cervical biopsy.
- 57500Cervical biopsyTissue sampling or lesion excision
- Use 57500 for cervical biopsy without colposcopic guidance. This code requires colposcopy and also includes endocervical curettage.
57454 billing questions
When should this code be chosen instead of 57455?
Use this code when colposcopy includes both cervical biopsy and endocervical curettage. Code 57455 describes the colposcopic cervical biopsy service without the curettage component.
Can the cervical biopsy and curettage be reported separately?
No. This code accounts for both sampling services when they are performed with colposcopy; do not separately report those same services.
How many cervical biopsies can be reported under this code?
The code includes one or more directed cervical biopsies along with endocervical curettage. Document the biopsy sites and the curettage performed.
Should modifier 50 be added for biopsies from both sides of the cervix?
No. CMS identifies bilateral adjustment as inappropriate for this code; multiple biopsy sites do not make it a bilateral service.
What global-period care is included?
The 0-day global period includes same-day preoperative and postoperative care. CMS also restricts assistant-at-surgery payment and does not permit co-surgeons or team surgery.
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
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