CPT code 57454: Cervical colposcopy, biopsy and endocervical curettage2026 Medicare rate & RVUs in New Hampshire
Report this service when colposcopy for an abnormal cervical screening result includes directed cervical biopsy and endocervical curettage.
In New Hampshire, Medicare pays $167.48 for 57454 in the office and $118.46 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 57454 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 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.
How New Hampshire compares for 57454
Across 109 of 109 payment localities, the office rate for 57454 runs from $148.69 in Arkansas to $202.91 in Alaska. New Hampshire pays $167.48. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Hampshire · this page$167.48
- Los Angeles, CA · California$178.68+$11.20
- Washington, DC area · District of Columbia$185.28+$17.80
- Miami, FL · Florida$189.58+$22.10
- Chicago, IL · Illinois$184.22+$16.74
- Manhattan, NY · New York$191.13+$23.65
- Alaska · Alaska$202.91+$35.43
Other areas in New Hampshire first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $150.60 | $109.39 |
| ArkansasArkansas | $148.69 | $108.24 |
| ArizonaArizona | $161.70 | $116.06 |
| Bakersfield, CACalifornia | $169.59 | $117.98 |
| Chico, CACalifornia | $168.47 | $116.85 |
| El Centro, CACalifornia | $168.53 | $116.92 |
| Fresno, CACalifornia | $168.47 | $116.85 |
| Hanford, CACalifornia | $168.47 | $116.85 |
| Madera, CACalifornia | $168.47 | $116.85 |
| Merced, CACalifornia | $168.47 | $116.85 |
| Modesto, CACalifornia | $168.47 | $116.85 |
| Napa, CACalifornia | $188.64 | $126.56 |
| Oxnard, CACalifornia | $177.07 | $121.40 |
| Redding, CACalifornia | $168.47 | $116.85 |
| Rest of CaliforniaCalifornia | $168.47 | $116.85 |
| Riverside, CACalifornia | $172.78 | $121.16 |
| Sacramento, CACalifornia | $175.05 | $120.28 |
| Salinas, CACalifornia | $174.37 | $119.78 |
| San Diego, CACalifornia | $177.22 | $120.89 |
| Marin County, CACalifornia | $197.47 | $131.07 |
| San Francisco, CACalifornia | $197.02 | $130.62 |
| San Benito County, CACalifornia | $202.10 | $134.19 |
| Santa Clara County, CACalifornia | $200.24 | $132.33 |
| San Luis Obispo, CACalifornia | $171.77 | $118.13 |
| Santa Cruz, CACalifornia | $177.91 | $120.69 |
| Santa Maria, CACalifornia | $174.68 | $119.77 |
| Santa Rosa, CACalifornia | $179.59 | $121.76 |
| Stockton, CACalifornia | $168.47 | $116.85 |
| Vallejo, CACalifornia | $187.98 | $125.91 |
| Visalia, CACalifornia | $168.47 | $116.85 |
| Yuba City, CACalifornia | $168.47 | $116.85 |
| ColoradoColorado | $168.90 | $118.79 |
| ConnecticutConnecticut | $176.24 | $125.52 |
| DelawareDelaware | $164.11 | $117.58 |
| Fort Lauderdale, FLFlorida | $177.80 | $130.09 |
| Rest of FloridaFlorida | $169.34 | $124.32 |
| Atlanta, GAGeorgia | $170.14 | $122.30 |
| Rest of GeorgiaGeorgia | $160.27 | $118.26 |
| Hawaii, Guam, HIHawaii | $170.90 | $117.36 |
| IowaIowa | $151.42 | $108.32 |
| IdahoIdaho | $152.82 | $109.49 |
| East St. Louis, ILIllinois | $173.40 | $130.08 |
| Rest of IllinoisIllinois | $166.84 | $123.84 |
| Suburban Chicago, ILIllinois | $178.92 | $130.55 |
| IndianaIndiana | $153.53 | $109.87 |
| KansasKansas | $152.00 | $109.43 |
| KentuckyKentucky | $156.34 | $114.47 |
| New Orleans, LALouisiana | $163.29 | $118.97 |
| Rest of LouisianaLouisiana | $156.61 | $114.93 |
| Metropolitan Boston, MAMassachusetts | $182.54 | $126.31 |
| Rest of MassachusettsMassachusetts | $168.58 | $118.98 |
| Baltimore area, MDMaryland | $175.99 | $125.46 |
| Rest of MarylandMaryland | $166.59 | $118.93 |
| Rest of MaineMaine | $154.81 | $111.48 |
| Southern Maine, MEMaine | $160.38 | $113.71 |
| Detroit, MIMichigan | $172.48 | $127.03 |
| Rest of MichiganMichigan | $161.04 | $118.04 |
| MinnesotaMinnesota | $158.82 | $110.36 |
| Metropolitan Kansas City, MOMissouri | $161.01 | $116.79 |
| Metropolitan St. Louis, MOMissouri | $162.34 | $117.51 |
| Rest of MissouriMissouri | $155.05 | $114.46 |
| MississippiMississippi | $151.84 | $111.29 |
| MontanaMontana | $165.98 | $118.88 |
| North CarolinaNorth Carolina | $156.03 | $112.09 |
| North DakotaNorth Dakota | $158.07 | $110.97 |
| NebraskaNebraska | $151.78 | $108.31 |
| Northern New JerseyNew Jersey | $183.98 | $129.35 |
| Rest of New JerseyNew Jersey | $177.40 | $125.97 |
| New MexicoNew Mexico | $162.31 | $119.13 |
| NevadaNevada | $163.85 | $116.71 |
| NYC suburbs and Long Island, NYNew York | $196.82 | $140.83 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $179.52 | $127.95 |
| Queens, NYNew York | $190.74 | $135.08 |
| Rest of New YorkNew York | $158.19 | $113.45 |
| OhioOhio | $159.43 | $116.43 |
| OklahomaOklahoma | $154.80 | $112.75 |
| Portland, OROregon | $172.32 | $120.00 |
| Rest of OregonOregon | $161.73 | $114.82 |
| Metropolitan Philadelphia, PAPennsylvania | $173.10 | $124.07 |
| Rest of PennsylvaniaPennsylvania | $158.97 | $115.73 |
| Puerto RicoPuerto Rico | $166.65 | $119.03 |
| Rhode IslandRhode Island | $168.54 | $119.89 |
| South CarolinaSouth Carolina | $158.16 | $114.64 |
| South DakotaSouth Dakota | $157.13 | $110.04 |
| TennesseeTennessee | $152.83 | $110.02 |
| Austin, TXTexas | $169.09 | $119.26 |
| Beaumont, TXTexas | $158.14 | $115.28 |
| Brazoria, TXTexas | $162.98 | $116.31 |
| Dallas, TXTexas | $164.48 | $117.57 |
| Fort Worth, TXTexas | $163.89 | $117.45 |
| Galveston, TXTexas | $163.77 | $117.01 |
| Houston, TXTexas | $171.09 | $124.33 |
| Rest of TexasTexas | $160.79 | $116.10 |
| UtahUtah | $160.03 | $115.76 |
| VirginiaVirginia | $160.77 | $114.47 |
| Virgin Islands, VIUnited States Virgin Islands | $166.65 | $119.03 |
| VermontVermont | $158.63 | $112.01 |
| Rest of WashingtonWashington | $167.87 | $118.28 |
| King County, WAWashington | $184.79 | $127.00 |
| WisconsinWisconsin | $153.53 | $108.41 |
| West VirginiaWest Virginia | $161.70 | $120.77 |
| WyomingWyoming | $162.53 | $115.43 |
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.
The exact New Hampshire inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,492
- Code
- 57454
- Physician work
- 2.27
- Practice expense
- 2.30
- Malpractice
- 0.40
GPCI2026.csv
74
- Locality
- New Hampshire
- Physician work
- 1.000
- Practice expense
- 1.041
- Malpractice
- 0.875
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.27 | × 1.000 | 2.2700 |
| Practice expense | 2.30 | × 1.041 | 2.3943 |
| Malpractice | 0.40 | × 0.875 | 0.3500 |
| Total RVUs | 5.0143 | ||
| Conversion factor | × 33.4009 | ||
Office rate, New Hampshire$167.48
Office: (2.27 × 1 + 2.3 × 1.041 + 0.4 × 0.875) × $33.4009 = $167.48
Facility: (2.27 × 1 + 0.89 × 1.041 + 0.4 × 0.875) × $33.4009 = $118.46
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%).
How 57454 has changed in New Hampshire
57454 · Office / nonfacility
$167.48
Effective 2026-10-01
The base rate is $2.19 higher than on 2025-10-01, moving from $165.29 to $167.48 (1.3%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$165.29changed to$167.48
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 2.33 changed to 2.27
- Practice expense RVU 2.35 changed to 2.30
- Malpractice RVU 0.39 changed to 0.40
- Practice expense GPCI 1.034 changed to 1.041
- Malpractice GPCI 0.898 changed to 0.875
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$171.14changed to$165.29
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 2.38 changed to 2.35
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$168.34changed to$171.14
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$173.88changed to$168.34
- Conversion factor 33.8872 changed to 32.7442
- Malpractice RVU 0.37 changed to 0.39
- Practice expense GPCI 1.036 changed to 1.034
- Malpractice GPCI 0.907 changed to 0.898
January 1, 2023
RVU23A
$177.42changed to$173.88
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 2.35 changed to 2.38
- Malpractice RVU 0.39 changed to 0.37
- Practice expense GPCI 1.038 changed to 1.036
- Malpractice GPCI 0.917 changed to 0.907
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$174.63changed to$177.42
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 2.25 changed to 2.35
- Malpractice RVU 0.37 changed to 0.39
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$172.82changed to$174.63
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 2.01 changed to 2.25
- Practice expense GPCI 1.042 changed to 1.038
- Malpractice GPCI 0.984 changed to 0.917
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$163.86changed to$172.82
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 1.85 changed to 2.01
- Malpractice RVU 0.27 changed to 0.37
- Practice expense GPCI 1.045 changed to 1.042
- Malpractice GPCI 1.050 changed to 0.984
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$158.41changed to$163.86
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.71 changed to 1.85
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$158.60changed to$158.41
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 1.73 changed to 1.71
- Malpractice RVU 0.28 changed to 0.27
- Practice expense GPCI 1.052 changed to 1.045
- Malpractice GPCI 0.962 changed to 1.050
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$157.33changed to$158.60
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 1.72 changed to 1.73
- Practice expense GPCI 1.058 changed to 1.052
- Malpractice GPCI 0.873 changed to 0.962
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$158.53changed to$157.33
- Conversion factor 35.9335 changed to 35.8043
- Malpractice RVU 0.30 changed to 0.28
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$157.74changed to$158.53
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$159.41changed to$157.74
- Conversion factor 35.8228 changed to 35.7547
- Malpractice RVU 0.36 changed to 0.30
- Practice expense GPCI 1.051 changed to 1.058
- Malpractice GPCI 0.867 changed to 0.873
Held through RVU15B.
January 1, 2014
RVU14A
No ratechanged to$159.41
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $167.48 | $118.46 | RVU26D |
| 2026-07-01 | $167.48 | $118.46 | RVU26C |
| 2026-04-01 | $167.48 | $118.46 | RVU26B |
| 2026-01-01 | $167.48 | $118.46 | RVU26A |
| 2025-10-01 | $165.29 | $130.18 | RVU25D |
| 2025-07-01 | $165.29 | $130.18 | RVU25C |
| 2025-04-01 | $165.29 | $130.18 | RVU25B |
| 2025-01-01 | $165.29 | $130.18 | RVU25A |
| 2024-10-01 | $171.14 | $133.62 | RVU24D |
| 2024-07-01 | $171.14 | $133.62 | RVU24C |
| 2024-04-01 | $171.14 | $133.62 | RVU24B |
| 2024-03-09 | $171.14 | $133.62 | RVU24AR |
| 2024-01-01 | $168.34 | $131.44 | RVU24A |
| 2023-10-01 | $173.88 | $134.56 | RVU23D |
| 2023-07-01 | $173.88 | $134.56 | RVU23C |
| 2023-04-01 | $173.88 | $134.56 | RVU23B |
| 2023-01-01 | $173.88 | $134.56 | RVU23A |
| 2022-10-01 | $177.42 | $137.19 | RVU22D |
| 2022-07-01 | $177.42 | $137.19 | RVU22C |
| 2022-04-01 | $177.42 | $137.19 | RVU22B |
| 2022-01-01 | $177.42 | $137.19 | RVU22A |
| 2021-10-01 | $174.63 | $137.69 | RVU21D |
| 2021-07-01 | $174.63 | $137.69 | RVU21C |
| 2021-04-01 | $174.63 | $137.69 | RVU21B |
| 2021-01-01 | $174.63 | $137.69 | RVU21A |
| 2020-10-01 | $172.82 | $141.98 | RVU20D |
| 2020-07-01 | $172.82 | $141.98 | RVU20C |
| 2020-04-01 | $172.82 | $141.98 | RVU20B |
| 2020-01-01 | $172.82 | $141.98 | RVU20A |
| 2019-10-01 | $163.86 | $139.76 | RVU19D |
| 2019-07-01 | $163.86 | $139.76 | RVU19C |
| 2019-04-01 | $163.86 | $139.76 | RVU19B |
| 2019-01-01 | $163.86 | $139.76 | RVU19A |
| 2018-10-01 | $158.41 | $140.73 | RVU18D |
| 2018-07-01 | $158.41 | $140.73 | RVU18C |
| 2018-04-01 | $158.41 | $140.73 | RVU18B |
| 2018-01-01 | $158.41 | $140.73 | RVU18AR1 |
| 2017-10-01 | $158.60 | $141.24 | RVU17D |
| 2017-07-01 | $158.60 | $141.24 | RVU17C |
| 2017-04-01 | $158.60 | $141.24 | RVU17B |
| 2017-01-01 | $158.60 | $141.24 | RVU17A |
| 2016-10-01 | $157.33 | $139.53 | RVU16D |
| 2016-07-01 | $157.33 | $139.53 | RVU16C |
| 2016-04-01 | $157.33 | $139.53 | RVU16B |
| 2016-01-01 | $157.33 | $139.53 | RVU16A |
| 2015-10-01 | $158.53 | $141.04 | RVU15D |
| 2015-07-01 | $158.53 | $141.04 | RVU15C |
| 2015-04-01 | $157.74 | $140.34 | RVU15B |
| 2015-01-01 | $157.74 | $140.34 | RVU15A |
| 2014-10-01 | $159.41 | $142.09 | RVU14D |
| 2014-07-01 | $159.41 | $142.09 | RVU14C |
| 2014-04-01 | $159.41 | $142.09 | RVU14B |
| 2014-01-01 | $159.41 | $142.09 | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the New Hampshire rate applies
New Hampshire is a Medicare payment area, not a city. Our Census mapping connects it to 100 cities and communities in New Hampshire. Some span more than one payment area; confirm with the service ZIP.
- Alton
- Amherst
- Antrim
- Ashland
- Bartlett
- Belmont
- Bennington
- Berlin
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
Show the CMS file lines behind this rate
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