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CPT code 57455: Cervical biopsy, colposcopy-guided biopsy2026 Medicare rate & RVUs in North Carolina

Report this service when colposcopy is used to examine the cervix and obtain one or more targeted cervical tissue biopsies, without endocervical curettage.

CMS RVU26DEffective Oct 1, 2026One payment locality2.1K Medicare services in 2024

In North Carolina, Medicare pays $151.01 for 57455 in the office and $90.87 when it’s performed in a hospital or facility.

$151.01Office (non-facility)
$90.87Hospital or facility
−6.2%vs the national office rate ($160.99)

Check a contract rate as a % of Medicare · 57455 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 57455 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Carolina
  2. What 57455 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 57455 covers

During colposcopy, a gynecologist or other qualified women's health clinician examines the cervix under magnification, often after applying a solution that helps highlight abnormal areas. The clinician takes one or more tissue samples from suspicious cervical sites for pathology. This service is commonly performed in an office or outpatient setting after an abnormal cervical screening result or a concerning cervical finding.

Report 57455 once for the colposcopy session with cervical biopsy, regardless of the number of biopsy sites. The record should support the indication, colposcopic findings, sampled cervical sites, and specimen submission. When endocervical curettage is also performed, 57454 represents the combination; 57456 describes endocervical curettage without cervical biopsy. The procedure has a 0-day global period, so same-day preoperative and postoperative care is included. If related endoscopies are performed together, CMS endoscopy family pricing applies. Modifier 50 is inappropriate; assistant-at-surgery payment is restricted, and co-surgeon and team-surgery payment 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 North Carolina compares for 57455

Across 109 of 109 payment localities, the office rate for 57455 runs from $143.29 in Arkansas to $199.74 in San Benito County, CA. North Carolina pays $151.01. The RVUs are the same everywhere; the geographic indexes change the dollars.

57455 in North Carolina vs other payment areas
  1. North Carolina · this page$151.01
  2. Los Angeles, CA · California$175.01+$24.00
  3. Washington, DC area · District of Columbia$180.83+$29.82
  4. Miami, FL · Florida$182.83+$31.82
  5. Chicago, IL · Illinois$177.44+$26.43
  6. Manhattan, NY · New York$185.82+$34.81
  7. Alaska · Alaska$193.46+$42.45

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

Every other payment area

57455 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$145.25$88.85
ArkansasArkansas$143.29$87.92
ArizonaArizona$156.65$94.19
Bakersfield, CACalifornia$165.60$94.95
Chico, CACalifornia$164.59$93.94
El Centro, CACalifornia$164.66$94.00
Fresno, CACalifornia$164.59$93.94
Hanford, CACalifornia$164.59$93.94

57455 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.

$143.29

$193.46

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

View every state and territory as a table
57455 office rate range by state
State / territoryOffice rate rangeLocalities
AK$193.461
AL$145.251
AR$143.291
AZ$156.651
CA$164.59–$199.7429
CO$164.521
CT$171.291
DC$180.831
DE$159.091
FL$163.34–$182.833
GA$154.21–$164.952
GU$167.461
HI$167.461
IA$146.591
ID$147.921
IL$160.44–$177.444
IN$148.671
KS$146.951
KY$150.631
LA$150.81–$157.662
MA$164.05–$178.662
MD$161.66–$180.833
ME$149.71–$155.802
MI$155.22–$166.302
MN$154.971
MO$149.06–$156.983
MS$146.151
MT$160.971
NC$151.011
ND$153.851
NE$147.031
NH$162.941
NJ$172.49–$179.362
NM$156.421
NV$159.071
NY$153.21–$191.355
OH$153.771
OK$149.301
OR$157.08–$168.292
PA$153.43–$167.932
PR$161.741
RI$163.701
SC$152.791
SD$153.011
TN$147.771
TX$152.56–$165.448
UT$154.721
VA$156.03–$180.832
VI$161.741
VT$154.211
WA$163.42–$181.142
WI$149.141
WV$155.151
WY$157.871

See 57455 in every payment locality

How the 57455 rate is calculated

Each of 57455’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 · 57455

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.94

1.94 RVUs× 1.000 GPCI

Practice expense2.52

2.52 RVUs× 1.000 GPCI

Malpractice0.36

0.36 RVUs× 1.000 GPCI

Adjusted RVUs

4.8200

Conversion factor

$33.4009

Medicare rate

$160.99

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

The exact North Carolina inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,493

Code
57455
Physician work
1.94
Practice expense
2.52
Malpractice
0.36

GPCI2026.csv

83

Locality
North Carolina
Physician work
1.000
Practice expense
0.933
Malpractice
0.639
Office calculation for 57455 in North Carolina
ComponentRVULocality factorAdjusted
Physician work1.94× 1.0001.9400
Practice expense2.52× 0.9332.3512
Malpractice0.36× 0.6390.2300
Total RVUs4.5212
Conversion factor× 33.4009

Office rate, North Carolina$151.01

Office: (1.94 × 1 + 2.52 × 0.933 + 0.36 × 0.639) × $33.4009 = $151.01

Facility: (1.94 × 1 + 0.59 × 0.933 + 0.36 × 0.639) × $33.4009 = $90.87

Open 57455 in the RVU calculator

Payment rules and modifiers for 57455

The CMS indicators that decide how 57455 is paid alongside other services.

CMS payment indicators · 57455

Cervical biopsy, colposcopy-guided biopsy

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures3Endoscopy family rules apply.
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

57455 without 51 · national office

$160.99

Cervical biopsy, colposcopy-guided biopsy

57455-51 · Second procedure: 50%

$80.50

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 57455

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

Codes related to 57455
CodeHow it relatesOffice range, North Carolina
Same family
57452Colposcopy, cervix, no tissue samplingColposcopic cervical examination without biopsy.$117.89
57454Cervical colposcopy, biopsy and endocervical curettageColposcopy with cervical biopsy and endocervical curettage.$156.03
57456Cervical colposcopy, endocervical curettageColposcopy with endocervical curettage, without cervical biopsy.$141.33
Used instead
57460Cervical LEEP biopsy, loop biopsy, not cone excisionColposcopy with loop-electrode cervical biopsy rather than the biopsy service described by 57455.$289.72

How 57455 has changed in North Carolina

57455 · Office / nonfacility

$151.01

Effective 2026-10-01

The base rate is $3.55 higher than on 2025-10-01, moving from $147.46 to $151.01 (2.4%).

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

    $147.46changed to$151.01

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.99 changed to 1.94
    • Practice expense RVU 2.53 changed to 2.52
    • Malpractice RVU 0.34 changed to 0.36
    • Practice expense GPCI 0.926 changed to 0.933
    • Malpractice GPCI 0.665 changed to 0.639

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $152.77changed to$147.46

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.57 changed to 2.53
    • Malpractice RVU 0.33 changed to 0.34

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $150.27changed to$152.77

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $155.33changed to$150.27

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.55 changed to 2.57
    • Malpractice RVU 0.31 changed to 0.33
    • Practice expense GPCI 0.927 changed to 0.926
    • Malpractice GPCI 0.742 changed to 0.665

  5. January 1, 2023

    RVU23A

    $159.19changed to$155.33

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.53 changed to 2.55
    • Malpractice RVU 0.32 changed to 0.31
    • Practice expense GPCI 0.928 changed to 0.927
    • Malpractice GPCI 0.819 changed to 0.742

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $156.33changed to$159.19

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.41 changed to 2.53
    • Malpractice RVU 0.31 changed to 0.32

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $152.11changed to$156.33

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.14 changed to 2.41
    • Practice expense GPCI 0.930 changed to 0.928
    • Malpractice GPCI 0.757 changed to 0.819

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $143.74changed to$152.11

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.96 changed to 2.14
    • Malpractice RVU 0.25 changed to 0.31
    • Practice expense GPCI 0.931 changed to 0.930
    • Malpractice GPCI 0.695 changed to 0.757

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $138.22changed to$143.74

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.80 changed to 1.96

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $138.46changed to$138.22

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.81 changed to 1.80
    • Malpractice GPCI 0.732 changed to 0.695

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $138.06changed to$138.46

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.80 changed to 1.81
    • Practice expense GPCI 0.930 changed to 0.931
    • Malpractice GPCI 0.768 changed to 0.732

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $139.45changed to$138.06

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.81 changed to 1.80
    • Malpractice RVU 0.27 changed to 0.25

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $138.75changed to$139.45

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $139.25changed to$138.75

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.79 changed to 1.81
    • Malpractice RVU 0.32 changed to 0.27
    • Practice expense GPCI 0.929 changed to 0.930
    • Malpractice GPCI 0.732 changed to 0.768

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $137.64changed to$139.25

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.97 changed to 1.79
    • Malpractice RVU 0.33 changed to 0.32
    • Practice expense GPCI 0.927 changed to 0.929
    • Malpractice GPCI 0.695 changed to 0.732

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $137.64

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$151.01$90.87RVU26D
2026-07-01$151.01$90.87RVU26C
2026-04-01$151.01$90.87RVU26B
2026-01-01$151.01$90.87RVU26A
2025-10-01$147.46$99.84RVU25D
2025-07-01$147.46$99.84RVU25C
2025-04-01$147.46$99.84RVU25B
2025-01-01$147.46$99.84RVU25A
2024-10-01$152.77$102.21RVU24D
2024-07-01$152.77$102.21RVU24C
2024-04-01$152.77$102.21RVU24B
2024-03-09$152.77$102.21RVU24AR
2024-01-01$150.27$100.55RVU24A
2023-10-01$155.33$104.44RVU23D
2023-07-01$155.33$104.44RVU23C
2023-04-01$155.33$104.44RVU23B
2023-01-01$155.33$104.44RVU23A
2022-10-01$159.19$106.84RVU22D
2022-07-01$159.19$106.84RVU22C
2022-04-01$159.19$106.84RVU22B
2022-01-01$159.19$106.84RVU22A
2021-10-01$156.33$107.44RVU21D
2021-07-01$156.33$107.44RVU21C
2021-04-01$156.33$107.44RVU21B
2021-01-01$156.33$107.44RVU21A
2020-10-01$152.11$110.16RVU20D
2020-07-01$152.11$110.16RVU20C
2020-04-01$152.11$110.16RVU20B
2020-01-01$152.11$110.16RVU20A
2019-10-01$143.74$107.51RVU19D
2019-07-01$143.74$107.51RVU19C
2019-04-01$143.74$107.51RVU19B
2019-01-01$143.74$107.51RVU19A
2018-10-01$138.22$108.06RVU18D
2018-07-01$138.22$108.06RVU18C
2018-04-01$138.22$108.06RVU18B
2018-01-01$138.22$108.06RVU18AR1
2017-10-01$138.46$109.06RVU17D
2017-07-01$138.46$109.06RVU17C
2017-04-01$138.46$109.06RVU17B
2017-01-01$138.46$109.06RVU17A
2016-10-01$138.06$108.43RVU16D
2016-07-01$138.06$108.43RVU16C
2016-04-01$138.06$108.43RVU16B
2016-01-01$138.06$108.43RVU16A
2015-10-01$139.45$109.37RVU15D
2015-07-01$139.45$109.37RVU15C
2015-04-01$138.75$108.83RVU15B
2015-01-01$138.75$108.83RVU15A
2014-10-01$139.25$110.30RVU14D
2014-07-01$139.25$110.30RVU14C
2014-04-01$139.25$110.30RVU14B
2014-01-01$139.25$110.30RVU14A
2013-10-01$137.64$106.73RVU13D
2013-07-01$137.64$106.73RVU13C
2013-04-01$137.64$106.73RVU13B
2013-01-01$137.64$106.73RVU13AR

Price 57455 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Advance
  • Ahoskie
  • Alamance
  • Albemarle
  • Alexis
  • Alliance
  • Altamahaw

Browse all communities in North Carolina

57455 billing questions

When should 57455 be chosen instead of 57452?

Use 57455 when the colposcopy includes one or more cervical tissue biopsies. Use 57452 for the colposcopic examination without biopsy.

Can 57455 be reported when endocervical curettage is also performed?

When cervical biopsy and endocervical curettage are both performed during the session, use 57454 for the combined service. Endocervical curettage alone is described by 57456.

Is 57455 reported once for multiple cervical biopsy sites?

Yes. Report one unit for the colposcopy session with cervical biopsy; the number of cervical sites sampled does not create additional units.

Can modifier 50 be used for biopsies on both sides of the cervix?

No. CMS identifies bilateral adjustment as inappropriate for this code, even when biopsies are taken from more than one cervical site.

What same-day care is included in 57455?

The 0-day global period includes same-day preoperative and postoperative care. The colposcopic examination is part of the biopsy service.

Can an assistant surgeon or co-surgeon be paid for 57455?

Assistant-at-surgery payment is restricted for this service. 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 57455PPRRVU2026_Oct_nonQPP.csv, line 6,493 (RVU26D)
Geographic factors for North CarolinaGPCI2026.csv, line 83 (RVU26D)

Open CMS sourceHow we calculate rates

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