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CPT code 57456: Cervical colposcopy, endocervical curettage2026 Medicare rate & RVUs in Delaware

Reports colposcopic evaluation of the cervix with sampling of the endocervical canal, often during assessment of abnormal cervical screening results.

CMS RVU26DEffective Oct 1, 2026One payment locality4.4K Medicare services in 2024

In Delaware, Medicare pays $148.87 for 57456 in the office and $88.15 when it’s performed in a hospital or facility.

$148.87Office (non-facility)
$88.15Hospital or facility
−1.2%vs the national office rate ($150.64)

Check a contract rate as a % of Medicare · 57456 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 57456 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 57456 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 57456 covers

A clinician uses a colposcope to examine the cervix and nearby vaginal tissue, then collects tissue from the endocervical canal with a curette. This is commonly performed by a gynecologist in an office or outpatient setting during evaluation of abnormal cervical cytology or a high-risk HPV result. The canal sample is submitted for pathology; this service includes endocervical curettage, not a separate cervical biopsy.

Report this code when colposcopy is accompanied by endocervical curettage without cervical biopsy. When cervical biopsy and curettage are both performed, the code that includes both services is 57454. Document the indication, colposcopic findings, curettage, and specimen. CMS assigns a 0-day global period, including same-day preoperative and postoperative care. Endoscopy-family pricing applies when related endoscopies are performed together. A bilateral adjustment 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 Delaware compares for 57456

Across 109 of 109 payment localities, the office rate for 57456 runs from $134.08 in Arkansas to $187.27 in San Benito County, CA. Delaware pays $148.87. The RVUs are the same everywhere; the geographic indexes change the dollars.

57456 in Delaware vs other payment areas
  1. Delaware · this page$148.87
  2. Los Angeles, CA · California$163.95+$15.08
  3. Washington, DC area · District of Columbia$169.28+$20.41
  4. Miami, FL · Florida$170.75+$21.88
  5. Chicago, IL · Illinois$165.73+$16.86
  6. Manhattan, NY · New York$173.82+$24.95
  7. Alaska · Alaska$180.92+$32.05

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

Every other payment area

57456 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$135.92$82.14
ArkansasArkansas$134.08$81.29
ArizonaArizona$146.59$87.03
Bakersfield, CACalifornia$155.10$87.74
Chico, CACalifornia$154.18$86.82
El Centro, CACalifornia$154.23$86.87
Fresno, CACalifornia$154.18$86.82
Hanford, CACalifornia$154.18$86.82

57456 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.

$134.08

$180.92

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

View every state and territory as a table
57456 office rate range by state
State / territoryOffice rate rangeLocalities
AK$180.921
AL$135.921
AR$134.081
AZ$146.591
CA$154.18–$187.2729
CO$154.031
CT$160.281
DC$169.281
DE$148.871
FL$152.68–$170.753
GA$144.17–$154.312
GU$156.891
HI$156.891
IA$137.231
ID$138.471
IL$149.93–$165.734
IN$139.171
KS$137.541
KY$140.881
LA$141.03–$147.452
MA$153.58–$167.312
MD$151.29–$169.283
ME$140.11–$145.862
MI$145.14–$155.422
MN$145.181
MO$139.38–$146.843
MS$136.711
MT$150.621
NC$141.331
ND$144.091
NE$137.661
NH$152.521
NJ$161.43–$167.892
NM$146.261
NV$148.881
NY$143.39–$178.965
OH$143.811
OK$139.671
OR$147.05–$157.602
PA$143.51–$157.112
PR$151.351
RI$153.211
SC$142.941
SD$143.321
TN$138.301
TX$142.70–$154.718
UT$144.741
VA$146.05–$169.282
VI$151.351
VT$144.401
WA$153.00–$169.672
WI$139.671
WV$144.971
WY$147.771

See 57456 in every payment locality

How the 57456 rate is calculated

Each of 57456’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 · 57456

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.80

1.80 RVUs× 1.000 GPCI

Practice expense2.38

2.38 RVUs× 1.000 GPCI

Malpractice0.33

0.33 RVUs× 1.000 GPCI

Adjusted RVUs

4.5100

Conversion factor

$33.4009

Medicare rate

$150.64

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

6,494

Code
57456
Physician work
1.80
Practice expense
2.38
Malpractice
0.33

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 57456 in Delaware
ComponentRVULocality factorAdjusted
Physician work1.80× 1.0051.8090
Practice expense2.38× 0.9882.3514
Malpractice0.33× 0.8990.2967
Total RVUs4.4571
Conversion factor× 33.4009

Office rate, Delaware$148.87

Office: (1.8 × 1.005 + 2.38 × 0.988 + 0.33 × 0.899) × $33.4009 = $148.87

Facility: (1.8 × 1.005 + 0.54 × 0.988 + 0.33 × 0.899) × $33.4009 = $88.15

Open 57456 in the RVU calculator

Payment rules and modifiers for 57456

The CMS indicators that decide how 57456 is paid alongside other services.

CMS payment indicators · 57456

Cervical colposcopy, endocervical curettage

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

57456 without 51 · national office

$150.64

Cervical colposcopy, endocervical curettage

57456-51 · Second procedure: 50%

$75.32

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 57456

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

Codes related to 57456
CodeHow it relatesOffice range, Delaware
Same family
57452Colposcopy, cervix, no tissue samplingColposcopy without the endocervical curettage included in 57456.$124.14
57454Cervical colposcopy, biopsy and endocervical curettageColposcopy with both cervical biopsy and endocervical curettage.$164.11
57455Cervical biopsy, colposcopy-guided biopsyColposcopy with cervical biopsy but without endocervical curettage.$159.09
57460Cervical LEEP biopsy, loop biopsy, not cone excisionColposcopic cervical sampling using a loop electrode.$305.39

How 57456 has changed in Delaware

57456 · Office / nonfacility

$148.87

Effective 2026-10-01

The base rate is $2.26 higher than on 2025-10-01, moving from $146.61 to $148.87 (1.5%).

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

    $146.61changed to$148.87

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.85 changed to 1.80
    • Practice expense RVU 2.41 changed to 2.38
    • Malpractice RVU 0.29 changed to 0.33
    • 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

    $152.83changed to$146.61

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.45 changed to 2.41
    • Malpractice RVU 0.31 changed to 0.29

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $150.34changed to$152.83

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $155.59changed to$150.34

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.43 changed to 2.45
    • Malpractice RVU 0.30 changed to 0.31
    • 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

    $158.53changed to$155.59

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.40 changed to 2.43
    • Malpractice RVU 0.29 changed to 0.30
    • 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

    $155.59changed to$158.53

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.29 changed to 2.40
    • Malpractice RVU 0.28 changed to 0.29

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $152.67changed to$155.59

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.04 changed to 2.29
    • 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

    $145.09changed to$152.67

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.87 changed to 2.04
    • Malpractice RVU 0.23 changed to 0.28
    • 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

    $139.79changed to$145.09

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.73 changed to 1.87

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $140.15changed to$139.79

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.74 changed to 1.73
    • 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

    $139.81changed to$140.15

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.73 changed to 1.74
    • 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

    $141.08changed to$139.81

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.74 changed to 1.73
    • Malpractice RVU 0.24 changed to 0.23

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $140.38changed to$141.08

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $140.83changed to$140.38

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.73 changed to 1.74
    • Malpractice RVU 0.30 changed to 0.24
    • 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

    $137.92changed to$140.83

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.89 changed to 1.73
    • Malpractice RVU 0.31 changed to 0.30
    • 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: $137.92

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$148.87$88.15RVU26D
2026-07-01$148.87$88.15RVU26C
2026-04-01$148.87$88.15RVU26B
2026-01-01$148.87$88.15RVU26A
2025-10-01$146.61$97.20RVU25D
2025-07-01$146.61$97.20RVU25C
2025-04-01$146.61$97.20RVU25B
2025-01-01$146.61$97.20RVU25A
2024-10-01$152.83$100.66RVU24D
2024-07-01$152.83$100.66RVU24C
2024-04-01$152.83$100.66RVU24B
2024-03-09$152.83$100.66RVU24AR
2024-01-01$150.34$99.01RVU24A
2023-10-01$155.59$102.01RVU23D
2023-07-01$155.59$102.01RVU23C
2023-04-01$155.59$102.01RVU23B
2023-01-01$155.59$102.01RVU23A
2022-10-01$158.53$103.35RVU22D
2022-07-01$158.53$103.35RVU22C
2022-04-01$158.53$103.35RVU22B
2022-01-01$158.53$103.35RVU22A
2021-10-01$155.59$103.89RVU21D
2021-07-01$155.59$103.89RVU21C
2021-04-01$155.59$103.89RVU21B
2021-01-01$155.59$103.89RVU21A
2020-10-01$152.67$107.72RVU20D
2020-07-01$152.67$107.72RVU20C
2020-04-01$152.67$107.72RVU20B
2020-01-01$152.67$107.72RVU20A
2019-10-01$145.09$106.53RVU19D
2019-07-01$145.09$106.53RVU19C
2019-04-01$145.09$106.53RVU19B
2019-01-01$145.09$106.53RVU19A
2018-10-01$139.79$107.14RVU18D
2018-07-01$139.79$107.14RVU18C
2018-04-01$139.79$107.14RVU18B
2018-01-01$139.79$107.14RVU18AR1
2017-10-01$140.15$108.15RVU17D
2017-07-01$140.15$108.15RVU17C
2017-04-01$140.15$108.15RVU17B
2017-01-01$140.15$108.15RVU17A
2016-10-01$139.81$107.33RVU16D
2016-07-01$139.81$107.33RVU16C
2016-04-01$139.81$107.33RVU16B
2016-01-01$139.81$107.33RVU16A
2015-10-01$141.08$108.48RVU15D
2015-07-01$141.08$108.48RVU15C
2015-04-01$140.38$107.94RVU15B
2015-01-01$140.38$107.94RVU15A
2014-10-01$140.83$108.48RVU14D
2014-07-01$140.83$108.48RVU14C
2014-04-01$140.83$108.48RVU14B
2014-01-01$140.83$108.48RVU14A
2013-10-01$137.92$103.82RVU13D
2013-07-01$137.92$103.82RVU13C
2013-04-01$137.92$103.82RVU13B
2013-01-01$137.92$103.82RVU13AR

Price 57456 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

57456 billing questions

When should 57456 be chosen instead of 57454?

Use 57456 for colposcopy with endocervical curettage but no cervical biopsy. When both cervical biopsy and curettage are performed, report 57454, which includes both.

Can cervical biopsy be billed separately with 57456?

If a cervical biopsy is performed during the colposcopy along with the curettage, 57454 represents that combination. Do not separately report the biopsy and curettage components.

What documentation supports this code?

Document the reason for colposcopy, cervical and adjacent vaginal findings, performance of endocervical curettage, and the specimen submitted for pathology.

Does 57456 have a global period?

CMS assigns a 0-day global period. Same-day preoperative and postoperative care is included.

Can an assistant or co-surgeon be reported?

CMS does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.

How is 57456 priced with another related endoscopy?

When related endoscopies are performed together, CMS applies endoscopy-family pricing. The payment reflects that pricing rule rather than treating every related scope as an independently priced full service.

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 57456PPRRVU2026_Oct_nonQPP.csv, line 6,494 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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