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CPT code 57460: Cervical LEEP biopsy, loop biopsy, not cone excision2026 Medicare rate & RVUs in Connecticut

Reports colposcopic examination of the cervix with loop-electrode biopsy when cervical tissue is sampled under direct visual guidance.

CMS RVU26DEffective Oct 1, 2026One payment locality491 Medicare services in 2024

In Connecticut, Medicare pays $329.63 for 57460 in the office and $149.40 when it’s performed in a hospital or facility.

$329.63Office (non-facility)
$149.40Hospital or facility
+6.7%vs the national office rate ($308.96)

Check a contract rate as a % of Medicare · 57460 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 57460 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 57460 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 57460 covers

A clinician uses colposcopy to examine the cervix and then removes cervical tissue with a loop electrode for biopsy. Gynecologists commonly perform this procedure in an office or outpatient setting when an abnormal cervical finding calls for targeted tissue sampling. The loop-electrode biopsy is the defining service; this code is not for a cone excision.

Report the service when documentation supports both colposcopic visualization and loop-electrode cervical biopsy. The procedure includes same-day preoperative and postoperative care under its 0-day global period. When related endoscopies are performed together, CMS applies endoscopy-family pricing. Modifier 50 is inappropriate for this service. Medicare 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 Connecticut compares for 57460

Across 109 of 109 payment localities, the office rate for 57460 runs from $272.88 in Arkansas to $400.39 in San Benito County, CA. Connecticut pays $329.63. The RVUs are the same everywhere; the geographic indexes change the dollars.

57460 in Connecticut vs other payment areas
  1. Connecticut · this page$329.63
  2. Los Angeles, CA · California$344.09+$14.46
  3. Washington, DC area · District of Columbia$351.48+$21.85
  4. Miami, FL · Florida$341.70+$12.07
  5. Chicago, IL · Illinois$331.37+$1.74
  6. Manhattan, NY · New York$356.77+$27.14
  7. Alaska · Alaska$360.90+$31.27

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

Every other payment area

57460 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$276.91$130.49
ArkansasArkansas$272.88$129.13
ArizonaArizona$300.43$138.28
Bakersfield, CACalifornia$323.71$140.31
Chico, CACalifornia$322.36$138.95
El Centro, CACalifornia$322.44$139.03
Fresno, CACalifornia$322.36$138.95
Hanford, CACalifornia$322.36$138.95

57460 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.

$272.88

$361.38

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

View every state and territory as a table
57460 office rate range by state
State / territoryOffice rate rangeLocalities
AK$360.901
AL$276.911
AR$272.881
AZ$300.431
CA$322.36–$400.3929
CO$319.401
CT$329.631
DC$351.481
DE$305.391
FL$308.19–$341.703
GA$290.36–$315.672
GU$329.711
HI$329.711
IA$282.231
ID$284.451
IL$300.52–$331.374
IN$286.061
KS$281.741
KY$285.311
LA$285.20–$299.302
MA$317.82–$349.922
MD$310.97–$351.483
ME$286.84–$301.242
MI$293.56–$312.932
MN$303.491
MO$280.84–$299.353
MS$276.871
MT$308.931
NC$289.721
ND$299.441
NE$283.531
NH$315.181
NJ$332.67–$347.972
NM$295.521
NV$306.481
NY$294.16–$366.545
OH$291.621
OK$283.901
OR$303.39–$328.612
PA$291.62–$321.942
PR$310.931
RI$315.601
SC$291.301
SD$298.311
TN$283.271
TX$289.75–$318.968
UT$295.281
VA$300.83–$351.482
VI$310.931
VT$299.031
WA$316.96–$356.202
WI$289.431
WV$289.571
WY$304.791

See 57460 in every payment locality

How the 57460 rate is calculated

Each of 57460’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 · 57460

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.76

2.76 RVUs× 1.000 GPCI

Practice expense6.01

6.01 RVUs× 1.000 GPCI

Malpractice0.48

0.48 RVUs× 1.000 GPCI

Adjusted RVUs

9.2500

Conversion factor

$33.4009

Medicare rate

$308.96

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

The exact Connecticut inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,495

Code
57460
Physician work
2.76
Practice expense
6.01
Malpractice
0.48

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Office calculation for 57460 in Connecticut
ComponentRVULocality factorAdjusted
Physician work2.76× 1.0202.8152
Practice expense6.01× 1.0776.4728
Malpractice0.48× 1.2100.5808
Total RVUs9.8688
Conversion factor× 33.4009

Office rate, Connecticut$329.63

Office: (2.76 × 1.02 + 6.01 × 1.077 + 0.48 × 1.21) × $33.4009 = $329.63

Facility: (2.76 × 1.02 + 1 × 1.077 + 0.48 × 1.21) × $33.4009 = $149.40

Open 57460 in the RVU calculator

Payment rules and modifiers for 57460

The CMS indicators that decide how 57460 is paid alongside other services.

CMS payment indicators · 57460

Cervical LEEP biopsy, loop biopsy, not cone excision

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

57460 without 51 · national office

$308.96

Cervical LEEP biopsy, loop biopsy, not cone excision

57460-51 · Second procedure: 50%

$154.48

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 57460

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

Codes related to 57460
CodeHow it relatesOffice range, Connecticut
Same family
57452Colposcopy, cervix, no tissue samplingColposcopic examination of the cervix without a biopsy procedure.$133.63
57455Cervical biopsy, colposcopy-guided biopsyColposcopy with cervical biopsy by a method other than loop-electrode biopsy.$171.29
57454Cervical colposcopy, biopsy and endocervical curettageColposcopy with cervical biopsy and endocervical curettage.$176.24
57456Cervical colposcopy, endocervical curettageColposcopy with endocervical curettage rather than loop-electrode cervical biopsy.$160.28
57461Cervical LEEP, colposcopy with conizationColposcopy with loop-electrode cone excision of the cervix.$372.58

How 57460 has changed in Connecticut

57460 · Office / nonfacility

$329.63

Effective 2026-10-01

The base rate is $8.03 higher than on 2025-10-01, moving from $321.60 to $329.63 (2.5%).

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

    $321.60changed to$329.63

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.83 changed to 2.76
    • Practice expense RVU 5.92 changed to 6.01
    • Malpractice RVU 0.49 changed to 0.48
    • Work GPCI 1.022 changed to 1.020
    • Practice expense GPCI 1.091 changed to 1.077
    • Malpractice GPCI 1.207 changed to 1.210

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $338.51changed to$321.60

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 6.15 changed to 5.92
    • Malpractice RVU 0.47 changed to 0.49

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $332.98changed to$338.51

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $348.11changed to$332.98

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 6.23 changed to 6.15
    • Malpractice RVU 0.46 changed to 0.47
    • Work GPCI 1.030 changed to 1.022
    • Practice expense GPCI 1.102 changed to 1.091
    • Malpractice GPCI 1.070 changed to 1.207

  5. January 1, 2023

    RVU23A

    $358.65changed to$348.11

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 6.30 changed to 6.23
    • Malpractice RVU 0.44 changed to 0.46
    • Work GPCI 1.037 changed to 1.030
    • Practice expense GPCI 1.114 changed to 1.102
    • Malpractice GPCI 0.934 changed to 1.070

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $358.07changed to$358.65

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 6.20 changed to 6.30
    • Malpractice RVU 0.45 changed to 0.44

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $343.79changed to$358.07

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 5.51 changed to 6.20
    • Malpractice RVU 0.44 changed to 0.45
    • Work GPCI 1.029 changed to 1.037
    • Practice expense GPCI 1.113 changed to 1.114
    • Malpractice GPCI 1.094 changed to 0.934

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $325.15changed to$343.79

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 5.12 changed to 5.51
    • Malpractice RVU 0.35 changed to 0.44
    • Work GPCI 1.021 changed to 1.029
    • Practice expense GPCI 1.112 changed to 1.113
    • Malpractice GPCI 1.255 changed to 1.094

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $311.53changed to$325.15

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.80 changed to 5.12
    • Malpractice RVU 0.34 changed to 0.35

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $312.70changed to$311.53

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.83 changed to 4.80
    • Work GPCI 1.023 changed to 1.021
    • Practice expense GPCI 1.117 changed to 1.112
    • Malpractice GPCI 1.244 changed to 1.255

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $312.25changed to$312.70

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.81 changed to 4.83
    • Malpractice RVU 0.35 changed to 0.34
    • Work GPCI 1.024 changed to 1.023
    • Practice expense GPCI 1.121 changed to 1.117
    • Malpractice GPCI 1.232 changed to 1.244

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $313.82changed to$312.25

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.36 changed to 0.35

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $312.26changed to$313.82

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $314.84changed to$312.26

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.77 changed to 4.81
    • Malpractice RVU 0.46 changed to 0.36
    • Practice expense GPCI 1.116 changed to 1.121
    • Malpractice GPCI 1.234 changed to 1.232

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $318.17changed to$314.84

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 5.28 changed to 4.77
    • Malpractice RVU 0.48 changed to 0.46
    • Practice expense GPCI 1.110 changed to 1.116
    • Malpractice GPCI 1.235 changed to 1.234

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $318.17

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$329.63$149.40RVU26D
2026-07-01$329.63$149.40RVU26C
2026-04-01$329.63$149.40RVU26B
2026-01-01$329.63$149.40RVU26A
2025-10-01$321.60$165.27RVU25D
2025-07-01$321.60$165.27RVU25C
2025-04-01$321.60$165.27RVU25B
2025-01-01$321.60$165.27RVU25A
2024-10-01$338.51$168.91RVU24D
2024-07-01$338.51$168.91RVU24C
2024-04-01$338.51$168.91RVU24B
2024-03-09$338.51$168.91RVU24AR
2024-01-01$332.98$166.15RVU24A
2023-10-01$348.11$169.98RVU23D
2023-07-01$348.11$169.98RVU23C
2023-04-01$348.11$169.98RVU23B
2023-01-01$348.11$169.98RVU23A
2022-10-01$358.65$170.14RVU22D
2022-07-01$358.65$170.14RVU22C
2022-04-01$358.65$170.14RVU22B
2022-01-01$358.65$170.14RVU22A
2021-10-01$358.07$172.26RVU21D
2021-07-01$358.07$172.26RVU21C
2021-04-01$358.07$172.26RVU21B
2021-01-01$358.07$172.26RVU21A
2020-10-01$343.79$178.30RVU20D
2020-07-01$343.79$178.30RVU20C
2020-04-01$343.79$178.30RVU20B
2020-01-01$343.79$178.30RVU20A
2019-10-01$325.15$176.07RVU19D
2019-07-01$325.15$176.07RVU19C
2019-04-01$325.15$176.07RVU19B
2019-01-01$325.15$176.07RVU19A
2018-10-01$311.53$176.62RVU18D
2018-07-01$311.53$176.62RVU18C
2018-04-01$311.53$176.62RVU18B
2018-01-01$311.53$176.62RVU18AR1
2017-10-01$312.70$178.01RVU17D
2017-07-01$312.70$178.01RVU17C
2017-04-01$312.70$178.01RVU17B
2017-01-01$312.70$178.01RVU17A
2016-10-01$312.25$177.39RVU16D
2016-07-01$312.25$177.39RVU16C
2016-04-01$312.25$177.39RVU16B
2016-01-01$312.25$177.39RVU16A
2015-10-01$313.82$178.48RVU15D
2015-07-01$313.82$178.48RVU15C
2015-04-01$312.26$177.59RVU15B
2015-01-01$312.26$177.59RVU15A
2014-10-01$314.84$182.51RVU14D
2014-07-01$314.84$182.51RVU14C
2014-04-01$314.84$182.51RVU14B
2014-01-01$314.84$182.51RVU14A
2013-10-01$318.17$178.43RVU13D
2013-07-01$318.17$178.43RVU13C
2013-04-01$318.17$178.43RVU13B
2013-01-01$318.17$178.43RVU13AR

Price 57460 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

  • Ansonia
  • Ball Pond
  • Baltic
  • Bantam
  • Bethel
  • Bethlehem Village
  • Bigelow Corners
  • Blue Hills

Browse all communities in Connecticut

57460 billing questions

How does 57460 differ from 57461?

Use 57460 for cervical tissue biopsy with a loop electrode under colposcopic visualization. Use 57461 when the loop procedure is a cone excision.

Can the colposcopy be reported separately?

No. The colposcopic examination is part of the service represented by 57460.

Can modifier 50 be used?

No. CMS identifies bilateral adjustment as inappropriate for this code.

Is an assistant surgeon payable?

No. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are also not permitted.

What documentation supports 57460?

Document the colposcopic examination and the loop-electrode cervical biopsy, including the tissue sampled and the clinical reason for sampling.

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 57460PPRRVU2026_Oct_nonQPP.csv, line 6,495 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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