FeeBase
Log inGet started
Menu

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

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 North Dakota, Medicare pays $299.44 for 57460 in the office and $132.10 when it’s performed in a hospital or facility.

$299.44Office (non-facility)
$132.10Hospital or facility
−3.1%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 North Dakota
  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 North Dakota 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. North Dakota pays $299.44. The RVUs are the same everywhere; the geographic indexes change the dollars.

57460 in North Dakota vs other payment areas
  1. North Dakota · this page$299.44
  2. Los Angeles, CA · California$344.09+$44.65
  3. Washington, DC area · District of Columbia$351.48+$52.04
  4. Miami, FL · Florida$341.70+$42.26
  5. Chicago, IL · Illinois$331.37+$31.93
  6. Manhattan, NY · New York$356.77+$57.33
  7. Alaska · Alaska$360.90+$61.46

Other areas in North Dakota 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 North Dakota 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

84

Locality
North Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.406
Office calculation for 57460 in North Dakota
ComponentRVULocality factorAdjusted
Physician work2.76× 1.0002.7600
Practice expense6.01× 1.0006.0100
Malpractice0.48× 0.4060.1949
Total RVUs8.9649
Conversion factor× 33.4009

Office rate, North Dakota$299.44

Office: (2.76 × 1 + 6.01 × 1 + 0.48 × 0.406) × $33.4009 = $299.44

Facility: (2.76 × 1 + 1 × 1 + 0.48 × 0.406) × $33.4009 = $132.10

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, North Dakota
Same family
57452Colposcopy, cervix, no tissue samplingColposcopic examination of the cervix without a biopsy procedure.$120.43
57455Cervical biopsy, colposcopy-guided biopsyColposcopy with cervical biopsy by a method other than loop-electrode biopsy.$153.85
57454Cervical colposcopy, biopsy and endocervical curettageColposcopy with cervical biopsy and endocervical curettage.$158.07
57456Cervical colposcopy, endocervical curettageColposcopy with endocervical curettage rather than loop-electrode cervical biopsy.$144.09
57461Cervical LEEP, colposcopy with conizationColposcopy with loop-electrode cone excision of the cervix.$337.47

How 57460 has changed in North Dakota

57460 · Office / nonfacility

$299.44

Effective 2026-10-01

The base rate is $8.21 higher than on 2025-10-01, moving from $291.23 to $299.44 (2.8%).

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

    $291.23changed to$299.44

    • 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
    • Malpractice GPCI 0.517 changed to 0.406

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $307.01changed to$291.23

    • 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

    $302.00changed to$307.01

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $314.41changed to$302.00

    • 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
    • Malpractice GPCI 0.474 changed to 0.517

  5. January 1, 2023

    RVU23A

    $322.52changed to$314.41

    • 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
    • Malpractice GPCI 0.431 changed to 0.474

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $321.85changed to$322.52

    • 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

    $308.69changed to$321.85

    • 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
    • Malpractice GPCI 0.485 changed to 0.431

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $293.32changed to$308.69

    • 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
    • Malpractice GPCI 0.540 changed to 0.485

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $281.29changed to$293.32

    • 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

    $281.58changed to$281.29

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.83 changed to 4.80
    • Malpractice GPCI 0.547 changed to 0.540

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $280.49changed to$281.58

    • 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
    • Malpractice GPCI 0.554 changed to 0.547

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $281.70changed to$280.49

    • 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

    $280.30changed to$281.70

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $281.09changed to$280.30

    • 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
    • Malpractice GPCI 0.536 changed to 0.554

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $284.37changed to$281.09

    • 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
    • Malpractice GPCI 0.517 changed to 0.536

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $284.37

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$299.44$132.10RVU26D
2026-07-01$299.44$132.10RVU26C
2026-04-01$299.44$132.10RVU26B
2026-01-01$299.44$132.10RVU26A
2025-10-01$291.23$147.93RVU25D
2025-07-01$291.23$147.93RVU25C
2025-04-01$291.23$147.93RVU25B
2025-01-01$291.23$147.93RVU25A
2024-10-01$307.01$151.56RVU24D
2024-07-01$307.01$151.56RVU24C
2024-04-01$307.01$151.56RVU24B
2024-03-09$307.01$151.56RVU24AR
2024-01-01$302.00$149.08RVU24A
2023-10-01$314.41$152.76RVU23D
2023-07-01$314.41$152.76RVU23C
2023-04-01$314.41$152.76RVU23B
2023-01-01$314.41$152.76RVU23A
2022-10-01$322.52$153.29RVU22D
2022-07-01$322.52$153.29RVU22C
2022-04-01$322.52$153.29RVU22B
2022-01-01$322.52$153.29RVU22A
2021-10-01$321.85$155.06RVU21D
2021-07-01$321.85$155.06RVU21C
2021-04-01$321.85$155.06RVU21B
2021-01-01$321.85$155.06RVU21A
2020-10-01$308.69$160.00RVU20D
2020-07-01$308.69$160.00RVU20C
2020-04-01$308.69$160.00RVU20B
2020-01-01$308.69$160.00RVU20A
2019-10-01$293.32$159.26RVU19D
2019-07-01$293.32$159.26RVU19C
2019-04-01$293.32$159.26RVU19B
2019-01-01$293.32$159.26RVU19A
2018-10-01$281.29$159.97RVU18D
2018-07-01$281.29$159.97RVU18C
2018-04-01$281.29$159.97RVU18B
2018-01-01$281.29$159.97RVU18AR1
2017-10-01$281.58$161.00RVU17D
2017-07-01$281.58$161.00RVU17C
2017-04-01$281.58$161.00RVU17B
2017-01-01$281.58$161.00RVU17A
2016-10-01$280.49$160.18RVU16D
2016-07-01$280.49$160.18RVU16C
2016-04-01$280.49$160.18RVU16B
2016-01-01$280.49$160.18RVU16A
2015-10-01$281.70$160.96RVU15D
2015-07-01$281.70$160.96RVU15C
2015-04-01$280.30$160.16RVU15B
2015-01-01$280.30$160.16RVU15A
2014-10-01$281.09$162.51RVU14D
2014-07-01$281.09$162.51RVU14C
2014-04-01$281.09$162.51RVU14B
2014-01-01$281.09$162.51RVU14A
2013-10-01$284.37$158.48RVU13D
2013-07-01$284.37$158.48RVU13C
2013-04-01$284.37$158.48RVU13B
2013-01-01$284.37$158.48RVU13AR

Price 57460 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Abercrombie
  • Adams
  • Alamo
  • Alexander
  • Alice
  • Almont
  • Alsen
  • Ambrose

Browse all communities in North Dakota

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 North DakotaGPCI2026.csv, line 84 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 57460 pays in North Dakota?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 57460 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist