CPT code 57461: Cervical LEEP, colposcopy with conization2026 Medicare rate & RVUs
Reports colposcopic assessment of the cervix with loop-electrode removal of a cone-shaped cervical specimen, commonly for cervical dysplasia.
Medicare pays $349.37 for 57461 nationally in the office and $161.66 in a hospital or facility. Local office rates run $308.95–$448.60.
Medicare rate · 57461
Cervical LEEP, colposcopy with conization
- Work RVUs
- 3.34
- Total RVUs
- 10.46
- Global days
- 000
National rate · 2026
$349.37
Office setting, before claim adjustments.
See every locality for 57461 →Billed by an NP, PA or therapist? →
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 10 sections
What 57461 covers
The clinician examines the cervix under magnification, typically after applying a solution that helps identify abnormal areas, then uses a loop electrode to excise a cone-shaped portion of cervical tissue. Gynecologists commonly perform this procedure for evaluation or treatment of cervical precancer, such as high-grade cervical dysplasia, in an office or outpatient facility. The excised tissue is sent for pathologic examination.
Report this code when colposcopy and loop-electrode conization are performed together; documentation should support the colposcopic assessment and the conization, not just a small loop biopsy. The service has a 0-day global period, so same-day preoperative and postoperative care are included. When related endoscopies are performed together, CMS endoscopy-family pricing applies. Modifier 50 is inappropriate for this cervical procedure. Medicare does not pay an assistant-at-surgery claim, and co-surgeon and team-surgery reporting 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.
Where 57461 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$308.95 to $448.60
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $313.45 | $149.21 |
| Alaska | $410.31 | $210.40 |
| Arizona | $339.74 | $157.84 |
| Arkansas | $308.95 | $147.70 |
| Atlanta, GA | $357.22 | $166.50 |
| Austin, TX | $359.94 | $161.34 |
| Bakersfield, CA | $364.56 | $158.83 |
| Baltimore area, MD | $371.81 | $170.39 |
| Beaumont, TX | $328.35 | $157.53 |
| Brazoria, TX | $343.90 | $157.87 |
| Chicago, IL | $377.20 | $188.54 |
| Chico, CA | $362.88 | $157.14 |
| Colorado | $360.26 | $160.53 |
| Connecticut | $372.58 | $170.41 |
| Dallas, TX | $346.66 | $159.70 |
| Delaware | $345.29 | $159.83 |
| Detroit, MI | $355.50 | $174.36 |
| East St. Louis, IL | $352.27 | $179.58 |
| El Centro, CA | $362.98 | $157.24 |
| Fort Lauderdale, FL | $368.40 | $178.24 |
| Fort Worth, TX | $344.74 | $159.66 |
| Fresno, CA | $362.88 | $157.14 |
| Galveston, TX | $345.29 | $158.90 |
| Hanford, CA | $362.88 | $157.14 |
| Hawaii, Guam, HI | $370.77 | $157.34 |
| Houston, TX | $356.28 | $169.88 |
| Idaho | $321.39 | $148.69 |
| Indiana | $323.18 | $149.17 |
| Iowa | $318.78 | $147.02 |
| Kansas | $318.53 | $148.83 |
| Kentucky | $323.50 | $156.62 |
| King County, WA | $400.72 | $170.39 |
| Los Angeles, CA | $387.07 | $165.00 |
| Madera, CA | $362.88 | $157.14 |
| Manhattan, NY | $403.54 | $185.41 |
| Marin County, CA | $438.42 | $173.74 |
| Merced, CA | $362.88 | $157.14 |
| Metropolitan Boston, MA | $393.99 | $169.86 |
| Metropolitan Kansas City, MO | $335.63 | $159.37 |
| Metropolitan Philadelphia, PA | $364.18 | $168.77 |
| Metropolitan St. Louis, MO | $338.96 | $160.26 |
| Miami, FL | $388.94 | $193.53 |
| Minnesota | $341.58 | $148.42 |
| Mississippi | $313.87 | $152.25 |
| Modesto, CA | $362.88 | $157.14 |
| Montana | $349.33 | $161.62 |
| Napa, CA | $415.79 | $168.39 |
| Nebraska | $320.14 | $146.88 |
| Nevada | $346.24 | $158.34 |
| New Hampshire | $355.80 | $160.39 |
| New Mexico | $335.33 | $163.19 |
| New Orleans, LA | $339.25 | $162.61 |
| North Carolina | $327.55 | $152.41 |
| North Dakota | $337.47 | $149.76 |
| Northern New Jersey | $392.61 | $174.86 |
| NYC suburbs and Long Island, NY | $414.85 | $191.66 |
| Ohio | $330.59 | $159.21 |
| Oklahoma | $321.60 | $153.97 |
| Oxnard, CA | $384.58 | $162.70 |
| Portland, OR | $370.20 | $161.65 |
| Poughkeepsie and northern NYC suburbs, NY | $379.29 | $173.74 |
| Puerto Rico | $351.47 | $161.69 |
| Queens, NY | $405.01 | $183.13 |
| Redding, CA | $362.88 | $157.14 |
| Rest of California | $362.88 | $157.14 |
| Rest of Florida | $349.87 | $170.42 |
| Rest of Georgia | $329.70 | $162.26 |
| Rest of Illinois | $341.71 | $170.33 |
| Rest of Louisiana | $323.49 | $157.36 |
| Rest of Maine | $324.38 | $151.68 |
| Rest of Maryland | $351.46 | $161.49 |
| Rest of Massachusetts | $358.63 | $160.97 |
| Rest of Michigan | $333.01 | $161.63 |
| Rest of Missouri | $318.80 | $156.99 |
| Rest of New Jersey | $375.81 | $170.83 |
| Rest of New York | $332.53 | $154.21 |
| Rest of Oregon | $342.55 | $155.59 |
| Rest of Pennsylvania | $330.41 | $158.09 |
| Rest of Texas | $336.32 | $158.18 |
| Rest of Washington | $357.58 | $159.91 |
| Rhode Island | $356.52 | $162.61 |
| Riverside, CA | $369.34 | $163.61 |
| Sacramento, CA | $379.59 | $161.28 |
| Salinas, CA | $378.16 | $160.60 |
| San Benito County, CA | $448.60 | $177.92 |
| San Diego, CA | $386.23 | $161.72 |
| San Francisco, CA | $437.74 | $173.06 |
| San Luis Obispo, CA | $372.24 | $158.44 |
| Santa Clara County, CA | $445.82 | $175.13 |
| Santa Cruz, CA | $389.24 | $161.17 |
| Santa Maria, CA | $379.35 | $160.48 |
| Santa Rosa, CA | $393.07 | $162.56 |
| South Carolina | $329.82 | $156.37 |
| South Dakota | $336.07 | $148.35 |
| Southern Maine, ME | $340.02 | $153.99 |
| Stockton, CA | $362.88 | $157.14 |
| Suburban Chicago, IL | $371.51 | $178.72 |
| Tennessee | $320.28 | $149.65 |
| Utah | $334.26 | $157.81 |
| Vallejo, CA | $414.81 | $167.41 |
| Vermont | $337.30 | $151.46 |
| Virgin Islands, VI | $351.47 | $161.69 |
| Virginia | $339.78 | $155.26 |
| Visalia, CA | $362.88 | $157.14 |
| Washington, DC area | $396.43 | $175.30 |
| West Virginia | $329.48 | $166.36 |
| Wisconsin | $326.36 | $146.53 |
| Wyoming | $344.16 | $156.45 |
| Yuba City, CA | $362.88 | $157.14 |
57461 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.
$308.95
$410.31
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 | $410.31 | 1 |
| AL | $313.45 | 1 |
| AR | $308.95 | 1 |
| AZ | $339.74 | 1 |
| CA | $362.88–$448.60 | 29 |
| CO | $360.26 | 1 |
| CT | $372.58 | 1 |
| DC | $396.43 | 1 |
| DE | $345.29 | 1 |
| FL | $349.87–$388.94 | 3 |
| GA | $329.70–$357.22 | 2 |
| GU | $370.77 | 1 |
| HI | $370.77 | 1 |
| IA | $318.78 | 1 |
| ID | $321.39 | 1 |
| IL | $341.71–$377.20 | 4 |
| IN | $323.18 | 1 |
| KS | $318.53 | 1 |
| KY | $323.50 | 1 |
| LA | $323.49–$339.25 | 2 |
| MA | $358.63–$393.99 | 2 |
| MD | $351.46–$396.43 | 3 |
| ME | $324.38–$340.02 | 2 |
| MI | $333.01–$355.50 | 2 |
| MN | $341.58 | 1 |
| MO | $318.80–$338.96 | 3 |
| MS | $313.87 | 1 |
| MT | $349.33 | 1 |
| NC | $327.55 | 1 |
| ND | $337.47 | 1 |
| NE | $320.14 | 1 |
| NH | $355.80 | 1 |
| NJ | $375.81–$392.61 | 2 |
| NM | $335.33 | 1 |
| NV | $346.24 | 1 |
| NY | $332.53–$414.85 | 5 |
| OH | $330.59 | 1 |
| OK | $321.60 | 1 |
| OR | $342.55–$370.20 | 2 |
| PA | $330.41–$364.18 | 2 |
| PR | $351.47 | 1 |
| RI | $356.52 | 1 |
| SC | $329.82 | 1 |
| SD | $336.07 | 1 |
| TN | $320.28 | 1 |
| TX | $328.35–$359.94 | 8 |
| UT | $334.26 | 1 |
| VA | $339.78–$396.43 | 2 |
| VI | $351.47 | 1 |
| VT | $337.30 | 1 |
| WA | $357.58–$400.72 | 2 |
| WI | $326.36 | 1 |
| WV | $329.48 | 1 |
| WY | $344.16 | 1 |
How the 57461 rate is calculated
Each of 57461’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 · 57461
RVUs × geographic indexes × conversion factor
Work3.34
3.34 RVUs× 1.000 GPCI
Practice expense6.52
6.52 RVUs× 1.000 GPCI
Malpractice0.60
0.60 RVUs× 1.000 GPCI
Adjusted RVUs
10.4600
Conversion factor
$33.4009
Medicare rate
$349.37
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 57461
The CMS indicators that decide how 57461 is paid alongside other services.
CMS payment indicators · 57461
Cervical LEEP, colposcopy with conization
| 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
57461 without 51 · national office
$349.37
Cervical LEEP, colposcopy with conization
57461-51 · Second procedure: 50%
$174.69
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%).
57461 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 57460Cervical LEEP biopsyLoop biopsy, not cone excision
- Choose 57461 for loop-electrode conization; choose 57460 for loop-electrode biopsy without conization.
- 57455Cervical biopsyColposcopy-guided biopsy
- 57455 covers colposcopy with cervical biopsy. 57461 requires loop-electrode conization, a more extensive excision.
- 57522LEEP conizationLoop electrode excision
- Both describe loop-electrode conization. 57461 includes colposcopy performed with the conization; 57522 describes the conization service without that colposcopy component.
57461 billing questions
How does this differ from 57460?
57461 represents loop-electrode conization, which removes a cone-shaped cervical specimen. 57460 represents loop-electrode biopsy rather than conization.
When would 57522 be considered instead?
57522 describes loop-electrode conization without the colposcopy component represented by 57461. Use the code that matches the documented service performed.
Is the colposcopic examination separately reported?
The colposcopy is part of 57461 when performed with the loop-electrode conization. Do not separately report a colposcopy code for that same examination.
Can modifier 50 be used?
No. Modifier 50 is inappropriate for this cervical procedure.
What documentation supports reporting 57461?
Document the colposcopic assessment and the loop-electrode excision of a cone-shaped cervical specimen. The note should distinguish conization from a limited loop biopsy.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure's 0-day global period.
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
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