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CPT code 57461: Cervical LEEP, colposcopy with conization2026 Medicare rate & RVUs in Miami, FL

Reports colposcopic assessment of the cervix with loop-electrode removal of a cone-shaped cervical specimen, commonly for cervical dysplasia.

CMS RVU26DEffective Oct 1, 2026One payment locality459 Medicare services in 2024

In Miami, FL, Medicare pays $388.94 for 57461 in the office and $193.53 when it’s performed in a hospital or facility.

$388.94Office (non-facility)
$193.53Hospital or facility
+11.3%vs the national office rate ($349.37)

Check a contract rate as a % of Medicare · 57461 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 57461 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Miami, FL
  2. What 57461 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 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.

How Miami, FL compares for 57461

Across 109 of 109 payment localities, the office rate for 57461 runs from $308.95 in Arkansas to $448.60 in San Benito County, CA. Miami, FL pays $388.94. The RVUs are the same everywhere; the geographic indexes change the dollars.

57461 in Miami, FL vs other payment areas
  1. Miami, FL · this page$388.94
  2. Fort Lauderdale, FL · Florida$368.40−$20.54
  3. Rest of Florida · Florida$349.87−$39.07
  4. Los Angeles, CA · California$387.07−$1.87
  5. Washington, DC area · District of Columbia$396.43+$7.49
  6. Chicago, IL · Illinois$377.20−$11.74
  7. Manhattan, NY · New York$403.54+$14.60

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

Every other payment area

57461 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$410.31$210.40
AlabamaAlabama$313.45$149.21
ArkansasArkansas$308.95$147.70
ArizonaArizona$339.74$157.84
Bakersfield, CACalifornia$364.56$158.83
Chico, CACalifornia$362.88$157.14
El Centro, CACalifornia$362.98$157.24
Fresno, CACalifornia$362.88$157.14

57461 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.

$308.95

$410.31

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

View every state and territory as a table
57461 office rate range by state
State / territoryOffice rate rangeLocalities
AK$410.311
AL$313.451
AR$308.951
AZ$339.741
CA$362.88–$448.6029
CO$360.261
CT$372.581
DC$396.431
DE$345.291
FL$349.87–$388.943
GA$329.70–$357.222
GU$370.771
HI$370.771
IA$318.781
ID$321.391
IL$341.71–$377.204
IN$323.181
KS$318.531
KY$323.501
LA$323.49–$339.252
MA$358.63–$393.992
MD$351.46–$396.433
ME$324.38–$340.022
MI$333.01–$355.502
MN$341.581
MO$318.80–$338.963
MS$313.871
MT$349.331
NC$327.551
ND$337.471
NE$320.141
NH$355.801
NJ$375.81–$392.612
NM$335.331
NV$346.241
NY$332.53–$414.855
OH$330.591
OK$321.601
OR$342.55–$370.202
PA$330.41–$364.182
PR$351.471
RI$356.521
SC$329.821
SD$336.071
TN$320.281
TX$328.35–$359.948
UT$334.261
VA$339.78–$396.432
VI$351.471
VT$337.301
WA$357.58–$400.722
WI$326.361
WV$329.481
WY$344.161

See 57461 in every payment locality

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

Office or facility?

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.

The exact Miami, FL inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,496

Code
57461
Physician work
3.34
Practice expense
6.52
Malpractice
0.60

GPCI2026.csv

42

Locality
Miami, FL
Physician work
1.000
Practice expense
1.041
Malpractice
2.529
Office calculation for 57461 in Miami, FL
ComponentRVULocality factorAdjusted
Physician work3.34× 1.0003.3400
Practice expense6.52× 1.0416.7873
Malpractice0.60× 2.5291.5174
Total RVUs11.6447
Conversion factor× 33.4009

Office rate, Miami, FL$388.94

Office: (3.34 × 1 + 6.52 × 1.041 + 0.6 × 2.529) × $33.4009 = $388.94

Facility: (3.34 × 1 + 0.9 × 1.041 + 0.6 × 2.529) × $33.4009 = $193.53

Open 57461 in the RVU calculator

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

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

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%).

When to use modifier 51

Codes related to 57461

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

Codes related to 57461
CodeHow it relatesOffice range, Miami, FL
Same family
57460Cervical LEEP biopsy, loop biopsy, not cone excisionColposcopy with loop-electrode biopsy rather than conization.$341.70
57452Colposcopy, cervix, no tissue samplingColposcopic cervical examination without the loop-electrode excision.$141.66
57454Cervical colposcopy, biopsy and endocervical curettageColposcopy with cervical biopsy and endocervical curettage.$189.58
Used instead
57522LEEP conization, loop electrode excisionLoop-electrode conization when the service is reported without the colposcopy component.$339.84

How 57461 has changed in Miami, FL

57461 · Office / nonfacility

$388.94

Effective 2026-10-01

The base rate is $20.81 higher than on 2025-10-01, moving from $368.13 to $388.94 (5.7%).

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

    $368.13changed to$388.94

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.43 changed to 3.34
    • Practice expense RVU 6.33 changed to 6.52
    • Malpractice RVU 0.58 changed to 0.60
    • Practice expense GPCI 1.027 changed to 1.041
    • Malpractice GPCI 2.500 changed to 2.529

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $384.85changed to$368.13

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 6.53 changed to 6.33
    • Malpractice RVU 0.57 changed to 0.58

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $378.57changed to$384.85

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $394.83changed to$378.57

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 6.62 changed to 6.53
    • Malpractice RVU 0.56 changed to 0.57
    • Practice expense GPCI 1.025 changed to 1.027
    • Malpractice GPCI 2.564 changed to 2.500

  5. January 1, 2023

    RVU23A

    $406.49changed to$394.83

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 6.69 changed to 6.62
    • Practice expense GPCI 1.023 changed to 1.025
    • Malpractice GPCI 2.629 changed to 2.564

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $404.10changed to$406.49

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 6.58 changed to 6.69
    • Malpractice RVU 0.54 changed to 0.56

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $392.14changed to$404.10

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 5.88 changed to 6.58
    • Practice expense GPCI 1.026 changed to 1.023
    • Malpractice GPCI 2.598 changed to 2.629

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $366.05changed to$392.14

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 5.49 changed to 5.88
    • Malpractice RVU 0.42 changed to 0.54
    • Practice expense GPCI 1.029 changed to 1.026
    • Malpractice GPCI 2.566 changed to 2.598

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $354.34changed to$366.05

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 5.16 changed to 5.49
    • Malpractice RVU 0.43 changed to 0.42

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $354.52changed to$354.34

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 5.20 changed to 5.16
    • Practice expense GPCI 1.031 changed to 1.029
    • Malpractice GPCI 2.528 changed to 2.566

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $352.36changed to$354.52

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 5.17 changed to 5.20
    • Practice expense GPCI 1.033 changed to 1.031
    • Malpractice GPCI 2.490 changed to 2.528

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $356.32changed to$352.36

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.46 changed to 0.43

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $354.54changed to$356.32

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $368.32changed to$354.54

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 5.14 changed to 5.17
    • Malpractice RVU 0.56 changed to 0.46
    • Practice expense GPCI 1.044 changed to 1.033
    • Malpractice GPCI 2.653 changed to 2.490

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $376.53changed to$368.32

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 5.67 changed to 5.14
    • Malpractice RVU 0.59 changed to 0.56
    • Practice expense GPCI 1.054 changed to 1.044
    • Malpractice GPCI 2.815 changed to 2.653

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $376.53

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$388.94$193.53RVU26D
2026-07-01$388.94$193.53RVU26C
2026-04-01$388.94$193.53RVU26B
2026-01-01$388.94$193.53RVU26A
2025-10-01$368.13$207.35RVU25D
2025-07-01$368.13$207.35RVU25C
2025-04-01$368.13$207.35RVU25B
2025-01-01$368.13$207.35RVU25A
2024-10-01$384.85$211.86RVU24D
2024-07-01$384.85$211.86RVU24C
2024-04-01$384.85$211.86RVU24B
2024-03-09$384.85$211.86RVU24AR
2024-01-01$378.57$208.41RVU24A
2023-10-01$394.83$215.95RVU23D
2023-07-01$394.83$215.95RVU23C
2023-04-01$394.83$215.95RVU23B
2023-01-01$394.83$215.95RVU23A
2022-10-01$406.49$220.63RVU22D
2022-07-01$406.49$220.63RVU22C
2022-04-01$406.49$220.63RVU22B
2022-01-01$406.49$220.63RVU22A
2021-10-01$404.10$220.98RVU21D
2021-07-01$404.10$220.98RVU21C
2021-04-01$404.10$220.98RVU21B
2021-01-01$404.10$220.98RVU21A
2020-10-01$392.14$227.00RVU20D
2020-07-01$392.14$227.00RVU20C
2020-04-01$392.14$227.00RVU20B
2020-01-01$392.14$227.00RVU20A
2019-10-01$366.05$215.48RVU19D
2019-07-01$366.05$215.48RVU19C
2019-04-01$366.05$215.48RVU19B
2019-01-01$366.05$215.48RVU19A
2018-10-01$354.34$217.28RVU18D
2018-07-01$354.34$217.28RVU18C
2018-04-01$354.34$217.28RVU18B
2018-01-01$354.34$217.28RVU18AR1
2017-10-01$354.52$217.61RVU17D
2017-07-01$354.52$217.61RVU17C
2017-04-01$354.52$217.61RVU17B
2017-01-01$354.52$217.61RVU17A
2016-10-01$352.36$215.88RVU16D
2016-07-01$352.36$215.88RVU16C
2016-04-01$352.36$215.88RVU16B
2016-01-01$352.36$215.88RVU16A
2015-10-01$356.32$219.35RVU15D
2015-07-01$356.32$219.35RVU15C
2015-04-01$354.54$218.26RVU15B
2015-01-01$354.54$218.26RVU15A
2014-10-01$368.32$231.82RVU14D
2014-07-01$368.32$231.82RVU14C
2014-04-01$368.32$231.82RVU14B
2014-01-01$368.32$231.82RVU14A
2013-10-01$376.53$230.94RVU13D
2013-07-01$376.53$230.94RVU13C
2013-04-01$376.53$230.94RVU13B
2013-01-01$376.53$230.94RVU13AR

Price 57461 for an earlier date of service

Where the Miami, FL rate applies

Miami, FL is a Medicare payment area, not a city. Our Census mapping connects it to 83 cities and communities in Florida. Some span more than one payment area; confirm with the service ZIP.

  • Miami
  • Aventura
  • Bal Harbour
  • Bay Harbor Islands
  • Big Coppitt Key
  • Big Pine Key
  • Biscayne Gardens
  • Biscayne Park

Browse all communities in Florida

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

Show the CMS file lines behind this rate
RVUs for 57461PPRRVU2026_Oct_nonQPP.csv, line 6,496 (RVU26D)
Geographic factors for Miami, FLGPCI2026.csv, line 42 (RVU26D)

Open CMS sourceHow we calculate rates

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