CPT code 57505: Cervical sampling, endocervical canal2026 Medicare rate & RVUs
Endocervical curettage collects tissue from the cervical canal for histologic evaluation, often during assessment of abnormal screening or colposcopic findings.
Medicare pays $148.97 for 57505 nationally in the office and $99.53 in a hospital or facility. Local office rates run $131.01–$195.59.
Medicare rate · 57505
Cervical sampling, endocervical canal
- Work RVUs
- 1.16
- Total RVUs
- 4.46
- Global days
- 010
National rate · 2026
$148.97
Office setting, before claim adjustments.
See every locality for 57505 →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 57505 covers
A clinician uses a curette to collect tissue from inside the cervical canal for histologic examination. Gynecologists commonly perform this sampling in an office or outpatient setting when evaluating abnormal cervical screening results or colposcopic findings, including situations where assessment of the canal is needed. The specimen is submitted for pathology; this service samples the canal rather than removing a larger portion of the cervix.
Report the service when canal curettage is performed and is not already included in a more comprehensive colposcopy code, such as 57454 or 57456. Document the indication, the sampling performed, and any separately obtained cervical biopsy. Related postoperative visits during the 10-day global period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is not appropriate for this single midline canal. Medicare does not pay an assistant at surgery for this service, and co-surgeons and team surgeons 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 57505 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
$131.01 to $195.59
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $133.02 | $89.77 |
| Alaska | $171.90 | $119.25 |
| Arizona | $144.76 | $96.86 |
| Arkansas | $131.01 | $88.55 |
| Atlanta, GA | $152.15 | $101.92 |
| Austin, TX | $154.23 | $101.93 |
| Bakersfield, CA | $156.87 | $102.69 |
| Baltimore area, MD | $158.78 | $105.74 |
| Beaumont, TX | $139.18 | $94.20 |
| Brazoria, TX | $146.81 | $97.82 |
| Chicago, IL | $158.84 | $109.16 |
| Chico, CA | $156.28 | $102.10 |
| Colorado | $154.50 | $101.91 |
| Connecticut | $159.16 | $105.92 |
| Dallas, TX | $147.91 | $98.67 |
| Delaware | $147.21 | $98.37 |
| Detroit, MI | $150.17 | $102.46 |
| East St. Louis, IL | $147.82 | $102.35 |
| El Centro, CA | $156.32 | $102.14 |
| Fort Lauderdale, FL | $155.98 | $105.90 |
| Fort Worth, TX | $146.97 | $98.23 |
| Fresno, CA | $156.28 | $102.10 |
| Galveston, TX | $147.35 | $98.26 |
| Hanford, CA | $156.28 | $102.10 |
| Hawaii, Guam, HI | $160.15 | $103.95 |
| Houston, TX | $151.19 | $102.11 |
| Idaho | $137.01 | $91.54 |
| Indiana | $137.83 | $92.00 |
| Iowa | $135.97 | $90.73 |
| Kansas | $135.58 | $90.89 |
| Kentucky | $136.92 | $92.97 |
| King County, WA | $173.05 | $112.40 |
| Los Angeles, CA | $167.09 | $108.61 |
| Madera, CA | $156.28 | $102.10 |
| Manhattan, NY | $172.28 | $114.84 |
| Marin County, CA | $191.17 | $121.47 |
| Merced, CA | $156.28 | $102.10 |
| Metropolitan Boston, MA | $169.81 | $110.78 |
| Metropolitan Kansas City, MO | $142.51 | $96.09 |
| Metropolitan Philadelphia, PA | $155.25 | $103.79 |
| Metropolitan St. Louis, MO | $144.03 | $96.97 |
| Miami, FL | $163.92 | $112.46 |
| Minnesota | $147.02 | $96.16 |
| Mississippi | $132.79 | $90.23 |
| Modesto, CA | $156.28 | $102.10 |
| Montana | $148.95 | $99.52 |
| Napa, CA | $180.78 | $115.63 |
| Nebraska | $136.66 | $91.03 |
| Nevada | $147.90 | $98.42 |
| New Hampshire | $152.32 | $100.86 |
| New Mexico | $141.81 | $96.48 |
| New Orleans, LA | $143.83 | $97.32 |
| North Carolina | $139.52 | $93.40 |
| North Dakota | $144.80 | $95.37 |
| Northern New Jersey | $168.40 | $111.06 |
| NYC suburbs and Long Island, NY | $176.97 | $118.19 |
| Ohio | $140.04 | $94.91 |
| Oklahoma | $136.36 | $92.22 |
| Oxnard, CA | $166.19 | $107.76 |
| Portland, OR | $159.25 | $104.33 |
| Poughkeepsie and northern NYC suburbs, NY | $161.99 | $107.86 |
| Puerto Rico | $150.00 | $100.02 |
| Queens, NY | $173.33 | $114.90 |
| Redding, CA | $156.28 | $102.10 |
| Rest of California | $156.28 | $102.10 |
| Rest of Florida | $147.95 | $100.70 |
| Rest of Georgia | $139.17 | $95.07 |
| Rest of Illinois | $143.94 | $98.81 |
| Rest of Louisiana | $136.80 | $93.06 |
| Rest of Maine | $138.06 | $92.58 |
| Rest of Maryland | $150.02 | $99.99 |
| Rest of Massachusetts | $153.63 | $101.58 |
| Rest of Michigan | $140.89 | $95.76 |
| Rest of Missouri | $134.54 | $91.93 |
| Rest of New Jersey | $160.69 | $106.71 |
| Rest of New York | $141.72 | $94.76 |
| Rest of Oregon | $146.47 | $97.24 |
| Rest of Pennsylvania | $140.12 | $94.74 |
| Rest of Texas | $143.02 | $96.11 |
| Rest of Washington | $153.27 | $101.21 |
| Rhode Island | $152.35 | $101.29 |
| Riverside, CA | $158.54 | $104.36 |
| Sacramento, CA | $163.93 | $106.44 |
| Salinas, CA | $163.32 | $106.03 |
| San Benito County, CA | $195.59 | $124.31 |
| San Diego, CA | $167.15 | $108.02 |
| San Francisco, CA | $190.93 | $121.23 |
| San Luis Obispo, CA | $160.72 | $104.41 |
| Santa Clara County, CA | $194.62 | $123.34 |
| Santa Cruz, CA | $168.72 | $108.66 |
| Santa Maria, CA | $163.93 | $106.29 |
| Santa Rosa, CA | $170.41 | $109.70 |
| South Carolina | $140.07 | $94.40 |
| South Dakota | $144.31 | $94.88 |
| Southern Maine, ME | $145.45 | $96.46 |
| Stockton, CA | $156.28 | $102.10 |
| Suburban Chicago, IL | $157.44 | $106.67 |
| Tennessee | $136.33 | $91.39 |
| Utah | $142.06 | $95.59 |
| Vallejo, CA | $180.43 | $115.28 |
| Vermont | $144.47 | $95.53 |
| Virgin Islands, VI | $150.00 | $100.02 |
| Virginia | $145.15 | $96.56 |
| Visalia, CA | $156.28 | $102.10 |
| Washington, DC area | $170.22 | $111.99 |
| West Virginia | $138.47 | $95.51 |
| Wisconsin | $139.78 | $92.42 |
| Wyoming | $147.14 | $97.71 |
| Yuba City, CA | $156.28 | $102.10 |
57505 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.
$131.01
$175.94
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 | $171.90 | 1 |
| AL | $133.02 | 1 |
| AR | $131.01 | 1 |
| AZ | $144.76 | 1 |
| CA | $156.28–$195.59 | 29 |
| CO | $154.50 | 1 |
| CT | $159.16 | 1 |
| DC | $170.22 | 1 |
| DE | $147.21 | 1 |
| FL | $147.95–$163.92 | 3 |
| GA | $139.17–$152.15 | 2 |
| GU | $160.15 | 1 |
| HI | $160.15 | 1 |
| IA | $135.97 | 1 |
| ID | $137.01 | 1 |
| IL | $143.94–$158.84 | 4 |
| IN | $137.83 | 1 |
| KS | $135.58 | 1 |
| KY | $136.92 | 1 |
| LA | $136.80–$143.83 | 2 |
| MA | $153.63–$169.81 | 2 |
| MD | $150.02–$170.22 | 3 |
| ME | $138.06–$145.45 | 2 |
| MI | $140.89–$150.17 | 2 |
| MN | $147.02 | 1 |
| MO | $134.54–$144.03 | 3 |
| MS | $132.79 | 1 |
| MT | $148.95 | 1 |
| NC | $139.52 | 1 |
| ND | $144.80 | 1 |
| NE | $136.66 | 1 |
| NH | $152.32 | 1 |
| NJ | $160.69–$168.40 | 2 |
| NM | $141.81 | 1 |
| NV | $147.90 | 1 |
| NY | $141.72–$176.97 | 5 |
| OH | $140.04 | 1 |
| OK | $136.36 | 1 |
| OR | $146.47–$159.25 | 2 |
| PA | $140.12–$155.25 | 2 |
| PR | $150.00 | 1 |
| RI | $152.35 | 1 |
| SC | $140.07 | 1 |
| SD | $144.31 | 1 |
| TN | $136.33 | 1 |
| TX | $139.18–$154.23 | 8 |
| UT | $142.06 | 1 |
| VA | $145.15–$170.22 | 2 |
| VI | $150.00 | 1 |
| VT | $144.47 | 1 |
| WA | $153.27–$173.05 | 2 |
| WI | $139.78 | 1 |
| WV | $138.47 | 1 |
| WY | $147.14 | 1 |
How the 57505 rate is calculated
Each of 57505’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 · 57505
RVUs × geographic indexes × conversion factor
Work1.16
1.16 RVUs× 1.000 GPCI
Practice expense3.09
3.09 RVUs× 1.000 GPCI
Malpractice0.21
0.21 RVUs× 1.000 GPCI
Adjusted RVUs
4.4600
Conversion factor
$33.4009
Medicare rate
$148.97
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 57505
57505 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 57505
Cervical sampling, endocervical canal
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| 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. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 57505
Cervical sampling, endocervical canal
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
57505 without 51 · national office
$148.97
Cervical sampling, endocervical canal
57505-51 · Second procedure: 50%
$74.49
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%).
57505 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 57500Cervical biopsyTissue sampling or lesion excision
- Use 57505 for curettage tissue collected from inside the canal; use 57500 for a separately performed biopsy of a cervical site or lesion.
- 57456Cervical colposcopyEndocervical curettage
- Use 57456 when colposcopy and endocervical curettage are performed together. It includes the curettage, so do not also report 57505 for that work.
- 57520Cervical coneNon-loop excision
- 57520 describes cervical conization, which removes a larger portion of cervical tissue. 57505 is canal sampling by curettage.
57505 billing questions
Can 57505 be reported with a colposcopy?
Report it separately when endocervical curettage is performed with a colposcopy code that does not include that sampling, such as 57455. Do not separately report it with 57454 or 57456, which include endocervical curettage.
How is this different from a cervical biopsy?
Endocervical curettage samples tissue from within the cervical canal. A cervical biopsy, such as 57500, removes tissue from a specific cervical site or lesion.
What documentation supports reporting 57505?
Document the clinical reason for canal sampling and that curettage was performed, along with the specimen obtained. If a separate cervical biopsy was also done, document that sampling distinctly.
Should modifier 50 be appended?
No. The cervical canal is a single midline site, so bilateral reporting with modifier 50 is not appropriate.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full; other procedures performed in the same session are subject to the standard multiple procedure reduction. Related postoperative visits during the 10-day global period are included.
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
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