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CPT code 57505: Cervical sampling, endocervical canal2026 Medicare rate & RVUs in South Dakota

Endocervical curettage collects tissue from the cervical canal for histologic evaluation, often during assessment of abnormal screening or colposcopic findings.

CMS RVU26DEffective Oct 1, 2026One payment locality1.7K Medicare services in 2024

In South Dakota, Medicare pays $144.31 for 57505 in the office and $94.88 when it’s performed in a hospital or facility.

$144.31Office (non-facility)
$94.88Hospital or facility
−3.1%vs the national office rate ($148.97)

Check a contract rate as a % of Medicare · 57505 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 57505 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Dakota
  2. What 57505 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 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.

How South Dakota compares for 57505

Across 109 of 109 payment localities, the office rate for 57505 runs from $131.01 in Arkansas to $195.59 in San Benito County, CA. South Dakota pays $144.31. The RVUs are the same everywhere; the geographic indexes change the dollars.

57505 in South Dakota vs other payment areas
  1. South Dakota · this page$144.31
  2. Los Angeles, CA · California$167.09+$22.78
  3. Washington, DC area · District of Columbia$170.22+$25.91
  4. Miami, FL · Florida$163.92+$19.61
  5. Chicago, IL · Illinois$158.84+$14.53
  6. Manhattan, NY · New York$172.28+$27.97
  7. Alaska · Alaska$171.90+$27.59

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

Every other payment area

57505 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$133.02$89.77
ArkansasArkansas$131.01$88.55
ArizonaArizona$144.76$96.86
Bakersfield, CACalifornia$156.87$102.69
Chico, CACalifornia$156.28$102.10
El Centro, CACalifornia$156.32$102.14
Fresno, CACalifornia$156.28$102.10
Hanford, CACalifornia$156.28$102.10

57505 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.

$131.01

$175.94

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

View every state and territory as a table
57505 office rate range by state
State / territoryOffice rate rangeLocalities
AK$171.901
AL$133.021
AR$131.011
AZ$144.761
CA$156.28–$195.5929
CO$154.501
CT$159.161
DC$170.221
DE$147.211
FL$147.95–$163.923
GA$139.17–$152.152
GU$160.151
HI$160.151
IA$135.971
ID$137.011
IL$143.94–$158.844
IN$137.831
KS$135.581
KY$136.921
LA$136.80–$143.832
MA$153.63–$169.812
MD$150.02–$170.223
ME$138.06–$145.452
MI$140.89–$150.172
MN$147.021
MO$134.54–$144.033
MS$132.791
MT$148.951
NC$139.521
ND$144.801
NE$136.661
NH$152.321
NJ$160.69–$168.402
NM$141.811
NV$147.901
NY$141.72–$176.975
OH$140.041
OK$136.361
OR$146.47–$159.252
PA$140.12–$155.252
PR$150.001
RI$152.351
SC$140.071
SD$144.311
TN$136.331
TX$139.18–$154.238
UT$142.061
VA$145.15–$170.222
VI$150.001
VT$144.471
WA$153.27–$173.052
WI$139.781
WV$138.471
WY$147.141

See 57505 in every payment locality

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

Office or facility?

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.

The exact South Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,499

Code
57505
Physician work
1.16
Practice expense
3.09
Malpractice
0.21

GPCI2026.csv

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Office calculation for 57505 in South Dakota
ComponentRVULocality factorAdjusted
Physician work1.16× 1.0001.1600
Practice expense3.09× 1.0003.0900
Malpractice0.21× 0.3360.0706
Total RVUs4.3206
Conversion factor× 33.4009

Office rate, South Dakota$144.31

Office: (1.16 × 1 + 3.09 × 1 + 0.21 × 0.336) × $33.4009 = $144.31

Facility: (1.16 × 1 + 1.61 × 1 + 0.21 × 0.336) × $33.4009 = $94.88

Open 57505 in the RVU calculator

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

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
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.
Split (54/55/56)0.10/0.80/0.10Share 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.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

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%).

When to use modifier 51

Codes related to 57505

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

Codes related to 57505
CodeHow it relatesOffice range, South Dakota
Often billed with
57500Cervical biopsy, tissue sampling or lesion excisionMay be reported for a separately performed cervical biopsy alongside canal sampling.$146.65
57455Cervical biopsy, colposcopy-guided biopsyColposcopy with biopsy; endocervical curettage may be separately reported when performed.$153.01
Used instead
57456Cervical colposcopy, endocervical curettageColposcopy code that includes endocervical curettage.$143.32
57454Cervical colposcopy, biopsy and endocervical curettageColposcopy with biopsy and endocervical curettage included.$157.13
57520Cervical cone, non-loop excisionCervical conization removes a larger tissue specimen rather than sampling the canal.$342.87

How 57505 has changed in South Dakota

57505 · Office / nonfacility

$144.31

Effective 2026-10-01

The base rate is $0.16 lower than on 2025-10-01, moving from $144.47 to $144.31 (0.1%).

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

    $144.47changed to$144.31

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.19 changed to 1.16
    • Practice expense RVU 3.20 changed to 3.09
    • Malpractice RVU 0.20 changed to 0.21
    • Malpractice GPCI 0.382 changed to 0.336

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $152.00changed to$144.47

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 3.30 changed to 3.20

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $149.52changed to$152.00

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $154.84changed to$149.52

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.31 changed to 3.30
    • Malpractice RVU 0.19 changed to 0.20
    • Malpractice GPCI 0.364 changed to 0.382

  5. January 1, 2023

    RVU23A

    $158.48changed to$154.84

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.32 changed to 3.31
    • Malpractice RVU 0.20 changed to 0.19
    • Malpractice GPCI 0.347 changed to 0.364

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $146.76changed to$158.48

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.95 changed to 3.32
    • Malpractice RVU 0.19 changed to 0.20

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $129.07changed to$146.76

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.32 changed to 2.95
    • Malpractice RVU 0.18 changed to 0.19
    • Malpractice GPCI 0.368 changed to 0.347

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $111.44changed to$129.07

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.84 changed to 2.32
    • Malpractice RVU 0.16 changed to 0.18
    • Malpractice GPCI 0.389 changed to 0.368

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $101.24changed to$111.44

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.56 changed to 1.84

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $100.60changed to$101.24

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.55 changed to 1.56
    • Malpractice GPCI 0.395 changed to 0.389

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $100.04changed to$100.60

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.54 changed to 1.55
    • Malpractice GPCI 0.400 changed to 0.395

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $100.40changed to$100.04

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $99.90changed to$100.40

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $100.27changed to$99.90

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.53 changed to 1.54
    • Malpractice RVU 0.19 changed to 0.16
    • Malpractice GPCI 0.416 changed to 0.400

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $100.93changed to$100.27

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.69 changed to 1.53
    • Malpractice RVU 0.20 changed to 0.19
    • Malpractice GPCI 0.432 changed to 0.416

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $100.93

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$144.31$94.88RVU26D
2026-07-01$144.31$94.88RVU26C
2026-04-01$144.31$94.88RVU26B
2026-01-01$144.31$94.88RVU26A
2025-10-01$144.47$102.75RVU25D
2025-07-01$144.47$102.75RVU25C
2025-04-01$144.47$102.75RVU25B
2025-01-01$144.47$102.75RVU25A
2024-10-01$152.00$106.40RVU24D
2024-07-01$152.00$106.40RVU24C
2024-04-01$152.00$106.40RVU24B
2024-03-09$152.00$106.40RVU24AR
2024-01-01$149.52$104.66RVU24A
2023-10-01$154.84$107.39RVU23D
2023-07-01$154.84$107.39RVU23C
2023-04-01$154.84$107.39RVU23B
2023-01-01$154.84$107.39RVU23A
2022-10-01$158.48$108.64RVU22D
2022-07-01$158.48$108.64RVU22C
2022-04-01$158.48$108.64RVU22B
2022-01-01$158.48$108.64RVU22A
2021-10-01$146.76$104.89RVU21D
2021-07-01$146.76$104.89RVU21C
2021-04-01$146.76$104.89RVU21B
2021-01-01$146.76$104.89RVU21A
2020-10-01$129.07$100.55RVU20D
2020-07-01$129.07$100.55RVU20C
2020-04-01$129.07$100.55RVU20B
2020-01-01$129.07$100.55RVU20A
2019-10-01$111.44$95.58RVU19D
2019-07-01$111.44$95.58RVU19C
2019-04-01$111.44$95.58RVU19B
2019-01-01$111.44$95.58RVU19A
2018-10-01$101.24$90.80RVU18D
2018-07-01$101.24$90.80RVU18C
2018-04-01$101.24$90.80RVU18B
2018-01-01$101.24$90.80RVU18AR1
2017-10-01$100.60$90.91RVU17D
2017-07-01$100.60$90.91RVU17C
2017-04-01$100.60$90.91RVU17B
2017-01-01$100.60$90.91RVU17A
2016-10-01$100.04$90.37RVU16D
2016-07-01$100.04$90.37RVU16C
2016-04-01$100.04$90.37RVU16B
2016-01-01$100.04$90.37RVU16A
2015-10-01$100.40$90.70RVU15D
2015-07-01$100.40$90.70RVU15C
2015-04-01$99.90$90.24RVU15B
2015-01-01$99.90$90.24RVU15A
2014-10-01$100.27$90.60RVU14D
2014-07-01$100.27$90.60RVU14C
2014-04-01$100.27$90.60RVU14B
2014-01-01$100.27$90.60RVU14A
2013-10-01$100.93$90.72RVU13D
2013-07-01$100.93$90.72RVU13C
2013-04-01$100.93$90.72RVU13B
2013-01-01$100.93$90.72RVU13AR

Price 57505 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

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
RVUs for 57505PPRRVU2026_Oct_nonQPP.csv, line 6,499 (RVU26D)
Geographic factors for South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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