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CPT code 57513: Cervical laser, laser ablation2026 Medicare rate & RVUs in Los Angeles, CA

Report cervical laser surgery when a gynecologist uses laser energy to ablate targeted abnormal cervical tissue, commonly for cervical dysplasia.

CMS RVU26DEffective Oct 1, 2026One payment locality57 Medicare services in 2024

In Los Angeles, CA, Medicare pays $217.43 for 57513 in the office and $139.99 when it’s performed in a hospital or facility.

$217.43Office (non-facility)
$139.99Hospital or facility
+10.7%vs the national office rate ($196.40)

Check a contract rate as a % of Medicare · 57513 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 57513 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Los Angeles, CA
  2. What 57513 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 57513 covers

A gynecologist typically performs this procedure in an office or outpatient setting to destroy a visible area of abnormal cervical tissue with laser energy. A common clinical situation is treatment of cervical dysplasia after diagnostic evaluation. Because the laser ablates tissue rather than removing a cone-shaped specimen, this approach differs from excisional treatment when tissue is needed for examination.

Select this code when the documented treatment is laser surgery of the cervix, not cautery or cryocautery. The record should identify the cervical finding, treatment method, and area treated. Medicare includes related postoperative visits for 10 days in the procedure’s global period. 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 multiple procedure reduction. Modifier 50 is inappropriate for this cervical procedure. Medicare does not pay an assistant at surgery, 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 Los Angeles, CA compares for 57513

Across 109 of 109 payment localities, the office rate for 57513 runs from $173.75 in Arkansas to $251.85 in San Benito County, CA. Los Angeles, CA pays $217.43. The RVUs are the same everywhere; the geographic indexes change the dollars.

57513 in Los Angeles, CA vs other payment areas
  1. Los Angeles, CA · this page$217.43
  2. Bakersfield, CA · California$204.83−$12.60
  3. Chico, CA · California$203.88−$13.55
  4. El Centro, CA · California$203.94−$13.49
  5. Fresno, CA · California$203.88−$13.55
  6. Hanford, CA · California$203.88−$13.55
  7. Madera, CA · California$203.88−$13.55

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

Every other payment area

57513 in every other Medicare payment locality
Payment localityOfficeFacility
Merced, CACalifornia$203.88$132.13
Modesto, CACalifornia$203.88$132.13
Napa, CACalifornia$233.47$147.19
Oxnard, CACalifornia$216.02$138.64
Redding, CACalifornia$203.88$132.13
Rest of CaliforniaCalifornia$203.88$132.13
Riverside, CACalifornia$207.54$135.79
Sacramento, CACalifornia$213.23$137.09

57513 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.

$173.75

$230.93

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

View every state and territory as a table
57513 office rate range by state
State / territoryOffice rate rangeLocalities
AK$230.931
AL$176.271
AR$173.751
AZ$190.991
CA$203.88–$251.8529
CO$202.451
CT$209.411
DC$222.751
DE$194.111
FL$196.76–$218.753
GA$185.45–$200.822
GU$208.271
HI$208.271
IA$179.221
ID$180.691
IL$192.21–$212.164
IN$181.681
KS$179.091
KY$181.941
LA$181.94–$190.772
MA$201.55–$221.342
MD$197.56–$222.753
ME$182.38–$191.112
MI$187.28–$199.932
MN$191.931
MO$179.32–$190.583
MS$176.531
MT$196.371
NC$184.151
ND$189.651
NE$179.971
NH$199.961
NJ$211.22–$220.622
NM$188.591
NV$194.621
NY$186.95–$233.175
OH$185.911
OK$180.861
OR$192.54–$208.002
PA$185.80–$204.722
PR$197.561
RI$200.391
SC$185.451
SD$188.861
TN$180.081
TX$184.65–$202.288
UT$187.941
VA$190.99–$222.752
VI$197.561
VT$189.571
WA$200.95–$225.092
WI$183.431
WV$185.361
WY$193.441

See 57513 in every payment locality

How the 57513 rate is calculated

Each of 57513’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 · 57513

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.90

1.90 RVUs× 1.000 GPCI

Practice expense3.64

3.64 RVUs× 1.000 GPCI

Malpractice0.34

0.34 RVUs× 1.000 GPCI

Adjusted RVUs

5.8800

Conversion factor

$33.4009

Medicare rate

$196.40

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Los Angeles, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,502

Code
57513
Physician work
1.90
Practice expense
3.64
Malpractice
0.34

GPCI2026.csv

13

Locality
Los Angeles, CA
Physician work
1.041
Practice expense
1.183
Malpractice
0.664
Office calculation for 57513 in Los Angeles, CA
ComponentRVULocality factorAdjusted
Physician work1.90× 1.0411.9779
Practice expense3.64× 1.1834.3061
Malpractice0.34× 0.6640.2258
Total RVUs6.5098
Conversion factor× 33.4009

Office rate, Los Angeles, CA$217.43

Office: (1.9 × 1.041 + 3.64 × 1.183 + 0.34 × 0.664) × $33.4009 = $217.43

Facility: (1.9 × 1.041 + 1.68 × 1.183 + 0.34 × 0.664) × $33.4009 = $139.99

Open 57513 in the RVU calculator

Payment rules and modifiers for 57513

57513 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 57513

Cervical laser, laser ablation

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 · 57513

Cervical laser, laser ablation

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

57513 without 51 · national office

$196.40

Cervical laser, laser ablation

57513-51 · Second procedure: 50%

$98.20

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 57513

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

Codes related to 57513
CodeHow it relatesOffice range, Los Angeles, CA
Used instead
57510Cervical cautery, noncryo, nonlaser methodCervical cauterization is a different method for treating cervical tissue.$178.95
57511Cervical ablation, cryotherapy techniqueCryocautery treats cervical tissue using freezing rather than laser energy.$209.92
57520Cervical cone, non-loop excisionCervical conization removes a tissue specimen rather than ablating the target.$393.63
57522LEEP conization, loop electrode excisionLoop-electrode conization excises cervical tissue rather than ablating it with laser.$327.55

How 57513 has changed in Los Angeles, CA

57513 · Office / nonfacility

$217.43

Effective 2026-10-01

The base rate is $3.58 lower than on 2025-10-01, moving from $221.01 to $217.43 (1.6%).

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

    $221.01changed to$217.43

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.95 changed to 1.90
    • Practice expense RVU 3.83 changed to 3.64
    • Malpractice RVU 0.33 changed to 0.34
    • Work GPCI 1.042 changed to 1.041
    • Practice expense GPCI 1.194 changed to 1.183
    • Malpractice GPCI 0.690 changed to 0.664

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $232.21changed to$221.01

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 3.95 changed to 3.83

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $228.42changed to$232.21

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $236.08changed to$228.42

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.97 changed to 3.95
    • Malpractice RVU 0.31 changed to 0.33
    • Work GPCI 1.045 changed to 1.042
    • Practice expense GPCI 1.185 changed to 1.194
    • Malpractice GPCI 0.724 changed to 0.690

  5. January 1, 2023

    RVU23A

    $241.35changed to$236.08

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.99 changed to 3.97
    • Malpractice RVU 0.32 changed to 0.31
    • Work GPCI 1.048 changed to 1.045
    • Practice expense GPCI 1.175 changed to 1.185
    • Malpractice GPCI 0.757 changed to 0.724

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $225.04changed to$241.35

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 3.55 changed to 3.99
    • Malpractice RVU 0.31 changed to 0.32

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $201.48changed to$225.04

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.82 changed to 3.55
    • Work GPCI 1.047 changed to 1.048
    • Practice expense GPCI 1.176 changed to 1.175
    • Malpractice GPCI 0.725 changed to 0.757

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $180.94changed to$201.48

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.35 changed to 2.82
    • Work GPCI 1.046 changed to 1.047
    • Practice expense GPCI 1.177 changed to 1.176
    • Malpractice GPCI 0.694 changed to 0.725

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $162.03changed to$180.94

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.92 changed to 2.35
    • Malpractice RVU 0.29 changed to 0.31

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $160.61changed to$162.03

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.89 changed to 1.92
    • Malpractice RVU 0.28 changed to 0.29
    • Work GPCI 1.047 changed to 1.046
    • Practice expense GPCI 1.169 changed to 1.177
    • Malpractice GPCI 0.801 changed to 0.694

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $160.35changed to$160.61

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.88 changed to 1.89
    • Practice expense GPCI 1.161 changed to 1.169
    • Malpractice GPCI 0.908 changed to 0.801

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $161.67changed to$160.35

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.89 changed to 1.88
    • Malpractice RVU 0.29 changed to 0.28

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $160.87changed to$161.67

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $159.66changed to$160.87

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.88 changed to 1.89
    • Malpractice RVU 0.32 changed to 0.29
    • Work GPCI 1.042 changed to 1.047
    • Practice expense GPCI 1.158 changed to 1.161
    • Malpractice GPCI 0.775 changed to 0.908

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $156.43changed to$159.66

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.05 changed to 1.88
    • Malpractice RVU 0.33 changed to 0.32
    • Work GPCI 1.036 changed to 1.042
    • Practice expense GPCI 1.154 changed to 1.158
    • Malpractice GPCI 0.642 changed to 0.775

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$156.43

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$217.43$139.99RVU26D
2026-07-01$217.43$139.99RVU26C
2026-04-01$217.43$139.99RVU26B
2026-01-01$217.43$139.99RVU26A
2025-10-01$221.01$156.13RVU25D
2025-07-01$221.01$156.13RVU25C
2025-04-01$221.01$156.13RVU25B
2025-01-01$221.01$156.13RVU25A
2024-10-01$232.21$161.46RVU24D
2024-07-01$232.21$161.46RVU24C
2024-04-01$232.21$161.46RVU24B
2024-03-09$232.21$161.46RVU24AR
2024-01-01$228.42$158.83RVU24A
2023-10-01$236.08$163.40RVU23D
2023-07-01$236.08$163.40RVU23C
2023-04-01$236.08$163.40RVU23B
2023-01-01$236.08$163.40RVU23A
2022-10-01$241.35$165.31RVU22D
2022-07-01$241.35$165.31RVU22C
2022-04-01$241.35$165.31RVU22B
2022-01-01$241.35$165.31RVU22A
2021-10-01$225.04$161.49RVU21D
2021-07-01$225.04$161.49RVU21C
2021-04-01$225.04$161.49RVU21B
2021-01-01$225.04$161.49RVU21A
2020-10-01$201.48$157.76RVU20D
2020-07-01$201.48$157.76RVU20C
2020-04-01$201.48$157.76RVU20B
2020-01-01$201.48$157.76RVU20A
2019-10-01$180.94$154.65RVU19D
2019-07-01$180.94$154.65RVU19C
2019-04-01$180.94$154.65RVU19B
2019-01-01$180.94$154.65RVU19A
2018-10-01$162.03$148.04RVU18D
2018-07-01$162.03$148.04RVU18C
2018-04-01$162.03$148.04RVU18B
2018-01-01$162.03$148.04RVU18AR1
2017-10-01$160.61$148.03RVU17D
2017-07-01$160.61$148.03RVU17C
2017-04-01$160.61$148.03RVU17B
2017-01-01$160.61$148.03RVU17A
2016-10-01$160.35$147.88RVU16D
2016-07-01$160.35$147.88RVU16C
2016-04-01$160.35$147.88RVU16B
2016-01-01$160.35$147.88RVU16A
2015-10-01$161.67$149.16RVU15D
2015-07-01$161.67$149.16RVU15C
2015-04-01$160.87$148.42RVU15B
2015-01-01$160.87$148.42RVU15A
2014-10-01$159.66$147.22RVU14D
2014-07-01$159.66$147.22RVU14C
2014-04-01$159.66$147.22RVU14B
2014-01-01$159.66$147.22RVU14A
2013-10-01$156.43$143.47RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 57513 for an earlier date of service

Where the Los Angeles, CA rate applies

Los Angeles, CA is a Medicare payment area, not a city. Our Census mapping connects it to 189 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Anaheim
  • Long Beach
  • Los Angeles
  • Orange
  • Acton
  • Agoura Hills
  • Agua Dulce
  • Alhambra

Browse all communities in California

57513 billing questions

How does this differ from cervical cauterization or cryocautery?

Use 57513 when laser energy is the documented treatment method. Cervical cauterization and cryocautery are reported with their respective codes when those methods are used.

When would conization be a better fit?

Conization removes a cone-shaped tissue specimen, while laser ablation destroys targeted tissue. Choose the service that matches the procedure actually performed and documented.

Are related postoperative visits separately reported?

Related postoperative visits during the 10-day global period are included in this procedure.

Can modifier 50 be reported?

No. Bilateral adjustment does not apply, and modifier 50 is inappropriate for this cervical procedure.

How are other procedures performed in the same session paid?

The highest-valued procedure is paid in full; other procedures in the same session are subject to the standard multiple procedure reduction. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.

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 57513PPRRVU2026_Oct_nonQPP.csv, line 6,502 (RVU26D)
Geographic factors for Los Angeles, CAGPCI2026.csv, line 13 (RVU26D)

Open CMS sourceHow we calculate rates

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