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CPT code 57513: Cervical laser, laser ablation2026 Medicare rate & RVUs in North Dakota

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 North Dakota, Medicare pays $189.65 for 57513 in the office and $124.19 when it’s performed in a hospital or facility.

$189.65Office (non-facility)
$124.19Hospital or facility
−3.4%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 North Dakota
  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 North Dakota 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. North Dakota pays $189.65. The RVUs are the same everywhere; the geographic indexes change the dollars.

57513 in North Dakota vs other payment areas
  1. North Dakota · this page$189.65
  2. Los Angeles, CA · California$217.43+$27.78
  3. Washington, DC area · District of Columbia$222.75+$33.10
  4. Miami, FL · Florida$218.75+$29.10
  5. Chicago, IL · Illinois$212.16+$22.51
  6. Manhattan, NY · New York$226.81+$37.16
  7. Alaska · Alaska$230.93+$41.28

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

Every other payment area

57513 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$176.27$118.99
ArkansasArkansas$173.75$117.51
ArizonaArizona$190.99$127.56
Bakersfield, CACalifornia$204.83$133.08
Chico, CACalifornia$203.88$132.13
El Centro, CACalifornia$203.94$132.18
Fresno, CACalifornia$203.88$132.13
Hanford, CACalifornia$203.88$132.13

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 North Dakota 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

84

Locality
North Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.406
Office calculation for 57513 in North Dakota
ComponentRVULocality factorAdjusted
Physician work1.90× 1.0001.9000
Practice expense3.64× 1.0003.6400
Malpractice0.34× 0.4060.1380
Total RVUs5.6780
Conversion factor× 33.4009

Office rate, North Dakota$189.65

Office: (1.9 × 1 + 3.64 × 1 + 0.34 × 0.406) × $33.4009 = $189.65

Facility: (1.9 × 1 + 1.68 × 1 + 0.34 × 0.406) × $33.4009 = $124.19

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, North Dakota
Used instead
57510Cervical cautery, noncryo, nonlaser methodCervical cauterization is a different method for treating cervical tissue.$156.92
57511Cervical ablation, cryotherapy techniqueCryocautery treats cervical tissue using freezing rather than laser energy.$183.31
57520Cervical cone, non-loop excisionCervical conization removes a tissue specimen rather than ablating the target.$344.72
57522LEEP conization, loop electrode excisionLoop-electrode conization excises cervical tissue rather than ablating it with laser.$287.91

How 57513 has changed in North Dakota

57513 · Office / nonfacility

$189.65

Effective 2026-10-01

The base rate is $2.83 lower than on 2025-10-01, moving from $192.48 to $189.65 (1.5%).

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

    $192.48changed to$189.65

    • 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
    • Malpractice GPCI 0.517 changed to 0.406

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $202.08changed to$192.48

    • 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

    $198.78changed to$202.08

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $205.59changed to$198.78

    • 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
    • Malpractice GPCI 0.474 changed to 0.517

  5. January 1, 2023

    RVU23A

    $210.33changed to$205.59

    • 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
    • Malpractice GPCI 0.431 changed to 0.474

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $196.57changed to$210.33

    • 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

    $177.57changed to$196.57

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.82 changed to 3.55
    • Malpractice GPCI 0.485 changed to 0.431

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $161.00changed to$177.57

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.35 changed to 2.82
    • Malpractice GPCI 0.540 changed to 0.485

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $144.96changed to$161.00

    • 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

    $143.31changed to$144.96

    • 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
    • Malpractice GPCI 0.547 changed to 0.540

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $142.68changed to$143.31

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.88 changed to 1.89
    • Malpractice GPCI 0.554 changed to 0.547

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $143.76changed to$142.68

    • 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

    $143.04changed to$143.76

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $143.35changed to$143.04

    • 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
    • Malpractice GPCI 0.536 changed to 0.554

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $141.90changed to$143.35

    • 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
    • Malpractice GPCI 0.517 changed to 0.536

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $141.90

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$189.65$124.19RVU26D
2026-07-01$189.65$124.19RVU26C
2026-04-01$189.65$124.19RVU26B
2026-01-01$189.65$124.19RVU26A
2025-10-01$192.48$138.14RVU25D
2025-07-01$192.48$138.14RVU25C
2025-04-01$192.48$138.14RVU25B
2025-01-01$192.48$138.14RVU25A
2024-10-01$202.08$142.82RVU24D
2024-07-01$202.08$142.82RVU24C
2024-04-01$202.08$142.82RVU24B
2024-03-09$202.08$142.82RVU24AR
2024-01-01$198.78$140.49RVU24A
2023-10-01$205.59$144.26RVU23D
2023-07-01$205.59$144.26RVU23C
2023-04-01$205.59$144.26RVU23B
2023-01-01$205.59$144.26RVU23A
2022-10-01$210.33$145.62RVU22D
2022-07-01$210.33$145.62RVU22C
2022-04-01$210.33$145.62RVU22B
2022-01-01$210.33$145.62RVU22A
2021-10-01$196.57$142.49RVU21D
2021-07-01$196.57$142.49RVU21C
2021-04-01$196.57$142.49RVU21B
2021-01-01$196.57$142.49RVU21A
2020-10-01$177.57$140.40RVU20D
2020-07-01$177.57$140.40RVU20C
2020-04-01$177.57$140.40RVU20B
2020-01-01$177.57$140.40RVU20A
2019-10-01$161.00$138.66RVU19D
2019-07-01$161.00$138.66RVU19C
2019-04-01$161.00$138.66RVU19B
2019-01-01$161.00$138.66RVU19A
2018-10-01$144.96$133.08RVU18D
2018-07-01$144.96$133.08RVU18C
2018-04-01$144.96$133.08RVU18B
2018-01-01$144.96$133.08RVU18AR1
2017-10-01$143.31$132.54RVU17D
2017-07-01$143.31$132.54RVU17C
2017-04-01$143.31$132.54RVU17B
2017-01-01$143.31$132.54RVU17A
2016-10-01$142.68$131.94RVU16D
2016-07-01$142.68$131.94RVU16C
2016-04-01$142.68$131.94RVU16B
2016-01-01$142.68$131.94RVU16A
2015-10-01$143.76$132.98RVU15D
2015-07-01$143.76$132.98RVU15C
2015-04-01$143.04$132.32RVU15B
2015-01-01$143.04$132.32RVU15A
2014-10-01$143.35$132.60RVU14D
2014-07-01$143.35$132.60RVU14C
2014-04-01$143.35$132.60RVU14B
2014-01-01$143.35$132.60RVU14A
2013-10-01$141.90$130.67RVU13D
2013-07-01$141.90$130.67RVU13C
2013-04-01$141.90$130.67RVU13B
2013-01-01$141.90$130.67RVU13AR

Price 57513 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Abercrombie
  • Adams
  • Alamo
  • Alexander
  • Alice
  • Almont
  • Alsen
  • Ambrose

Browse all communities in North Dakota

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 North DakotaGPCI2026.csv, line 84 (RVU26D)

Open CMS sourceHow we calculate rates

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