Billing code 57456: Cervical colposcopyMedicare rate & RVUs
Reports colposcopic evaluation of the cervix with sampling of the endocervical canal, often during assessment of abnormal cervical screening results.
Medicare pays $150.64 for 57456 nationally in the office and $89.18 in a hospital or facility. Local office rates run $134.08–$187.27.
Medicare rate · 57456
Cervical colposcopy
Swap in your local Medicare rate.
- Work RVUs
- 1.8
- Total RVUs
- 4.51
- Global days
- 000
National rate · 2026
$150.64
Office setting, before claim adjustments.
See every locality for 57456 → · 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.
On this page 10 sections
What 57456 covers
A clinician uses a colposcope to examine the cervix and nearby vaginal tissue, then collects tissue from the endocervical canal with a curette. This is commonly performed by a gynecologist in an office or outpatient setting during evaluation of abnormal cervical cytology or a high-risk HPV result. The canal sample is submitted for pathology; this service includes endocervical curettage, not a separate cervical biopsy.
Report this code when colposcopy is accompanied by endocervical curettage without cervical biopsy. When cervical biopsy and curettage are both performed, the code that includes both services is 57454. Document the indication, colposcopic findings, curettage, and specimen. CMS assigns a 0-day global period, including same-day preoperative and postoperative care. Endoscopy-family pricing applies when related endoscopies are performed together. A bilateral adjustment is inappropriate; assistant-at-surgery payment is restricted, and co-surgeon and team-surgery payment 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 57456 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
$134.08 to $187.27
109 of 109 payment localities
57456 rates by state
Office rate range in each state. Select a state to see its payment localities.
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Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$134.08
$180.92
Color shows the midpoint of each state’s locality range.
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| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $180.92 | 1 |
| AL | $135.92 | 1 |
| AR | $134.08 | 1 |
| AZ | $146.59 | 1 |
| CA | $154.18–$187.27 | 29 |
| CO | $154.03 | 1 |
| CT | $160.28 | 1 |
| DC | $169.28 | 1 |
| DE | $148.87 | 1 |
| FL | $152.68–$170.75 | 3 |
| GA | $144.17–$154.31 | 2 |
| GU | $156.89 | 1 |
| HI | $156.89 | 1 |
| IA | $137.23 | 1 |
| ID | $138.47 | 1 |
| IL | $149.93–$165.73 | 4 |
| IN | $139.17 | 1 |
| KS | $137.54 | 1 |
| KY | $140.88 | 1 |
| LA | $141.03–$147.45 | 2 |
| MA | $153.58–$167.31 | 2 |
| MD | $151.29–$169.28 | 3 |
| ME | $140.11–$145.86 | 2 |
| MI | $145.14–$155.42 | 2 |
| MN | $145.18 | 1 |
| MO | $139.38–$146.84 | 3 |
| MS | $136.71 | 1 |
| MT | $150.62 | 1 |
| NC | $141.33 | 1 |
| ND | $144.09 | 1 |
| NE | $137.66 | 1 |
| NH | $152.52 | 1 |
| NJ | $161.43–$167.89 | 2 |
| NM | $146.26 | 1 |
| NV | $148.88 | 1 |
| NY | $143.39–$178.96 | 5 |
| OH | $143.81 | 1 |
| OK | $139.67 | 1 |
| OR | $147.05–$157.60 | 2 |
| PA | $143.51–$157.11 | 2 |
| PR | $151.35 | 1 |
| RI | $153.21 | 1 |
| SC | $142.94 | 1 |
| SD | $143.32 | 1 |
| TN | $138.30 | 1 |
| TX | $142.70–$154.71 | 8 |
| UT | $144.74 | 1 |
| VA | $146.05–$169.28 | 2 |
| VI | $151.35 | 1 |
| VT | $144.40 | 1 |
| WA | $153.00–$169.67 | 2 |
| WI | $139.67 | 1 |
| WV | $144.97 | 1 |
| WY | $147.77 | 1 |
How the 57456 rate is calculated
Each of 57456’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 · 57456
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.80Practice expense 2.38Malpractice 0.33
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 57456
The CMS indicators that decide how 57456 is paid alongside other services.
CMS payment indicators · 57456
Cervical colposcopy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 3 | Endoscopy family rules apply. |
| 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. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
57456 without 51 · national office
$150.64
Cervical colposcopy
57456-51 · Second procedure: 50%
$75.32
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%).
57456 compared with similar codes
Compare codes
57456 vs 57452 vs 57454 vs 57455: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 57452Colposcopy
- 57452 reports colposcopy without endocervical curettage. Choose 57456 when the endocervical canal is sampled during the examination.
- 57454Cervical colposcopy
- 57454 includes colposcopy with both cervical biopsy and endocervical curettage. Choose 57456 when curettage is performed without cervical biopsy.
- 57455Cervical biopsy
- 57455 includes cervical biopsy but not endocervical curettage. Choose 57456 when the canal is curetted and no cervical biopsy is performed.
57456 billing questions
When should 57456 be chosen instead of 57454?
Use 57456 for colposcopy with endocervical curettage but no cervical biopsy. When both cervical biopsy and curettage are performed, report 57454, which includes both.
Can cervical biopsy be billed separately with 57456?
If a cervical biopsy is performed during the colposcopy along with the curettage, 57454 represents that combination. Do not separately report the biopsy and curettage components.
What documentation supports this code?
Document the reason for colposcopy, cervical and adjacent vaginal findings, performance of endocervical curettage, and the specimen submitted for pathology.
Does 57456 have a global period?
CMS assigns a 0-day global period. Same-day preoperative and postoperative care is included.
Can an assistant or co-surgeon be reported?
CMS does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.
How is 57456 priced with another related endoscopy?
When related endoscopies are performed together, CMS applies endoscopy-family pricing. The payment reflects that pricing rule rather than treating every related scope as an independently priced full service.
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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