Billing code 57460: Cervical LEEP biopsyMedicare rate & RVUs
Reports colposcopic examination of the cervix with loop-electrode biopsy when cervical tissue is sampled under direct visual guidance.
Medicare pays $308.96 for 57460 nationally in the office and $141.62 in a hospital or facility. Local office rates run $272.88–$400.39.
Medicare rate · 57460
Cervical LEEP biopsy
Swap in your local Medicare rate.
- Work RVUs
- 2.76
- Total RVUs
- 9.25
- Global days
- 000
National rate · 2026
$308.96
Office setting, before claim adjustments.
See every locality for 57460 → · 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 57460 covers
A clinician uses colposcopy to examine the cervix and then removes cervical tissue with a loop electrode for biopsy. Gynecologists commonly perform this procedure in an office or outpatient setting when an abnormal cervical finding calls for targeted tissue sampling. The loop-electrode biopsy is the defining service; this code is not for a cone excision.
Report the service when documentation supports both colposcopic visualization and loop-electrode cervical biopsy. The procedure includes same-day preoperative and postoperative care under its 0-day global period. When related endoscopies are performed together, CMS applies endoscopy-family pricing. Modifier 50 is inappropriate for this service. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery 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 57460 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
$272.88 to $400.39
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $276.91 | $130.49 |
| Alaska* | $360.90 | $182.69 |
| Arizona | $300.43 | $138.28 |
| Arkansas | $272.88 | $129.13 |
| Atlanta | $315.67 | $145.65 |
| Austin | $318.96 | $141.91 |
| Bakersfield | $323.71 | $140.31 |
| Baltimore/Surr. Cntys | $328.89 | $149.33 |
| Beaumont | $289.75 | $137.48 |
| Brazoria | $304.36 | $138.53 |
| Chicago | $331.37 | $163.19 |
| Chico | $322.36 | $138.95 |
| Colorado | $319.40 | $141.35 |
| Connecticut | $329.63 | $149.40 |
| Dallas | $306.71 | $140.04 |
| Dc + Md/Va Suburbs | $351.48 | $154.35 |
| Delaware | $305.39 | $140.06 |
| Detroit | $312.93 | $151.45 |
| East St. Louis | $309.16 | $155.20 |
| El Centro | $322.44 | $139.03 |
| Fort Lauderdale | $324.52 | $155.01 |
| Fort Worth | $304.91 | $139.91 |
| Fresno | $322.36 | $138.95 |
| Galveston | $305.53 | $139.37 |
| Hanford-Corcoran | $322.36 | $138.95 |
| Hawaii, Guam | $329.71 | $139.45 |
| Houston | $314.32 | $148.15 |
| Idaho | $284.45 | $130.50 |
| Indiana | $286.06 | $130.94 |
| Iowa | $282.23 | $129.11 |
| Kansas | $281.74 | $130.46 |
| Kentucky | $285.31 | $136.55 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $344.09 | $146.12 |
| Madera | $322.36 | $138.95 |
| Manhattan | $356.77 | $162.33 |
| Merced | $322.36 | $138.95 |
| Metropolitan Boston | $349.92 | $150.12 |
| Metropolitan Kansas City | $296.34 | $139.21 |
| Metropolitan Philadelphia | $321.94 | $147.74 |
| Metropolitan St. Louis | $299.35 | $140.05 |
| Miami | $341.70 | $167.50 |
| Minnesota | $303.49 | $131.30 |
| Mississippi | $276.87 | $132.79 |
| Modesto | $322.36 | $138.95 |
| Montana** | $308.93 | $141.59 |
| Napa | $370.71 | $150.16 |
| Nebraska | $283.53 | $129.08 |
| Nevada** | $306.48 | $138.98 |
| New Hampshire | $315.18 | $140.99 |
| New Mexico | $295.52 | $142.07 |
| New Orleans | $299.30 | $141.83 |
| North Carolina | $289.72 | $133.59 |
| North Dakota** | $299.44 | $132.10 |
| Northern Nj | $347.97 | $153.86 |
| Nyc Suburbs/Long Island | $366.54 | $167.57 |
| Ohio | $291.62 | $138.84 |
| Oklahoma | $283.90 | $134.47 |
| Oxnard-Thousand Oaks-Ventura | $342.03 | $144.24 |
| Portland | $328.61 | $142.70 |
| Poughkpsie/N Nyc Suburbs | $335.54 | $152.31 |
| Puerto Rico | $310.93 | $141.75 |
| Queens | $358.48 | $160.69 |
| Redding | $322.36 | $138.95 |
| Rest Of California | $322.36 | $138.95 |
| Rest Of Florida | $308.19 | $148.21 |
| Rest Of Georgia | $290.36 | $141.09 |
| Rest Of Illinois | $300.52 | $147.74 |
| Rest Of Louisiana | $285.20 | $137.11 |
| Rest Of Maine | $286.84 | $132.89 |
| Rest Of Maryland | $310.97 | $141.63 |
| Rest Of Massachusetts | $317.82 | $141.61 |
| Rest Of Michigan | $293.56 | $140.78 |
| Rest Of Missouri | $280.84 | $136.59 |
| Rest Of New Jersey | $332.67 | $149.94 |
| Rest Of New York | $294.16 | $135.19 |
| Rest Of Oregon | $303.39 | $136.72 |
| Rest Of Pennsylvania | $291.62 | $138.00 |
| Rest Of Texas | $297.17 | $138.36 |
| Rest Of Washington | $316.96 | $140.76 |
| Rhode Island | $315.60 | $142.74 |
| Riverside-San Bernardino-Ontario | $327.53 | $144.13 |
| Sacramento-Roseville-Folsom | $337.56 | $142.94 |
| Salinas | $336.29 | $142.35 |
| San Diego-Chula Vista-Carlsbad | $343.73 | $143.59 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $391.35 | $155.40 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $390.80 | $154.85 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $400.39 | $159.08 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $398.16 | $156.86 |
| San Luis Obispo-Paso Robles | $330.99 | $140.39 |
| Santa Cruz-Watsonville | $346.61 | $143.30 |
| Santa Maria-Santa Barbara | $337.42 | $142.31 |
| Santa Rosa-Petaluma | $350.05 | $144.56 |
| Seattle (King Cnty) | $356.20 | $150.88 |
| South Carolina | $291.30 | $136.68 |
| South Dakota** | $298.31 | $130.97 |
| Southern Maine | $301.24 | $135.40 |
| Stockton | $322.36 | $138.95 |
| Suburban Chicago | $327.40 | $155.54 |
| Tennessee | $283.27 | $131.16 |
| Utah | $295.28 | $137.98 |
| Vallejo | $369.93 | $149.38 |
| Vermont | $299.03 | $133.37 |
| Virgin Islands | $310.93 | $141.75 |
| Virginia | $300.83 | $136.34 |
| Visalia | $322.36 | $138.95 |
| West Virginia | $289.57 | $144.15 |
| Wisconsin | $289.43 | $129.12 |
| Wyoming** | $304.79 | $137.45 |
| Yuba City | $322.36 | $138.95 |
57460 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.
$272.88
$361.38
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 | $360.90 | 1 |
| AL | $276.91 | 1 |
| AR | $272.88 | 1 |
| AZ | $300.43 | 1 |
| CA | $322.36–$400.39 | 29 |
| CO | $319.40 | 1 |
| CT | $329.63 | 1 |
| DC | $351.48 | 1 |
| DE | $305.39 | 1 |
| FL | $308.19–$341.70 | 3 |
| GA | $290.36–$315.67 | 2 |
| GU | $329.71 | 1 |
| HI | $329.71 | 1 |
| IA | $282.23 | 1 |
| ID | $284.45 | 1 |
| IL | $300.52–$331.37 | 4 |
| IN | $286.06 | 1 |
| KS | $281.74 | 1 |
| KY | $285.31 | 1 |
| LA | $285.20–$299.30 | 2 |
| MA | $317.82–$349.92 | 2 |
| MD | $310.97–$351.48 | 3 |
| ME | $286.84–$301.24 | 2 |
| MI | $293.56–$312.93 | 2 |
| MN | $303.49 | 1 |
| MO | $280.84–$299.35 | 3 |
| MS | $276.87 | 1 |
| MT | $308.93 | 1 |
| NC | $289.72 | 1 |
| ND | $299.44 | 1 |
| NE | $283.53 | 1 |
| NH | $315.18 | 1 |
| NJ | $332.67–$347.97 | 2 |
| NM | $295.52 | 1 |
| NV | $306.48 | 1 |
| NY | $294.16–$366.54 | 5 |
| OH | $291.62 | 1 |
| OK | $283.90 | 1 |
| OR | $303.39–$328.61 | 2 |
| PA | $291.62–$321.94 | 2 |
| PR | $310.93 | 1 |
| RI | $315.60 | 1 |
| SC | $291.30 | 1 |
| SD | $298.31 | 1 |
| TN | $283.27 | 1 |
| TX | $289.75–$318.96 | 8 |
| UT | $295.28 | 1 |
| VA | $300.83–$351.48 | 2 |
| VI | $310.93 | 1 |
| VT | $299.03 | 1 |
| WA | $316.96–$356.20 | 2 |
| WI | $289.43 | 1 |
| WV | $289.57 | 1 |
| WY | $304.79 | 1 |
How the 57460 rate is calculated
Each of 57460’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 · 57460
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 2.76Practice expense 6.01Malpractice 0.48
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 57460
The CMS indicators that decide how 57460 is paid alongside other services.
CMS payment indicators · 57460
Cervical LEEP biopsy
| 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
57460 without 51 · national office
$308.96
Cervical LEEP biopsy
57460-51 · Second procedure: 50%
$154.48
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%).
57460 compared with similar codes
Compare codes
57460 vs 57461 vs 57455 vs 57454 vs 57456: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 57461Cervical LEEP
- 57460 represents loop-electrode biopsy of cervical tissue; 57461 represents a loop-electrode cone excision.
- 57455Cervical biopsy
- Both include colposcopy and cervical biopsy, but 57460 specifies loop-electrode biopsy.
- 57454Cervical colposcopy
- 57454 includes cervical biopsy plus endocervical curettage; 57460 is the loop-electrode cervical biopsy service.
- 57456Cervical colposcopy
- 57456 reports colposcopy with endocervical curettage, while 57460 reports colposcopy with loop-electrode cervical biopsy.
57460 billing questions
How does 57460 differ from 57461?
Use 57460 for cervical tissue biopsy with a loop electrode under colposcopic visualization. Use 57461 when the loop procedure is a cone excision.
Can the colposcopy be reported separately?
No. The colposcopic examination is part of the service represented by 57460.
Can modifier 50 be used?
No. CMS identifies bilateral adjustment as inappropriate for this code.
Is an assistant surgeon payable?
No. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are also not permitted.
What documentation supports 57460?
Document the colposcopic examination and the loop-electrode cervical biopsy, including the tissue sampled and the clinical reason for sampling.
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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