Billing code 57513: Cervical laserMedicare rate & RVUs
Report cervical laser surgery when a gynecologist uses laser energy to ablate targeted abnormal cervical tissue, commonly for cervical dysplasia.
Medicare pays $196.40 for 57513 nationally in the office and $130.93 in a hospital or facility. Local office rates run $173.75–$251.85.
Medicare rate · 57513
Cervical laser
- Work RVUs
- 1.9
- Total RVUs
- 5.88
- Global days
- 010
National rate · 2026
$196.40
Office setting, before claim adjustments.
See every locality for 57513 →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 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.
Where 57513 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
$173.75 to $251.85
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $176.27 | $118.99 |
| Alaska* | $230.93 | $161.21 |
| Arizona | $190.99 | $127.56 |
| Arkansas | $173.75 | $117.51 |
| Atlanta | $200.82 | $134.30 |
| Austin | $202.28 | $133.02 |
| Bakersfield | $204.83 | $133.08 |
| Baltimore/Surr. Cntys | $208.98 | $138.73 |
| Beaumont | $184.65 | $125.08 |
| Brazoria | $193.31 | $128.44 |
| Chicago | $212.16 | $146.36 |
| Chico | $203.88 | $132.13 |
| Colorado | $202.45 | $132.80 |
| Connecticut | $209.41 | $138.91 |
| Dallas | $194.87 | $129.67 |
| Dc + Md/Va Suburbs | $222.75 | $145.63 |
| Delaware | $194.11 | $129.43 |
| Detroit | $199.93 | $136.76 |
| East St. Louis | $198.19 | $137.96 |
| El Centro | $203.94 | $132.18 |
| Fort Lauderdale | $207.15 | $140.84 |
| Fort Worth | $193.80 | $129.25 |
| Fresno | $203.88 | $132.13 |
| Galveston | $194.10 | $129.09 |
| Hanford-Corcoran | $203.88 | $132.13 |
| Hawaii, Guam | $208.27 | $133.84 |
| Houston | $200.32 | $135.32 |
| Idaho | $180.69 | $120.46 |
| Indiana | $181.68 | $121.00 |
| Iowa | $179.22 | $119.31 |
| Kansas | $179.09 | $119.91 |
| Kentucky | $181.94 | $123.74 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $217.43 | $139.99 |
| Madera | $203.88 | $132.13 |
| Manhattan | $226.81 | $150.74 |
| Merced | $203.88 | $132.13 |
| Metropolitan Boston | $221.34 | $143.17 |
| Metropolitan Kansas City | $188.72 | $127.25 |
| Metropolitan Philadelphia | $204.72 | $136.57 |
| Metropolitan St. Louis | $190.58 | $128.26 |
| Miami | $218.75 | $150.60 |
| Minnesota | $191.93 | $124.56 |
| Mississippi | $176.53 | $120.17 |
| Modesto | $203.88 | $132.13 |
| Montana** | $196.37 | $130.91 |
| Napa | $233.47 | $147.19 |
| Nebraska | $179.97 | $119.55 |
| Nevada** | $194.62 | $129.09 |
| New Hampshire | $199.96 | $131.81 |
| New Mexico | $188.59 | $128.56 |
| New Orleans | $190.77 | $129.17 |
| North Carolina | $184.15 | $123.07 |
| North Dakota** | $189.65 | $124.19 |
| Northern Nj | $220.62 | $144.68 |
| Nyc Suburbs/Long Island | $233.17 | $155.33 |
| Ohio | $185.91 | $126.14 |
| Oklahoma | $180.86 | $122.39 |
| Oxnard-Thousand Oaks-Ventura | $216.02 | $138.64 |
| Portland | $208.00 | $135.27 |
| Poughkpsie/N Nyc Suburbs | $213.19 | $141.50 |
| Puerto Rico | $197.56 | $131.38 |
| Queens | $227.61 | $150.23 |
| Redding | $203.88 | $132.13 |
| Rest Of California | $203.88 | $132.13 |
| Rest Of Florida | $196.76 | $134.17 |
| Rest Of Georgia | $185.45 | $127.05 |
| Rest Of Illinois | $192.21 | $132.44 |
| Rest Of Louisiana | $181.94 | $124.00 |
| Rest Of Maine | $182.38 | $122.15 |
| Rest Of Maryland | $197.56 | $131.31 |
| Rest Of Massachusetts | $201.55 | $132.62 |
| Rest Of Michigan | $187.28 | $127.51 |
| Rest Of Missouri | $179.32 | $122.89 |
| Rest Of New Jersey | $211.22 | $139.73 |
| Rest Of New York | $186.95 | $124.75 |
| Rest Of Oregon | $192.54 | $127.33 |
| Rest Of Pennsylvania | $185.80 | $125.71 |
| Rest Of Texas | $189.10 | $126.97 |
| Rest Of Washington | $200.95 | $132.02 |
| Rhode Island | $200.39 | $132.76 |
| Riverside-San Bernardino-Ontario | $207.54 | $135.79 |
| Sacramento-Roseville-Folsom | $213.23 | $137.09 |
| Salinas | $212.43 | $136.55 |
| San Diego-Chula Vista-Carlsbad | $216.93 | $138.63 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $246.13 | $153.82 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $245.74 | $153.44 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $251.85 | $157.45 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $250.27 | $155.87 |
| San Luis Obispo-Paso Robles | $209.11 | $134.54 |
| Santa Cruz-Watsonville | $218.60 | $139.06 |
| Santa Maria-Santa Barbara | $213.09 | $136.75 |
| Santa Rosa-Petaluma | $220.75 | $140.36 |
| Seattle (King Cnty) | $225.09 | $144.76 |
| South Carolina | $185.45 | $124.96 |
| South Dakota** | $188.86 | $123.39 |
| Southern Maine | $191.11 | $126.24 |
| Stockton | $203.88 | $132.13 |
| Suburban Chicago | $208.89 | $141.66 |
| Tennessee | $180.08 | $120.57 |
| Utah | $187.94 | $126.41 |
| Vallejo | $232.91 | $146.63 |
| Vermont | $189.57 | $124.76 |
| Virgin Islands | $197.56 | $131.38 |
| Virginia | $190.99 | $126.64 |
| Visalia | $203.88 | $132.13 |
| West Virginia | $185.36 | $128.48 |
| Wisconsin | $183.43 | $120.72 |
| Wyoming** | $193.44 | $127.98 |
| Yuba City | $203.88 | $132.13 |
57513 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.
$173.75
$230.93
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 | $230.93 | 1 |
| AL | $176.27 | 1 |
| AR | $173.75 | 1 |
| AZ | $190.99 | 1 |
| CA | $203.88–$251.85 | 29 |
| CO | $202.45 | 1 |
| CT | $209.41 | 1 |
| DC | $222.75 | 1 |
| DE | $194.11 | 1 |
| FL | $196.76–$218.75 | 3 |
| GA | $185.45–$200.82 | 2 |
| GU | $208.27 | 1 |
| HI | $208.27 | 1 |
| IA | $179.22 | 1 |
| ID | $180.69 | 1 |
| IL | $192.21–$212.16 | 4 |
| IN | $181.68 | 1 |
| KS | $179.09 | 1 |
| KY | $181.94 | 1 |
| LA | $181.94–$190.77 | 2 |
| MA | $201.55–$221.34 | 2 |
| MD | $197.56–$222.75 | 3 |
| ME | $182.38–$191.11 | 2 |
| MI | $187.28–$199.93 | 2 |
| MN | $191.93 | 1 |
| MO | $179.32–$190.58 | 3 |
| MS | $176.53 | 1 |
| MT | $196.37 | 1 |
| NC | $184.15 | 1 |
| ND | $189.65 | 1 |
| NE | $179.97 | 1 |
| NH | $199.96 | 1 |
| NJ | $211.22–$220.62 | 2 |
| NM | $188.59 | 1 |
| NV | $194.62 | 1 |
| NY | $186.95–$233.17 | 5 |
| OH | $185.91 | 1 |
| OK | $180.86 | 1 |
| OR | $192.54–$208.00 | 2 |
| PA | $185.80–$204.72 | 2 |
| PR | $197.56 | 1 |
| RI | $200.39 | 1 |
| SC | $185.45 | 1 |
| SD | $188.86 | 1 |
| TN | $180.08 | 1 |
| TX | $184.65–$202.28 | 8 |
| UT | $187.94 | 1 |
| VA | $190.99–$222.75 | 2 |
| VI | $197.56 | 1 |
| VT | $189.57 | 1 |
| WA | $200.95–$225.09 | 2 |
| WI | $183.43 | 1 |
| WV | $185.36 | 1 |
| WY | $193.44 | 1 |
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
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.
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| 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. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 57513
Cervical laser
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.
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
57513 without 51 · national office
$196.40
Cervical laser
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%).
57513 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 57510Cervical cautery
- Report 57513 for laser treatment. Report 57510 when the documented cervical treatment is cauterization by a different method.
- 57511Cervical ablation
- Report 57513 when laser energy is used; report 57511 when cervical tissue is treated by cryocautery.
- 57520Cervical cone
- Laser ablation destroys targeted tissue, whereas 57520 removes a cervical cone specimen for examination.
- 57522LEEP conization
- Use 57513 for laser ablation and 57522 for cervical conization using a loop electrode excision technique.
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
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