No office rate
Both describe total laparoscopic hysterectomy for a uterus 250 g or less. Choose 58571 when one or both tubes or ovaries are removed as part of the procedure.
On this page
CMS RVU26D · Effective 2026-10-01
58570 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$718.44
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Gynecologic surgery
About 58570: Total laparoscopic hysterectomy, small uterus
Reports laparoscopic removal of the uterus and cervix when the uterus weighs 250 g or less and no fallopian tube or ovary is removed.
This code describes a total laparoscopic hysterectomy: the surgeon removes the uterus and cervix through a laparoscopic approach. Gynecologic surgeons commonly perform it in a hospital or ambulatory surgical center for conditions such as symptomatic fibroids or abnormal uterine bleeding. The specimen may be removed through the vagina or by another extraction method; the laparoscopic approach is what distinguishes the procedure from an abdominal or vaginal hysterectomy.
Select 58570 when the removed uterus weighs 250 g or less and no fallopian tube or ovary is removed as part of the hysterectomy. If one or both tubes or ovaries are removed, consider 58571; if the uterus weighs more than 250 g, use the corresponding higher-weight code. Document the laparoscopic approach, removal of the cervix, uterine weight, and adnexal procedures. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral adjustment is inappropriate for this anatomy. Assistant-at-surgery payment and co-surgeons are permitted; team surgery is not.
CMS billing rules for 58570
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU13.03 · 60%
- Practice expense (office) RVU6.26 · 29%
- Malpractice RVU2.48 · 11%
583
Medicare services in 2024 · #3421 by national volume
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.
58570 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
This is the higher-weight counterpart for total laparoscopic hysterectomy without adnexal removal. Use 58570 when the uterus weighs 250 g or less.
No office rate
This is a laparoscopic-assisted vaginal hysterectomy for a uterus 250 g or less, rather than a total hysterectomy performed laparoscopically.
No office rate
This is a laparoscopic supracervical hysterectomy for a uterus above 250 g, so it differs in both uterine weight and whether the cervix is removed.
The same code, a different location
How does Delaware compare?
58570 across payment areas
Same release and payment basis · bars start at $0
Delaware · This locality
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Delaware appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Alabama
Alabama · 58570
Office
Unavailable
Facility
$665.05
No comparable office rate is available.
Arkansas
Arkansas · 58570
Office
Unavailable
Facility
$657.48
No comparable office rate is available.
Arizona
Arizona · 58570
Office
Unavailable
Facility
$708.73
No comparable office rate is available.
Bakersfield
California · 58570
Office
Unavailable
Facility
$723.09
No comparable office rate is available.
Chico
California · 58570
Office
Unavailable
Facility
$716.17
No comparable office rate is available.
El Centro
California · 58570
Office
Unavailable
Facility
$716.59
No comparable office rate is available.
Fresno
California · 58570
Office
Unavailable
Facility
$716.17
No comparable office rate is available.
Hanford-Corcoran
California · 58570
Office
Unavailable
Facility
$716.17
No comparable office rate is available.
Madera
California · 58570
Office
Unavailable
Facility
$716.17
No comparable office rate is available.
Merced
California · 58570
Office
Unavailable
Facility
$716.17
No comparable office rate is available.
Modesto
California · 58570
Office
Unavailable
Facility
$716.17
No comparable office rate is available.
Napa
California · 58570
Office
Unavailable
Facility
$780.29
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 58570
Office
Unavailable
Facility
$746.15
No comparable office rate is available.
Redding
California · 58570
Office
Unavailable
Facility
$716.17
No comparable office rate is available.
Rest Of California
California · 58570
Office
Unavailable
Facility
$716.17
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 58570
Office
Unavailable
Facility
$742.87
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 58570
Office
Unavailable
Facility
$738.45
No comparable office rate is available.
Salinas
California · 58570
Office
Unavailable
Facility
$735.44
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 58570
Office
Unavailable
Facility
$743.24
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 58570
Office
Unavailable
Facility
$809.40
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 58570
Office
Unavailable
Facility
$806.58
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 58570
Office
Unavailable
Facility
$828.99
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 58570
Office
Unavailable
Facility
$817.48
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 58570
Office
Unavailable
Facility
$725.16
No comparable office rate is available.
Santa Cruz-Watsonville
California · 58570
Office
Unavailable
Facility
$742.80
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 58570
Office
Unavailable
Facility
$735.60
No comparable office rate is available.
Santa Rosa-Petaluma
California · 58570
Office
Unavailable
Facility
$749.43
No comparable office rate is available.
Stockton
California · 58570
Office
Unavailable
Facility
$716.17
No comparable office rate is available.
Vallejo
California · 58570
Office
Unavailable
Facility
$776.23
No comparable office rate is available.
Visalia
California · 58570
Office
Unavailable
Facility
$716.17
No comparable office rate is available.
Yuba City
California · 58570
Office
Unavailable
Facility
$716.17
No comparable office rate is available.
Colorado
Colorado · 58570
Office
Unavailable
Facility
$727.60
No comparable office rate is available.
Connecticut
Connecticut · 58570
Office
Unavailable
Facility
$769.34
No comparable office rate is available.
Fort Lauderdale
Florida · 58570
Office
Unavailable
Facility
$796.79
No comparable office rate is available.
Rest Of Florida
Florida · 58570
Office
Unavailable
Facility
$759.60
No comparable office rate is available.
Atlanta
Georgia · 58570
Office
Unavailable
Facility
$748.44
No comparable office rate is available.
Rest Of Georgia
Georgia · 58570
Office
Unavailable
Facility
$720.46
No comparable office rate is available.
Hawaii, Guam
Hawaii · 58570
Office
Unavailable
Facility
$720.91
No comparable office rate is available.
Iowa
Iowa · 58570
Office
Unavailable
Facility
$659.42
No comparable office rate is available.
Idaho
Idaho · 58570
Office
Unavailable
Facility
$666.76
No comparable office rate is available.
East St. Louis
Illinois · 58570
Office
Unavailable
Facility
$794.40
No comparable office rate is available.
Rest Of Illinois
Illinois · 58570
Office
Unavailable
Facility
$755.58
No comparable office rate is available.
Suburban Chicago
Illinois · 58570
Office
Unavailable
Facility
$799.78
No comparable office rate is available.
Indiana
Indiana · 58570
Office
Unavailable
Facility
$669.30
No comparable office rate is available.
Kansas
Kansas · 58570
Office
Unavailable
Facility
$665.98
No comparable office rate is available.
Kentucky
Kentucky · 58570
Office
Unavailable
Facility
$696.89
No comparable office rate is available.
New Orleans
Louisiana · 58570
Office
Unavailable
Facility
$726.07
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 58570
Office
Unavailable
Facility
$699.61
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 58570
Office
Unavailable
Facility
$776.43
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 58570
Office
Unavailable
Facility
$728.37
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 58570
Office
Unavailable
Facility
$769.00
No comparable office rate is available.
Rest Of Maryland
Maryland · 58570
Office
Unavailable
Facility
$727.21
No comparable office rate is available.
Rest Of Maine
Maine · 58570
Office
Unavailable
Facility
$679.10
No comparable office rate is available.
Southern Maine
Maine · 58570
Office
Unavailable
Facility
$694.69
No comparable office rate is available.
Detroit
Michigan · 58570
Office
Unavailable
Facility
$776.64
No comparable office rate is available.
Rest Of Michigan
Michigan · 58570
Office
Unavailable
Facility
$719.63
No comparable office rate is available.
Minnesota
Minnesota · 58570
Office
Unavailable
Facility
$674.89
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 58570
Office
Unavailable
Facility
$712.48
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 58570
Office
Unavailable
Facility
$717.27
No comparable office rate is available.
Rest Of Missouri
Missouri · 58570
Office
Unavailable
Facility
$696.13
No comparable office rate is available.
Mississippi
Mississippi · 58570
Office
Unavailable
Facility
$676.45
No comparable office rate is available.
Montana**
Montana · 58570
Office
Unavailable
Facility
$726.97
No comparable office rate is available.
North Carolina
North Carolina · 58570
Office
Unavailable
Facility
$683.23
No comparable office rate is available.
North Dakota**
North Dakota · 58570
Office
Unavailable
Facility
$677.93
No comparable office rate is available.
Nebraska
Nebraska · 58570
Office
Unavailable
Facility
$659.51
No comparable office rate is available.
New Hampshire
New Hampshire · 58570
Office
Unavailable
Facility
$725.36
No comparable office rate is available.
Northern Nj
New Jersey · 58570
Office
Unavailable
Facility
$793.64
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 58570
Office
Unavailable
Facility
$771.82
No comparable office rate is available.
New Mexico
New Mexico · 58570
Office
Unavailable
Facility
$726.43
No comparable office rate is available.
Nevada**
Nevada · 58570
Office
Unavailable
Facility
$713.51
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 58570
Office
Unavailable
Facility
$865.50
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 58570
Office
Unavailable
Facility
$783.98
No comparable office rate is available.
Queens
New York · 58570
Office
Unavailable
Facility
$829.66
No comparable office rate is available.
Rest Of New York
New York · 58570
Office
Unavailable
Facility
$692.08
No comparable office rate is available.
Ohio
Ohio · 58570
Office
Unavailable
Facility
$709.61
No comparable office rate is available.
Oklahoma
Oklahoma · 58570
Office
Unavailable
Facility
$686.29
No comparable office rate is available.
Portland
Oregon · 58570
Office
Unavailable
Facility
$736.10
No comparable office rate is available.
Rest Of Oregon
Oregon · 58570
Office
Unavailable
Facility
$701.70
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 58570
Office
Unavailable
Facility
$759.53
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 58570
Office
Unavailable
Facility
$705.44
No comparable office rate is available.
Puerto Rico
Puerto Rico · 58570
Office
Unavailable
Facility
$728.20
No comparable office rate is available.
Rhode Island
Rhode Island · 58570
Office
Unavailable
Facility
$733.36
No comparable office rate is available.
South Carolina
South Carolina · 58570
Office
Unavailable
Facility
$698.82
No comparable office rate is available.
South Dakota**
South Dakota · 58570
Office
Unavailable
Facility
$672.14
No comparable office rate is available.
Tennessee
Tennessee · 58570
Office
Unavailable
Facility
$669.76
No comparable office rate is available.
Austin
Texas · 58570
Office
Unavailable
Facility
$730.69
No comparable office rate is available.
Beaumont
Texas · 58570
Office
Unavailable
Facility
$702.44
No comparable office rate is available.
Brazoria
Texas · 58570
Office
Unavailable
Facility
$710.51
No comparable office rate is available.
Dallas
Texas · 58570
Office
Unavailable
Facility
$718.46
No comparable office rate is available.
Fort Worth
Texas · 58570
Office
Unavailable
Facility
$717.44
No comparable office rate is available.
Galveston
Texas · 58570
Office
Unavailable
Facility
$714.91
No comparable office rate is available.
Houston
Texas · 58570
Office
Unavailable
Facility
$760.30
No comparable office rate is available.
Rest Of Texas
Texas · 58570
Office
Unavailable
Facility
$708.44
No comparable office rate is available.
Utah
Utah · 58570
Office
Unavailable
Facility
$706.14
No comparable office rate is available.
Virginia
Virginia · 58570
Office
Unavailable
Facility
$699.23
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 58570
Office
Unavailable
Facility
$728.20
No comparable office rate is available.
Vermont
Vermont · 58570
Office
Unavailable
Facility
$684.13
No comparable office rate is available.
Rest Of Washington
Washington · 58570
Office
Unavailable
Facility
$724.08
No comparable office rate is available.
Seattle (King Cnty)
Washington · 58570
Office
Unavailable
Facility
$781.20
No comparable office rate is available.
Wisconsin
Wisconsin · 58570
Office
Unavailable
Facility
$661.03
No comparable office rate is available.
West Virginia
West Virginia · 58570
Office
Unavailable
Facility
$735.45
No comparable office rate is available.
Wyoming**
Wyoming · 58570
Office
Unavailable
Facility
$705.60
No comparable office rate is available.
See how rates vary across the country
58570 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 58570 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$790.28
$718.44 × 110% = $790.28
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 58570 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
6,574
- Code
- 58570
- Physician work
- 13.03
- Practice expense
- 6.26
- Malpractice
- 2.48
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.03 | × 1.005 | 13.0951 |
| Practice expense | 6.26 | × 0.988 | 6.1849 |
| Malpractice | 2.48 | × 0.899 | 2.2295 |
| Total RVUs | 21.5095 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$718.44
Open 58570 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.03 | 1.005 |
| Practice expense | 6.26 | 0.988 |
| Malpractice | 2.48 | 0.899 |
(13.03 × 1.005 + 6.26 × 0.988 + 2.48 × 0.899) × $33.4009 = $718.44
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
58570 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $718.44 | RVU26D |
| 2026-07-01 | Not available in this setting | $718.44 | RVU26C |
| 2026-04-01 | Not available in this setting | $718.44 | RVU26B |
| 2026-01-01 | Not available in this setting | $718.44 | RVU26A |
| 2025-10-01 | Not available in this setting | $786.22 | RVU25D |
| 2025-07-01 | Not available in this setting | $786.22 | RVU25C |
| 2025-04-01 | Not available in this setting | $786.22 | RVU25B |
| 2025-01-01 | Not available in this setting | $786.22 | RVU25A |
58570 billing questions
How does 58570 differ from 58571?
Both cover total laparoscopic hysterectomy for a uterus weighing 250 g or less. Use 58571 when one or both fallopian tubes or ovaries are also removed as part of the procedure.
What if the uterus weighs more than 250 g?
Use the corresponding higher-weight total laparoscopic hysterectomy code. The operative and pathology records should support the final uterine weight.
Does this code include removal of the cervix?
Yes. This is a total hysterectomy, so the uterus and cervix are removed; a supracervical procedure that leaves the cervix is different.
Can modifier 50 be used?
No. Bilateral adjustment is inappropriate because the code describes removal of a single uterus.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%. Assistant-at-surgery payment and co-surgeons are permitted; team surgery is not.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,57158562,,Hysteroscopy remove fb,A,,3.90,7.35,,1.26,,0.68,11.93,5.84,0,000,0.00,0.00,0.00,3,0,1,2,0,9,58555,33.4009,09,0,99,0.00,0.00,0.00
6,57258563,,Hysteroscopy ablation,A,,4.36,55.01,,1.36,,0.78,60.15,6.50,0,000,0.00,0.00,0.00,3,0,0,2,0,9,58555,33.4009,09,0,99,0.00,0.00,0.00
6,57358565,,Hysteroscopy sterilization,A,,6.94,39.22,,3.94,,1.22,47.38,12.10,0,090,0.12,0.74,0.14,3,2,1,2,0,9,58555,33.4009,09,0,99,0.00,0.00,0.00
6,57458570,,Tlh uterus 250 g or less,A,,13.03,6.26,NA,6.26,,2.48,21.77,21.77,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,57558571,,Tlh w/t/o 250 g or less,A,,14.63,7.21,NA,7.21,,2.97,24.81,24.81,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,57658572,,Tlh uterus over 250 g,A,,17.27,7.57,NA,7.57,,3.47,28.31,28.31,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,57758573,,Tlh w/t/o uterus over 250 g,A,,20.27,8.74,NA,8.74,,4.09,33.10,33.10,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503