$191.33
Choose 56440 when the clinician marsupializes a Bartholin gland cyst by creating a persistent drainage opening. Choose 56420 for incision and drainage of a Bartholin gland abscess.
On this page
CMS RVU26D · Effective 2026-10-01
56440 in Modesto
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$162.96
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.
Gynecology procedure
About 56440: Bartholin gland cyst marsupialization
Reports surgical creation of a lasting drainage opening for a Bartholin gland cyst, commonly selected for a symptomatic or recurrent cyst.
CPT 56440 covers opening a Bartholin gland cyst and suturing its edges to the nearby mucosa to leave a persistent drainage opening. An obstetrician-gynecologist or other qualified clinician typically performs the procedure for a symptomatic cyst, including one that has recurred after prior treatment. It may be performed in an office procedure room or an outpatient facility.
Report 56440 when the documented treatment is marsupialization of a Bartholin gland cyst, rather than simple drainage of an abscess or removal of the cyst. The note should identify the Bartholin gland cyst and describe creation of the drainage opening. Medicare includes related postoperative visits during the 10-day 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 code; Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.
CMS billing rules for 56440
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU2.82 · 58%
- Practice expense (office) RVU1.60 · 33%
- Malpractice RVU0.48 · 10%
170
Medicare services in 2024 · #4476 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.
56440 compared with similar codes
Office rates for Modesto, from the same CMS release.
No office rate
56740 represents excision of a Bartholin gland cyst. 56440 leaves the cyst wall opening sutured to nearby mucosa for ongoing drainage rather than removing the cyst.
$151.29
56405 is for drainage of a vulvar or perineal abscess. 56440 is specific to marsupialization of a Bartholin gland cyst.
The same code, a different location
How does Modesto compare?
56440 across payment areas
Same release and payment basis · bars start at $0
Modesto · This locality
Unavailable
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.
No comparable rate is available in this setting.
Other payment areas listed in California 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
Madera
California · 56440
Office
Unavailable
Facility
$162.96
No comparable office rate is available.
Merced
California · 56440
Office
Unavailable
Facility
$162.96
No comparable office rate is available.
Napa
California · 56440
Office
Unavailable
Facility
$178.70
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 56440
Office
Unavailable
Facility
$169.98
No comparable office rate is available.
Redding
California · 56440
Office
Unavailable
Facility
$162.96
No comparable office rate is available.
Rest Of California
California · 56440
Office
Unavailable
Facility
$162.96
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 56440
Office
Unavailable
Facility
$168.13
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 56440
Office
Unavailable
Facility
$168.33
No comparable office rate is available.
Salinas
California · 56440
Office
Unavailable
Facility
$167.64
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 56440
Office
Unavailable
Facility
$169.62
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 56440
Office
Unavailable
Facility
$185.85
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 56440
Office
Unavailable
Facility
$185.30
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 56440
Office
Unavailable
Facility
$190.21
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 56440
Office
Unavailable
Facility
$187.98
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 56440
Office
Unavailable
Facility
$165.25
No comparable office rate is available.
Santa Cruz-Watsonville
California · 56440
Office
Unavailable
Facility
$169.69
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 56440
Office
Unavailable
Facility
$167.73
No comparable office rate is available.
Santa Rosa-Petaluma
California · 56440
Office
Unavailable
Facility
$171.24
No comparable office rate is available.
Stockton
California · 56440
Office
Unavailable
Facility
$162.96
No comparable office rate is available.
Vallejo
California · 56440
Office
Unavailable
Facility
$177.92
No comparable office rate is available.
Visalia
California · 56440
Office
Unavailable
Facility
$162.96
No comparable office rate is available.
Yuba City
California · 56440
Office
Unavailable
Facility
$162.96
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 56440
Office
Unavailable
Facility
$180.07
No comparable office rate is available.
Miami
Florida · 56440
Office
Unavailable
Facility
$190.37
No comparable office rate is available.
Chicago
Illinois · 56440
Office
Unavailable
Facility
$185.35
No comparable office rate is available.
Manhattan
New York · 56440
Office
Unavailable
Facility
$187.75
No comparable office rate is available.
Alaska*
Alaska · 56440
Office
Unavailable
Facility
$207.03
No comparable office rate is available.
Alabama
Alabama · 56440
Office
Unavailable
Facility
$150.03
No comparable office rate is available.
Arkansas
Arkansas · 56440
Office
Unavailable
Facility
$148.35
No comparable office rate is available.
Arizona
Arizona · 56440
Office
Unavailable
Facility
$159.70
No comparable office rate is available.
Colorado
Colorado · 56440
Office
Unavailable
Facility
$164.70
No comparable office rate is available.
Connecticut
Connecticut · 56440
Office
Unavailable
Facility
$173.03
No comparable office rate is available.
Delaware
Delaware · 56440
Office
Unavailable
Facility
$161.87
No comparable office rate is available.
Fort Lauderdale
Florida · 56440
Office
Unavailable
Facility
$177.31
No comparable office rate is available.
Rest Of Florida
Florida · 56440
Office
Unavailable
Facility
$169.38
No comparable office rate is available.
Atlanta
Georgia · 56440
Office
Unavailable
Facility
$168.02
No comparable office rate is available.
Rest Of Georgia
Georgia · 56440
Office
Unavailable
Facility
$160.97
No comparable office rate is available.
Hawaii, Guam
Hawaii · 56440
Office
Unavailable
Facility
$164.24
No comparable office rate is available.
Iowa
Iowa · 56440
Office
Unavailable
Facility
$149.45
No comparable office rate is available.
Idaho
Idaho · 56440
Office
Unavailable
Facility
$150.94
No comparable office rate is available.
East St. Louis
Illinois · 56440
Office
Unavailable
Facility
$175.65
No comparable office rate is available.
Rest Of Illinois
Illinois · 56440
Office
Unavailable
Facility
$168.04
No comparable office rate is available.
Suburban Chicago
Illinois · 56440
Office
Unavailable
Facility
$178.14
No comparable office rate is available.
Indiana
Indiana · 56440
Office
Unavailable
Facility
$151.52
No comparable office rate is available.
Kansas
Kansas · 56440
Office
Unavailable
Facility
$150.58
No comparable office rate is available.
Kentucky
Kentucky · 56440
Office
Unavailable
Facility
$156.37
No comparable office rate is available.
New Orleans
Louisiana · 56440
Office
Unavailable
Facility
$162.69
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 56440
Office
Unavailable
Facility
$156.85
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 56440
Office
Unavailable
Facility
$176.13
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 56440
Office
Unavailable
Facility
$164.75
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 56440
Office
Unavailable
Facility
$172.87
No comparable office rate is available.
Rest Of Maryland
Maryland · 56440
Office
Unavailable
Facility
$163.93
No comparable office rate is available.
Rest Of Maine
Maine · 56440
Office
Unavailable
Facility
$153.33
No comparable office rate is available.
Southern Maine
Maine · 56440
Office
Unavailable
Facility
$157.27
No comparable office rate is available.
Detroit
Michigan · 56440
Office
Unavailable
Facility
$172.79
No comparable office rate is available.
Rest Of Michigan
Michigan · 56440
Office
Unavailable
Facility
$161.08
No comparable office rate is available.
Minnesota
Minnesota · 56440
Office
Unavailable
Facility
$153.93
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 56440
Office
Unavailable
Facility
$160.04
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 56440
Office
Unavailable
Facility
$161.13
No comparable office rate is available.
Rest Of Missouri
Missouri · 56440
Office
Unavailable
Facility
$155.87
No comparable office rate is available.
Mississippi
Mississippi · 56440
Office
Unavailable
Facility
$152.05
No comparable office rate is available.
Montana**
Montana · 56440
Office
Unavailable
Facility
$163.63
No comparable office rate is available.
North Carolina
North Carolina · 56440
Office
Unavailable
Facility
$154.30
No comparable office rate is available.
North Dakota**
North Dakota · 56440
Office
Unavailable
Facility
$154.14
No comparable office rate is available.
Nebraska
Nebraska · 56440
Office
Unavailable
Facility
$149.58
No comparable office rate is available.
New Hampshire
New Hampshire · 56440
Office
Unavailable
Facility
$163.85
No comparable office rate is available.
Northern Nj
New Jersey · 56440
Office
Unavailable
Facility
$179.24
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 56440
Office
Unavailable
Facility
$173.90
No comparable office rate is available.
New Mexico
New Mexico · 56440
Office
Unavailable
Facility
$162.45
No comparable office rate is available.
Nevada**
Nevada · 56440
Office
Unavailable
Facility
$161.04
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 56440
Office
Unavailable
Facility
$193.53
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 56440
Office
Unavailable
Facility
$176.35
No comparable office rate is available.
Queens
New York · 56440
Office
Unavailable
Facility
$186.51
No comparable office rate is available.
Rest Of New York
New York · 56440
Office
Unavailable
Facility
$156.23
No comparable office rate is available.
Ohio
Ohio · 56440
Office
Unavailable
Facility
$159.14
No comparable office rate is available.
Oklahoma
Oklahoma · 56440
Office
Unavailable
Facility
$154.37
No comparable office rate is available.
Portland
Oregon · 56440
Office
Unavailable
Facility
$167.00
No comparable office rate is available.
Rest Of Oregon
Oregon · 56440
Office
Unavailable
Facility
$158.69
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 56440
Office
Unavailable
Facility
$170.65
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 56440
Office
Unavailable
Facility
$158.40
No comparable office rate is available.
Puerto Rico
Puerto Rico · 56440
Office
Unavailable
Facility
$164.01
No comparable office rate is available.
Rhode Island
Rhode Island · 56440
Office
Unavailable
Facility
$165.49
No comparable office rate is available.
South Carolina
South Carolina · 56440
Office
Unavailable
Facility
$157.20
No comparable office rate is available.
South Dakota**
South Dakota · 56440
Office
Unavailable
Facility
$153.02
No comparable office rate is available.
Tennessee
Tennessee · 56440
Office
Unavailable
Facility
$151.38
No comparable office rate is available.
Austin
Texas · 56440
Office
Unavailable
Facility
$165.12
No comparable office rate is available.
Beaumont
Texas · 56440
Office
Unavailable
Facility
$157.72
No comparable office rate is available.
Brazoria
Texas · 56440
Office
Unavailable
Facility
$160.41
No comparable office rate is available.
Dallas
Texas · 56440
Office
Unavailable
Facility
$162.02
No comparable office rate is available.
Fort Worth
Texas · 56440
Office
Unavailable
Facility
$161.70
No comparable office rate is available.
Galveston
Texas · 56440
Office
Unavailable
Facility
$161.29
No comparable office rate is available.
Houston
Texas · 56440
Office
Unavailable
Facility
$170.07
No comparable office rate is available.
Rest Of Texas
Texas · 56440
Office
Unavailable
Facility
$159.38
No comparable office rate is available.
Utah
Utah · 56440
Office
Unavailable
Facility
$158.82
No comparable office rate is available.
Virginia
Virginia · 56440
Office
Unavailable
Facility
$158.04
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 56440
Office
Unavailable
Facility
$164.01
No comparable office rate is available.
Vermont
Vermont · 56440
Office
Unavailable
Facility
$155.21
No comparable office rate is available.
Rest Of Washington
Washington · 56440
Office
Unavailable
Facility
$163.89
No comparable office rate is available.
Seattle (King Cnty)
Washington · 56440
Office
Unavailable
Facility
$177.57
No comparable office rate is available.
Wisconsin
Wisconsin · 56440
Office
Unavailable
Facility
$150.33
No comparable office rate is available.
West Virginia
West Virginia · 56440
Office
Unavailable
Facility
$163.57
No comparable office rate is available.
Wyoming**
Wyoming · 56440
Office
Unavailable
Facility
$159.50
No comparable office rate is available.
See how rates vary across the country
56440 · 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?
Modesto is a Medicare payment area. Our Census mapping connects it to 33 cities and communities in California, 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 56440 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$179.26
$162.96 × 110% = $179.26
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 56440 in Modesto.
PPRRVU2026_Oct_nonQPP.csv
6,405
- Code
- 56440
- Physician work
- 2.82
- Practice expense
- 1.60
- Malpractice
- 0.48
GPCI2026.csv
16
- Locality
- Modesto
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.82 | × 1.017 | 2.8679 |
| Practice expense | 1.60 | × 1.096 | 1.7536 |
| Malpractice | 0.48 | × 0.536 | 0.2573 |
| Total RVUs | 4.8788 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Modesto$162.96
Open 56440 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.82 | 1.017 |
| Practice expense | 1.6 | 1.096 |
| Malpractice | 0.48 | 0.536 |
(2.82 × 1.017 + 1.6 × 1.096 + 0.48 × 0.536) × $33.4009 = $162.96
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
56440 · 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 | $162.96 | RVU26D |
| 2026-07-01 | Not available in this setting | $162.96 | RVU26C |
| 2026-04-01 | Not available in this setting | $162.96 | RVU26B |
| 2026-01-01 | Not available in this setting | $162.96 | RVU26A |
| 2025-10-01 | Not available in this setting | $178.45 | RVU25D |
| 2025-07-01 | Not available in this setting | $178.45 | RVU25C |
| 2025-04-01 | Not available in this setting | $178.45 | RVU25B |
| 2025-01-01 | Not available in this setting | $178.45 | RVU25A |
56440 billing questions
How is 56440 different from 56420?
56440 is for marsupialization of a Bartholin gland cyst, creating a lasting drainage opening. 56420 describes incision and drainage of a Bartholin gland abscess.
Can 56420 also be reported for the opening made during marsupialization?
Do not separately report 56420 for the incision and drainage that are part of marsupialization of the same lesion.
What documentation supports 56440?
Document the Bartholin gland cyst and describe the marsupialization, including creation of the persistent drainage opening. A note describing only abscess drainage supports a different service.
Are postoperative visits separately reportable during the global period?
Related postoperative visits during the 10-day global period are included in 56440.
How does Medicare handle other procedures performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction.
Can modifier 50 or an assistant-at-surgery claim be used?
Modifier 50 is inappropriate for 56440. Medicare does not pay an assistant at surgery for this 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 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.
6,40255980,,Sex transformation f to m,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,YYY,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
6,40356405,,I&d vulva/perineal abscess,A,,1.45,2.66,,1.79,,0.26,4.37,3.50,0,010,0.10,0.80,0.10,2,0,1,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,40456420,,I&d bartholins gland abscess,A,,1.40,3.81,,1.36,,0.24,5.45,3.00,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,40556440,,Mrsplzatn brthlns glnd cst,A,,2.82,1.60,NA,1.60,,0.48,4.90,4.90,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,40656441,,Lysis of labial adhesions,A,,1.97,3.15,,1.90,,0.34,5.46,4.21,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,40756442,,Hymenotomy,A,,0.66,0.53,NA,0.53,,0.12,1.31,1.31,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,40856501,,Destroy vulva lesions sim,A,,1.54,3.75,,1.80,,0.25,5.54,3.59,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623
1901112,CA,61,REDDING,1.017,1.096,0.536