No office rate
Use 57550 for cervical stump removal without the bowel repair included in 57556.
On this page
CMS RVU26D · Effective 2026-10-01
57556 in Modesto
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$518.70
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 57556: Cervical stump removal with bowel repair
Reports vaginal excision of a retained cervical stump when the operation also includes repair of bowel, rather than stump removal alone.
Code 57556 represents vaginal removal of a remaining cervix, or cervical stump, usually after a prior supracervical hysterectomy, in an operation that also repairs bowel. A gynecologic surgeon performs the stump excision in an operating room; the gynecologic surgeon or another surgical specialist may perform the bowel repair, depending on the operative findings. This is distinct from office biopsy, cautery, or excisional treatment of a cervix that remains in place.
Report the code when the operative record supports both removal of the cervical stump and bowel repair, not for stump removal alone or bowel repair alone. Documentation should identify the prior anatomy, indication, vaginal approach, excised stump, bowel defect and repair, and each surgeon’s work when multiple surgeons participate. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and related postoperative care. For same-session procedures, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted. The anatomy makes modifier 50 inappropriate.
CMS billing rules for 57556
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.13 · 58%
- Practice expense (office) RVU4.91 · 31%
- Malpractice RVU1.61 · 10%
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.
57556 compared with similar codes
Office rates for Modesto, from the same CMS release.
No office rate
57555 pairs cervical stump removal with vaginal repair; 57556 is for the operation with bowel repair.
No office rate
57545 describes cervix removal with pelvic-floor repair. Choose 57556 when the documented repair is of bowel.
No office rate
57530 is vaginal removal of the cervix, rather than removal of a cervical stump with bowel repair.
The same code, a different location
How does Modesto compare?
57556 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 · 57556
Office
Unavailable
Facility
$518.70
No comparable office rate is available.
Merced
California · 57556
Office
Unavailable
Facility
$518.70
No comparable office rate is available.
Napa
California · 57556
Office
Unavailable
Facility
$567.63
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 57556
Office
Unavailable
Facility
$540.84
No comparable office rate is available.
Redding
California · 57556
Office
Unavailable
Facility
$518.70
No comparable office rate is available.
Rest Of California
California · 57556
Office
Unavailable
Facility
$518.70
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 57556
Office
Unavailable
Facility
$536.05
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 57556
Office
Unavailable
Facility
$535.48
No comparable office rate is available.
Salinas
California · 57556
Office
Unavailable
Facility
$533.30
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 57556
Office
Unavailable
Facility
$539.39
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 57556
Office
Unavailable
Facility
$589.84
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 57556
Office
Unavailable
Facility
$588.01
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 57556
Office
Unavailable
Facility
$603.80
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 57556
Office
Unavailable
Facility
$596.33
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 57556
Office
Unavailable
Facility
$525.75
No comparable office rate is available.
Santa Cruz-Watsonville
California · 57556
Office
Unavailable
Facility
$539.44
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 57556
Office
Unavailable
Facility
$533.53
No comparable office rate is available.
Santa Rosa-Petaluma
California · 57556
Office
Unavailable
Facility
$544.31
No comparable office rate is available.
Stockton
California · 57556
Office
Unavailable
Facility
$518.70
No comparable office rate is available.
Vallejo
California · 57556
Office
Unavailable
Facility
$564.99
No comparable office rate is available.
Visalia
California · 57556
Office
Unavailable
Facility
$518.70
No comparable office rate is available.
Yuba City
California · 57556
Office
Unavailable
Facility
$518.70
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 57556
Office
Unavailable
Facility
$574.46
No comparable office rate is available.
Miami
Florida · 57556
Office
Unavailable
Facility
$611.67
No comparable office rate is available.
Chicago
Illinois · 57556
Office
Unavailable
Facility
$595.32
No comparable office rate is available.
Manhattan
New York · 57556
Office
Unavailable
Facility
$600.32
No comparable office rate is available.
Alaska*
Alaska · 57556
Office
Unavailable
Facility
$661.71
No comparable office rate is available.
Alabama
Alabama · 57556
Office
Unavailable
Facility
$478.89
No comparable office rate is available.
Arkansas
Arkansas · 57556
Office
Unavailable
Facility
$473.52
No comparable office rate is available.
Arizona
Arizona · 57556
Office
Unavailable
Facility
$509.90
No comparable office rate is available.
Colorado
Colorado · 57556
Office
Unavailable
Facility
$525.10
No comparable office rate is available.
Connecticut
Connecticut · 57556
Office
Unavailable
Facility
$552.74
No comparable office rate is available.
Delaware
Delaware · 57556
Office
Unavailable
Facility
$516.85
No comparable office rate is available.
Fort Lauderdale
Florida · 57556
Office
Unavailable
Facility
$568.31
No comparable office rate is available.
Rest Of Florida
Florida · 57556
Office
Unavailable
Facility
$542.56
No comparable office rate is available.
Atlanta
Georgia · 57556
Office
Unavailable
Facility
$537.07
No comparable office rate is available.
Rest Of Georgia
Georgia · 57556
Office
Unavailable
Facility
$515.34
No comparable office rate is available.
Hawaii, Guam
Hawaii · 57556
Office
Unavailable
Facility
$522.55
No comparable office rate is available.
Iowa
Iowa · 57556
Office
Unavailable
Facility
$476.36
No comparable office rate is available.
Idaho
Idaho · 57556
Office
Unavailable
Facility
$481.26
No comparable office rate is available.
East St. Louis
Illinois · 57556
Office
Unavailable
Facility
$564.13
No comparable office rate is available.
Rest Of Illinois
Illinois · 57556
Office
Unavailable
Facility
$538.73
No comparable office rate is available.
Suburban Chicago
Illinois · 57556
Office
Unavailable
Facility
$570.80
No comparable office rate is available.
Indiana
Indiana · 57556
Office
Unavailable
Facility
$483.11
No comparable office rate is available.
Kansas
Kansas · 57556
Office
Unavailable
Facility
$480.31
No comparable office rate is available.
Kentucky
Kentucky · 57556
Office
Unavailable
Facility
$499.95
No comparable office rate is available.
New Orleans
Louisiana · 57556
Office
Unavailable
Facility
$520.36
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 57556
Office
Unavailable
Facility
$501.61
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 57556
Office
Unavailable
Facility
$561.13
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 57556
Office
Unavailable
Facility
$525.38
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 57556
Office
Unavailable
Facility
$552.32
No comparable office rate is available.
Rest Of Maryland
Maryland · 57556
Office
Unavailable
Facility
$523.33
No comparable office rate is available.
Rest Of Maine
Maine · 57556
Office
Unavailable
Facility
$489.28
No comparable office rate is available.
Southern Maine
Maine · 57556
Office
Unavailable
Facility
$501.40
No comparable office rate is available.
Detroit
Michigan · 57556
Office
Unavailable
Facility
$553.87
No comparable office rate is available.
Rest Of Michigan
Michigan · 57556
Office
Unavailable
Facility
$515.39
No comparable office rate is available.
Minnesota
Minnesota · 57556
Office
Unavailable
Facility
$489.62
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 57556
Office
Unavailable
Facility
$511.48
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 57556
Office
Unavailable
Facility
$514.96
No comparable office rate is available.
Rest Of Missouri
Missouri · 57556
Office
Unavailable
Facility
$498.69
No comparable office rate is available.
Mississippi
Mississippi · 57556
Office
Unavailable
Facility
$485.89
No comparable office rate is available.
Montana**
Montana · 57556
Office
Unavailable
Facility
$522.62
No comparable office rate is available.
North Carolina
North Carolina · 57556
Office
Unavailable
Facility
$492.32
No comparable office rate is available.
North Dakota**
North Dakota · 57556
Office
Unavailable
Facility
$490.78
No comparable office rate is available.
Nebraska
Nebraska · 57556
Office
Unavailable
Facility
$476.65
No comparable office rate is available.
New Hampshire
New Hampshire · 57556
Office
Unavailable
Facility
$522.73
No comparable office rate is available.
Northern Nj
New Jersey · 57556
Office
Unavailable
Facility
$571.83
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 57556
Office
Unavailable
Facility
$555.23
No comparable office rate is available.
New Mexico
New Mexico · 57556
Office
Unavailable
Facility
$519.92
No comparable office rate is available.
Nevada**
Nevada · 57556
Office
Unavailable
Facility
$513.91
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 57556
Office
Unavailable
Facility
$619.32
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 57556
Office
Unavailable
Facility
$563.32
No comparable office rate is available.
Queens
New York · 57556
Office
Unavailable
Facility
$595.86
No comparable office rate is available.
Rest Of New York
New York · 57556
Office
Unavailable
Facility
$498.55
No comparable office rate is available.
Ohio
Ohio · 57556
Office
Unavailable
Facility
$508.89
No comparable office rate is available.
Oklahoma
Oklahoma · 57556
Office
Unavailable
Facility
$493.18
No comparable office rate is available.
Portland
Oregon · 57556
Office
Unavailable
Facility
$532.04
No comparable office rate is available.
Rest Of Oregon
Oregon · 57556
Office
Unavailable
Facility
$506.10
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 57556
Office
Unavailable
Facility
$545.32
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 57556
Office
Unavailable
Facility
$506.32
No comparable office rate is available.
Puerto Rico
Puerto Rico · 57556
Office
Unavailable
Facility
$523.72
No comparable office rate is available.
Rhode Island
Rhode Island · 57556
Office
Unavailable
Facility
$528.12
No comparable office rate is available.
South Carolina
South Carolina · 57556
Office
Unavailable
Facility
$502.19
No comparable office rate is available.
South Dakota**
South Dakota · 57556
Office
Unavailable
Facility
$487.02
No comparable office rate is available.
Tennessee
Tennessee · 57556
Office
Unavailable
Facility
$482.90
No comparable office rate is available.
Austin
Texas · 57556
Office
Unavailable
Facility
$526.72
No comparable office rate is available.
Beaumont
Texas · 57556
Office
Unavailable
Facility
$504.15
No comparable office rate is available.
Brazoria
Texas · 57556
Office
Unavailable
Facility
$511.86
No comparable office rate is available.
Dallas
Texas · 57556
Office
Unavailable
Facility
$517.18
No comparable office rate is available.
Fort Worth
Texas · 57556
Office
Unavailable
Facility
$516.24
No comparable office rate is available.
Galveston
Texas · 57556
Office
Unavailable
Facility
$514.77
No comparable office rate is available.
Houston
Texas · 57556
Office
Unavailable
Facility
$544.24
No comparable office rate is available.
Rest Of Texas
Texas · 57556
Office
Unavailable
Facility
$509.14
No comparable office rate is available.
Utah
Utah · 57556
Office
Unavailable
Facility
$507.40
No comparable office rate is available.
Virginia
Virginia · 57556
Office
Unavailable
Facility
$504.13
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 57556
Office
Unavailable
Facility
$523.72
No comparable office rate is available.
Vermont
Vermont · 57556
Office
Unavailable
Facility
$494.52
No comparable office rate is available.
Rest Of Washington
Washington · 57556
Office
Unavailable
Facility
$522.53
No comparable office rate is available.
Seattle (King Cnty)
Washington · 57556
Office
Unavailable
Facility
$565.36
No comparable office rate is available.
Wisconsin
Wisconsin · 57556
Office
Unavailable
Facility
$478.62
No comparable office rate is available.
West Virginia
West Virginia · 57556
Office
Unavailable
Facility
$524.42
No comparable office rate is available.
Wyoming**
Wyoming · 57556
Office
Unavailable
Facility
$508.74
No comparable office rate is available.
See how rates vary across the country
57556 · 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 57556 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$570.57
$518.70 × 110% = $570.57
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 57556 in Modesto.
PPRRVU2026_Oct_nonQPP.csv
6,511
- Code
- 57556
- Physician work
- 9.13
- Practice expense
- 4.91
- Malpractice
- 1.61
GPCI2026.csv
16
- Locality
- Modesto
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.13 | × 1.017 | 9.2852 |
| Practice expense | 4.91 | × 1.096 | 5.3814 |
| Malpractice | 1.61 | × 0.536 | 0.8630 |
| Total RVUs | 15.5295 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Modesto$518.70
Open 57556 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.13 | 1.017 |
| Practice expense | 4.91 | 1.096 |
| Malpractice | 1.61 | 0.536 |
(9.13 × 1.017 + 4.91 × 1.096 + 1.61 × 0.536) × $33.4009 = $518.70
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
57556 · 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 | $518.70 | RVU26D |
| 2026-07-01 | Not available in this setting | $518.70 | RVU26C |
| 2026-04-01 | Not available in this setting | $518.70 | RVU26B |
| 2026-01-01 | Not available in this setting | $518.70 | RVU26A |
| 2025-10-01 | Not available in this setting | $575.50 | RVU25D |
| 2025-07-01 | Not available in this setting | $575.50 | RVU25C |
| 2025-04-01 | Not available in this setting | $575.50 | RVU25B |
| 2025-01-01 | Not available in this setting | $575.50 | RVU25A |
57556 billing questions
When should 57556 be chosen over 57550?
Use 57556 when vaginal removal of the cervical stump is performed with bowel repair. 57550 describes stump removal without that specified repair.
Is the bowel repair included in this service?
The code represents stump removal together with bowel repair. Do not separately report the same repair as an unrelated service.
Can modifier 50 be used?
No. The anatomy and service described make bilateral reporting with modifier 50 inappropriate.
What global period applies?
CMS assigns a 90-day major-surgery global period. It includes the day-before preoperative visit and 90 days of related postoperative care.
How are assistant and co-surgeon claims handled?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
What happens if other procedures are performed in the same session?
CMS pays the highest-valued procedure in full and applies the standard multiple-procedure reduction to the other procedures.
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.
6,50857545,,Remove cervix/repair pelvis,A,,13.75,5.89,NA,5.89,,2.41,22.05,22.05,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,50957550,,Removal of residual cervix,A,,6.18,4.29,NA,4.29,,1.09,11.56,11.56,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,51057555,,Remove cervix/repair vagina,A,,9.69,5.07,NA,5.07,,1.70,16.46,16.46,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,51157556,,Remove cervix repair bowel,A,,9.13,4.91,NA,4.91,,1.61,15.65,15.65,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,51257558,,D&c of cervical stump,A,,1.68,2.51,,1.44,,0.29,4.48,3.41,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,51357700,,Revision of cervix,A,,4.24,4.55,NA,4.55,,0.75,9.54,9.54,0,090,0.12,0.74,0.14,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,51457720,,Revision of cervix,A,,4.49,3.68,NA,3.68,,0.79,8.96,8.96,0,090,0.12,0.74,0.14,2,0,2,0,0,9,,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