No office rate
This code describes an extensive abdominal hysterectomy with partial vaginectomy and nodal sampling. 58210 is the radical abdominal procedure with bilateral total pelvic lymphadenectomy and para-aortic sampling.
On this page
CMS RVU26D · Effective 2026-10-01
58200 in Modesto
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1225.72
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 58200: Extensive abdominal hysterectomy with node sampling
An abdominal hysterectomy that includes partial vaginal resection and pelvic and para-aortic node sampling, reported for selected gynecologic cancer operations.
A gynecologic surgeon performs this abdominal operation to remove the uterus and cervix along with a portion of the vagina and sample pelvic and para-aortic lymph nodes. Removal of one or both fallopian tubes or ovaries may be part of the operation. It is typically performed by a gynecologic oncologist in a hospital operating room for selected gynecologic malignancies.
Report the code when the operative record supports the abdominal approach, partial vaginectomy, and the specified nodal sampling; removal of tubes or ovaries is optional. The CMS 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 other procedures are subject to the standard 50% reduction. Do not use modifier 50 for this service. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted.
CMS billing rules for 58200
- 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 RVU22.52 · 60%
- Practice expense (office) RVU10.18 · 27%
- Malpractice RVU4.92 · 13%
136
Medicare services in 2024 · #4630 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.
58200 compared with similar codes
Office rates for Modesto, from the same CMS release.
No office rate
58150 describes abdominal removal of the uterus and cervix without this code's specified partial vaginectomy and pelvic and para-aortic node sampling.
No office rate
58285 is a vaginal radical hysterectomy with pelvic lymphadenectomy; this code describes an abdominal approach with partial vaginectomy and pelvic and para-aortic node sampling.
The same code, a different location
How does Modesto compare?
58200 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 · 58200
Office
Unavailable
Facility
$1225.72
No comparable office rate is available.
Merced
California · 58200
Office
Unavailable
Facility
$1225.72
No comparable office rate is available.
Napa
California · 58200
Office
Unavailable
Facility
$1331.20
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 58200
Office
Unavailable
Facility
$1277.53
No comparable office rate is available.
Redding
California · 58200
Office
Unavailable
Facility
$1225.72
No comparable office rate is available.
Rest Of California
California · 58200
Office
Unavailable
Facility
$1225.72
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 58200
Office
Unavailable
Facility
$1278.57
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 58200
Office
Unavailable
Facility
$1262.79
No comparable office rate is available.
Salinas
California · 58200
Office
Unavailable
Facility
$1257.67
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 58200
Office
Unavailable
Facility
$1270.49
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 58200
Office
Unavailable
Facility
$1378.50
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 58200
Office
Unavailable
Facility
$1372.92
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 58200
Office
Unavailable
Facility
$1413.32
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 58200
Office
Unavailable
Facility
$1390.48
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 58200
Office
Unavailable
Facility
$1240.34
No comparable office rate is available.
Santa Cruz-Watsonville
California · 58200
Office
Unavailable
Facility
$1269.19
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 58200
Office
Unavailable
Facility
$1257.80
No comparable office rate is available.
Santa Rosa-Petaluma
California · 58200
Office
Unavailable
Facility
$1280.38
No comparable office rate is available.
Stockton
California · 58200
Office
Unavailable
Facility
$1225.72
No comparable office rate is available.
Vallejo
California · 58200
Office
Unavailable
Facility
$1323.15
No comparable office rate is available.
Visalia
California · 58200
Office
Unavailable
Facility
$1225.72
No comparable office rate is available.
Yuba City
California · 58200
Office
Unavailable
Facility
$1225.72
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 58200
Office
Unavailable
Facility
$1376.25
No comparable office rate is available.
Miami
Florida · 58200
Office
Unavailable
Facility
$1521.75
No comparable office rate is available.
Chicago
Illinois · 58200
Office
Unavailable
Facility
$1476.32
No comparable office rate is available.
Manhattan
New York · 58200
Office
Unavailable
Facility
$1456.06
No comparable office rate is available.
Alaska*
Alaska · 58200
Office
Unavailable
Facility
$1580.95
No comparable office rate is available.
Alabama
Alabama · 58200
Office
Unavailable
Facility
$1142.72
No comparable office rate is available.
Arkansas
Arkansas · 58200
Office
Unavailable
Facility
$1128.90
No comparable office rate is available.
Arizona
Arizona · 58200
Office
Unavailable
Facility
$1222.34
No comparable office rate is available.
Colorado
Colorado · 58200
Office
Unavailable
Facility
$1251.34
No comparable office rate is available.
Connecticut
Connecticut · 58200
Office
Unavailable
Facility
$1332.28
No comparable office rate is available.
Delaware
Delaware · 58200
Office
Unavailable
Facility
$1239.62
No comparable office rate is available.
Fort Lauderdale
Florida · 58200
Office
Unavailable
Facility
$1393.74
No comparable office rate is available.
Rest Of Florida
Florida · 58200
Office
Unavailable
Facility
$1324.24
No comparable office rate is available.
Atlanta
Georgia · 58200
Office
Unavailable
Facility
$1297.27
No comparable office rate is available.
Rest Of Georgia
Georgia · 58200
Office
Unavailable
Facility
$1251.37
No comparable office rate is available.
Hawaii, Guam
Hawaii · 58200
Office
Unavailable
Facility
$1233.94
No comparable office rate is available.
Iowa
Iowa · 58200
Office
Unavailable
Facility
$1128.55
No comparable office rate is available.
Idaho
Idaho · 58200
Office
Unavailable
Facility
$1142.74
No comparable office rate is available.
East St. Louis
Illinois · 58200
Office
Unavailable
Facility
$1395.97
No comparable office rate is available.
Rest Of Illinois
Illinois · 58200
Office
Unavailable
Facility
$1319.48
No comparable office rate is available.
Suburban Chicago
Illinois · 58200
Office
Unavailable
Facility
$1397.85
No comparable office rate is available.
Indiana
Indiana · 58200
Office
Unavailable
Facility
$1147.25
No comparable office rate is available.
Kansas
Kansas · 58200
Office
Unavailable
Facility
$1142.39
No comparable office rate is available.
Kentucky
Kentucky · 58200
Office
Unavailable
Facility
$1204.83
No comparable office rate is available.
New Orleans
Louisiana · 58200
Office
Unavailable
Facility
$1258.83
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 58200
Office
Unavailable
Facility
$1210.54
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 58200
Office
Unavailable
Facility
$1335.27
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 58200
Office
Unavailable
Facility
$1253.24
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 58200
Office
Unavailable
Facility
$1332.35
No comparable office rate is available.
Rest Of Maryland
Maryland · 58200
Office
Unavailable
Facility
$1254.67
No comparable office rate is available.
Rest Of Maine
Maine · 58200
Office
Unavailable
Facility
$1167.22
No comparable office rate is available.
Southern Maine
Maine · 58200
Office
Unavailable
Facility
$1192.84
No comparable office rate is available.
Detroit
Michigan · 58200
Office
Unavailable
Facility
$1357.37
No comparable office rate is available.
Rest Of Michigan
Michigan · 58200
Office
Unavailable
Facility
$1248.16
No comparable office rate is available.
Minnesota
Minnesota · 58200
Office
Unavailable
Facility
$1150.71
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 58200
Office
Unavailable
Facility
$1232.02
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 58200
Office
Unavailable
Facility
$1240.55
No comparable office rate is available.
Rest Of Missouri
Missouri · 58200
Office
Unavailable
Facility
$1205.35
No comparable office rate is available.
Mississippi
Mississippi · 58200
Office
Unavailable
Facility
$1166.39
No comparable office rate is available.
Montana**
Montana · 58200
Office
Unavailable
Facility
$1256.21
No comparable office rate is available.
North Carolina
North Carolina · 58200
Office
Unavailable
Facility
$1174.44
No comparable office rate is available.
North Dakota**
North Dakota · 58200
Office
Unavailable
Facility
$1158.93
No comparable office rate is available.
Nebraska
Nebraska · 58200
Office
Unavailable
Facility
$1128.15
No comparable office rate is available.
New Hampshire
New Hampshire · 58200
Office
Unavailable
Facility
$1249.94
No comparable office rate is available.
Northern Nj
New Jersey · 58200
Office
Unavailable
Facility
$1369.51
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 58200
Office
Unavailable
Facility
$1333.85
No comparable office rate is available.
New Mexico
New Mexico · 58200
Office
Unavailable
Facility
$1261.35
No comparable office rate is available.
Nevada**
Nevada · 58200
Office
Unavailable
Facility
$1229.44
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 58200
Office
Unavailable
Facility
$1509.78
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 58200
Office
Unavailable
Facility
$1357.20
No comparable office rate is available.
Queens
New York · 58200
Office
Unavailable
Facility
$1439.20
No comparable office rate is available.
Rest Of New York
New York · 58200
Office
Unavailable
Facility
$1190.73
No comparable office rate is available.
Ohio
Ohio · 58200
Office
Unavailable
Facility
$1228.27
No comparable office rate is available.
Oklahoma
Oklahoma · 58200
Office
Unavailable
Facility
$1183.51
No comparable office rate is available.
Portland
Oregon · 58200
Office
Unavailable
Facility
$1264.25
No comparable office rate is available.
Rest Of Oregon
Oregon · 58200
Office
Unavailable
Facility
$1206.38
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 58200
Office
Unavailable
Facility
$1315.74
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 58200
Office
Unavailable
Facility
$1219.62
No comparable office rate is available.
Puerto Rico
Puerto Rico · 58200
Office
Unavailable
Facility
$1257.82
No comparable office rate is available.
Rhode Island
Rhode Island · 58200
Office
Unavailable
Facility
$1264.31
No comparable office rate is available.
South Carolina
South Carolina · 58200
Office
Unavailable
Facility
$1206.05
No comparable office rate is available.
South Dakota**
South Dakota · 58200
Office
Unavailable
Facility
$1147.43
No comparable office rate is available.
Tennessee
Tennessee · 58200
Office
Unavailable
Facility
$1149.51
No comparable office rate is available.
Austin
Texas · 58200
Office
Unavailable
Facility
$1259.03
No comparable office rate is available.
Beaumont
Texas · 58200
Office
Unavailable
Facility
$1214.27
No comparable office rate is available.
Brazoria
Texas · 58200
Office
Unavailable
Facility
$1223.35
No comparable office rate is available.
Dallas
Texas · 58200
Office
Unavailable
Facility
$1238.62
No comparable office rate is available.
Fort Worth
Texas · 58200
Office
Unavailable
Facility
$1237.35
No comparable office rate is available.
Galveston
Texas · 58200
Office
Unavailable
Facility
$1231.91
No comparable office rate is available.
Houston
Texas · 58200
Office
Unavailable
Facility
$1321.97
No comparable office rate is available.
Rest Of Texas
Texas · 58200
Office
Unavailable
Facility
$1223.26
No comparable office rate is available.
Utah
Utah · 58200
Office
Unavailable
Facility
$1219.38
No comparable office rate is available.
Virginia
Virginia · 58200
Office
Unavailable
Facility
$1202.45
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 58200
Office
Unavailable
Facility
$1257.82
No comparable office rate is available.
Vermont
Vermont · 58200
Office
Unavailable
Facility
$1171.96
No comparable office rate is available.
Rest Of Washington
Washington · 58200
Office
Unavailable
Facility
$1245.07
No comparable office rate is available.
Seattle (King Cnty)
Washington · 58200
Office
Unavailable
Facility
$1341.26
No comparable office rate is available.
Wisconsin
Wisconsin · 58200
Office
Unavailable
Facility
$1128.54
No comparable office rate is available.
West Virginia
West Virginia · 58200
Office
Unavailable
Facility
$1282.83
No comparable office rate is available.
Wyoming**
Wyoming · 58200
Office
Unavailable
Facility
$1213.82
No comparable office rate is available.
See how rates vary across the country
58200 · 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 58200 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1348.29
$1225.72 × 110% = $1348.29
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 58200 in Modesto.
PPRRVU2026_Oct_nonQPP.csv
6,525
- Code
- 58200
- Physician work
- 22.52
- Practice expense
- 10.18
- Malpractice
- 4.92
GPCI2026.csv
16
- Locality
- Modesto
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 22.52 | × 1.017 | 22.9028 |
| Practice expense | 10.18 | × 1.096 | 11.1573 |
| Malpractice | 4.92 | × 0.536 | 2.6371 |
| Total RVUs | 36.6972 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Modesto$1225.72
Open 58200 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 22.52 | 1.017 |
| Practice expense | 10.18 | 1.096 |
| Malpractice | 4.92 | 0.536 |
(22.52 × 1.017 + 10.18 × 1.096 + 4.92 × 0.536) × $33.4009 = $1225.72
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
58200 · 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 | $1225.72 | RVU26D |
| 2026-07-01 | Not available in this setting | $1225.72 | RVU26C |
| 2026-04-01 | Not available in this setting | $1225.72 | RVU26B |
| 2026-01-01 | Not available in this setting | $1225.72 | RVU26A |
| 2025-10-01 | Not available in this setting | $1314.42 | RVU25D |
| 2025-07-01 | Not available in this setting | $1314.42 | RVU25C |
| 2025-04-01 | Not available in this setting | $1314.42 | RVU25B |
| 2025-01-01 | Not available in this setting | $1314.42 | RVU25A |
58200 billing questions
How does this differ from 58210?
58210 describes a radical abdominal operation with bilateral total pelvic lymphadenectomy and para-aortic node sampling. Choose based on the documented extent of resection and nodal dissection, not just the cancer diagnosis.
Are the partial vaginectomy and node sampling included?
Yes. Those elements are part of this extensive hysterectomy service and should be supported in the operative report.
Can tubes or ovaries be removed with this procedure?
Yes. Their removal is optional under the code; document which adnexal structures were removed.
Should modifier 50 be appended?
No. CMS identifies bilateral adjustment as inappropriate for this service.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; CMS does not permit team-surgery payment for this code.
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.
6,52258150,,Total hysterectomy,A,,16.88,7.65,NA,7.65,,3.41,27.94,27.94,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,52358152,,Total hysterectomy,A,,21.31,7.59,NA,7.59,,3.74,32.64,32.64,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,52458180,,Partial hysterectomy,A,,16.19,6.73,NA,6.73,,3.03,25.95,25.95,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,52558200,,Extensive hysterectomy,A,,22.52,10.18,NA,10.18,,4.92,37.62,37.62,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,52658210,,Extensive hysterectomy,A,,30.14,13.56,NA,13.56,,6.53,50.23,50.23,0,090,0.12,0.74,0.14,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,52758240,,Removal of pelvis contents,A,,48.10,22.25,NA,22.25,,9.82,80.17,80.17,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,52858260,,Vaginal hysterectomy,A,,13.80,6.01,NA,6.01,,2.40,22.21,22.21,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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