No office rate
Both are laparoscopic supracervical hysterectomies for a uterus 250 g or less. Choose 58542 when one or more tubes and/or ovaries are removed; 58541 describes the procedure without that removal.
On this page
CMS RVU26D · Effective 2026-10-01
58542 in Modesto
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$723.32
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 58542: Laparoscopic supracervical hysterectomy with adnexal removal
Reports laparoscopic removal of the uterine body while leaving the cervix, with removal of one or more tubes and/or ovaries, for a uterus weighing 250 g or less.
A gynecologic surgeon removes the uterine body laparoscopically and leaves the cervix in place. This code is for cases that also include removal of at least one fallopian tube and/or ovary, such as a tube removed during hysterectomy for symptomatic fibroids or abnormal uterine bleeding. The procedure is generally performed in a hospital operating room or an ambulatory surgery setting. The uterine weight determines whether this code or a higher-weight code in the family applies.
Report the code when the operative record supports the supracervical approach, adnexal removal, and uterine weight of 250 g or less; pathology documentation can help substantiate weight. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. 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 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. CMS permits assistant-at-surgery and co-surgeon payment; team surgery is not permitted.
CMS billing rules for 58542
- 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 RVU13.81 · 63%
- Practice expense (office) RVU5.79 · 26%
- Malpractice RVU2.36 · 11%
4K
Medicare services in 2024 · #1995 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.
58542 compared with similar codes
Office rates for Modesto, from the same CMS release.
No office rate
Both include laparoscopic supracervical hysterectomy with adnexal removal. The distinction is uterine weight: 58544 is for a uterus weighing more than 250 g.
No office rate
Both describe laparoscopic hysterectomy with adnexal removal for a uterus 250 g or less. Use 58571 when the cervix is removed; 58542 leaves it in place.
The same code, a different location
How does Modesto compare?
58542 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 · 58542
Office
Unavailable
Facility
$723.32
No comparable office rate is available.
Merced
California · 58542
Office
Unavailable
Facility
$723.32
No comparable office rate is available.
Napa
California · 58542
Office
Unavailable
Facility
$785.26
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 58542
Office
Unavailable
Facility
$751.88
No comparable office rate is available.
Redding
California · 58542
Office
Unavailable
Facility
$723.32
No comparable office rate is available.
Rest Of California
California · 58542
Office
Unavailable
Facility
$723.32
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 58542
Office
Unavailable
Facility
$748.76
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 58542
Office
Unavailable
Facility
$745.04
No comparable office rate is available.
Salinas
California · 58542
Office
Unavailable
Facility
$741.96
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 58542
Office
Unavailable
Facility
$749.12
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 58542
Office
Unavailable
Facility
$813.95
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 58542
Office
Unavailable
Facility
$811.27
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 58542
Office
Unavailable
Facility
$833.13
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 58542
Office
Unavailable
Facility
$822.17
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 58542
Office
Unavailable
Facility
$731.63
No comparable office rate is available.
Santa Cruz-Watsonville
California · 58542
Office
Unavailable
Facility
$748.17
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 58542
Office
Unavailable
Facility
$741.93
No comparable office rate is available.
Santa Rosa-Petaluma
California · 58542
Office
Unavailable
Facility
$754.84
No comparable office rate is available.
Stockton
California · 58542
Office
Unavailable
Facility
$723.32
No comparable office rate is available.
Vallejo
California · 58542
Office
Unavailable
Facility
$781.40
No comparable office rate is available.
Visalia
California · 58542
Office
Unavailable
Facility
$723.32
No comparable office rate is available.
Yuba City
California · 58542
Office
Unavailable
Facility
$723.32
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 58542
Office
Unavailable
Facility
$801.72
No comparable office rate is available.
Miami
Florida · 58542
Office
Unavailable
Facility
$861.94
No comparable office rate is available.
Chicago
Illinois · 58542
Office
Unavailable
Facility
$839.76
No comparable office rate is available.
Manhattan
New York · 58542
Office
Unavailable
Facility
$840.53
No comparable office rate is available.
Alaska*
Alaska · 58542
Office
Unavailable
Facility
$941.29
No comparable office rate is available.
Alabama
Alabama · 58542
Office
Unavailable
Facility
$675.10
No comparable office rate is available.
Arkansas
Arkansas · 58542
Office
Unavailable
Facility
$667.98
No comparable office rate is available.
Arizona
Arizona · 58542
Office
Unavailable
Facility
$716.14
No comparable office rate is available.
Colorado
Colorado · 58542
Office
Unavailable
Facility
$734.13
No comparable office rate is available.
Connecticut
Connecticut · 58542
Office
Unavailable
Facility
$774.15
No comparable office rate is available.
Delaware
Delaware · 58542
Office
Unavailable
Facility
$725.51
No comparable office rate is available.
Fort Lauderdale
Florida · 58542
Office
Unavailable
Facility
$799.69
No comparable office rate is available.
Rest Of Florida
Florida · 58542
Office
Unavailable
Facility
$764.62
No comparable office rate is available.
Atlanta
Georgia · 58542
Office
Unavailable
Facility
$753.81
No comparable office rate is available.
Rest Of Georgia
Georgia · 58542
Office
Unavailable
Facility
$727.73
No comparable office rate is available.
Hawaii, Guam
Hawaii · 58542
Office
Unavailable
Facility
$726.79
No comparable office rate is available.
Iowa
Iowa · 58542
Office
Unavailable
Facility
$669.51
No comparable office rate is available.
Idaho
Idaho · 58542
Office
Unavailable
Facility
$676.47
No comparable office rate is available.
East St. Louis
Illinois · 58542
Office
Unavailable
Facility
$797.94
No comparable office rate is available.
Rest Of Illinois
Illinois · 58542
Office
Unavailable
Facility
$761.04
No comparable office rate is available.
Suburban Chicago
Illinois · 58542
Office
Unavailable
Facility
$802.79
No comparable office rate is available.
Indiana
Indiana · 58542
Office
Unavailable
Facility
$678.85
No comparable office rate is available.
Kansas
Kansas · 58542
Office
Unavailable
Facility
$675.82
No comparable office rate is available.
Kentucky
Kentucky · 58542
Office
Unavailable
Facility
$705.32
No comparable office rate is available.
New Orleans
Louisiana · 58542
Office
Unavailable
Facility
$732.79
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 58542
Office
Unavailable
Facility
$707.93
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 58542
Office
Unavailable
Facility
$781.24
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 58542
Office
Unavailable
Facility
$735.11
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 58542
Office
Unavailable
Facility
$773.66
No comparable office rate is available.
Rest Of Maryland
Maryland · 58542
Office
Unavailable
Facility
$733.95
No comparable office rate is available.
Rest Of Maine
Maine · 58542
Office
Unavailable
Facility
$688.22
No comparable office rate is available.
Southern Maine
Maine · 58542
Office
Unavailable
Facility
$702.66
No comparable office rate is available.
Detroit
Michigan · 58542
Office
Unavailable
Facility
$780.79
No comparable office rate is available.
Rest Of Michigan
Michigan · 58542
Office
Unavailable
Facility
$726.83
No comparable office rate is available.
Minnesota
Minnesota · 58542
Office
Unavailable
Facility
$683.60
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 58542
Office
Unavailable
Facility
$719.87
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 58542
Office
Unavailable
Facility
$724.36
No comparable office rate is available.
Rest Of Missouri
Missouri · 58542
Office
Unavailable
Facility
$704.75
No comparable office rate is available.
Mississippi
Mississippi · 58542
Office
Unavailable
Facility
$686.03
No comparable office rate is available.
Montana**
Montana · 58542
Office
Unavailable
Facility
$733.33
No comparable office rate is available.
North Carolina
North Carolina · 58542
Office
Unavailable
Facility
$692.07
No comparable office rate is available.
North Dakota**
North Dakota · 58542
Office
Unavailable
Facility
$686.66
No comparable office rate is available.
Nebraska
Nebraska · 58542
Office
Unavailable
Facility
$669.56
No comparable office rate is available.
New Hampshire
New Hampshire · 58542
Office
Unavailable
Facility
$731.56
No comparable office rate is available.
Northern Nj
New Jersey · 58542
Office
Unavailable
Facility
$798.85
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 58542
Office
Unavailable
Facility
$777.37
No comparable office rate is available.
New Mexico
New Mexico · 58542
Office
Unavailable
Facility
$733.28
No comparable office rate is available.
Nevada**
Nevada · 58542
Office
Unavailable
Facility
$720.51
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 58542
Office
Unavailable
Facility
$867.11
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 58542
Office
Unavailable
Facility
$789.17
No comparable office rate is available.
Queens
New York · 58542
Office
Unavailable
Facility
$833.04
No comparable office rate is available.
Rest Of New York
New York · 58542
Office
Unavailable
Facility
$700.40
No comparable office rate is available.
Ohio
Ohio · 58542
Office
Unavailable
Facility
$717.29
No comparable office rate is available.
Oklahoma
Oklahoma · 58542
Office
Unavailable
Facility
$695.21
No comparable office rate is available.
Portland
Oregon · 58542
Office
Unavailable
Facility
$742.15
No comparable office rate is available.
Rest Of Oregon
Oregon · 58542
Office
Unavailable
Facility
$709.30
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 58542
Office
Unavailable
Facility
$764.93
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 58542
Office
Unavailable
Facility
$713.29
No comparable office rate is available.
Puerto Rico
Puerto Rico · 58542
Office
Unavailable
Facility
$734.43
No comparable office rate is available.
Rhode Island
Rhode Island · 58542
Office
Unavailable
Facility
$740.12
No comparable office rate is available.
South Carolina
South Carolina · 58542
Office
Unavailable
Facility
$706.96
No comparable office rate is available.
South Dakota**
South Dakota · 58542
Office
Unavailable
Facility
$681.14
No comparable office rate is available.
Tennessee
Tennessee · 58542
Office
Unavailable
Facility
$679.39
No comparable office rate is available.
Austin
Texas · 58542
Office
Unavailable
Facility
$736.64
No comparable office rate is available.
Beaumont
Texas · 58542
Office
Unavailable
Facility
$710.48
No comparable office rate is available.
Brazoria
Texas · 58542
Office
Unavailable
Facility
$718.09
No comparable office rate is available.
Dallas
Texas · 58542
Office
Unavailable
Facility
$725.67
No comparable office rate is available.
Fort Worth
Texas · 58542
Office
Unavailable
Facility
$724.76
No comparable office rate is available.
Galveston
Texas · 58542
Office
Unavailable
Facility
$722.26
No comparable office rate is available.
Houston
Texas · 58542
Office
Unavailable
Facility
$765.46
No comparable office rate is available.
Rest Of Texas
Texas · 58542
Office
Unavailable
Facility
$715.97
No comparable office rate is available.
Utah
Utah · 58542
Office
Unavailable
Facility
$713.84
No comparable office rate is available.
Virginia
Virginia · 58542
Office
Unavailable
Facility
$707.02
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 58542
Office
Unavailable
Facility
$734.43
No comparable office rate is available.
Vermont
Vermont · 58542
Office
Unavailable
Facility
$692.61
No comparable office rate is available.
Rest Of Washington
Washington · 58542
Office
Unavailable
Facility
$730.89
No comparable office rate is available.
Seattle (King Cnty)
Washington · 58542
Office
Unavailable
Facility
$786.02
No comparable office rate is available.
Wisconsin
Wisconsin · 58542
Office
Unavailable
Facility
$670.81
No comparable office rate is available.
West Virginia
West Virginia · 58542
Office
Unavailable
Facility
$742.12
No comparable office rate is available.
Wyoming**
Wyoming · 58542
Office
Unavailable
Facility
$712.99
No comparable office rate is available.
See how rates vary across the country
58542 · 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 58542 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$795.65
$723.32 × 110% = $795.65
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 58542 in Modesto.
PPRRVU2026_Oct_nonQPP.csv
6,556
- Code
- 58542
- Physician work
- 13.81
- Practice expense
- 5.79
- Malpractice
- 2.36
GPCI2026.csv
16
- Locality
- Modesto
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.81 | × 1.017 | 14.0448 |
| Practice expense | 5.79 | × 1.096 | 6.3458 |
| Malpractice | 2.36 | × 0.536 | 1.2650 |
| Total RVUs | 21.6556 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Modesto$723.32
Open 58542 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.81 | 1.017 |
| Practice expense | 5.79 | 1.096 |
| Malpractice | 2.36 | 0.536 |
(13.81 × 1.017 + 5.79 × 1.096 + 2.36 × 0.536) × $33.4009 = $723.32
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
58542 · 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 | $723.32 | RVU26D |
| 2026-07-01 | Not available in this setting | $723.32 | RVU26C |
| 2026-04-01 | Not available in this setting | $723.32 | RVU26B |
| 2026-01-01 | Not available in this setting | $723.32 | RVU26A |
| 2025-10-01 | Not available in this setting | $807.32 | RVU25D |
| 2025-07-01 | Not available in this setting | $807.32 | RVU25C |
| 2025-04-01 | Not available in this setting | $807.32 | RVU25B |
| 2025-01-01 | Not available in this setting | $807.32 | RVU25A |
58542 billing questions
How does this differ from 58541?
58542 includes removal of one or more fallopian tubes and/or ovaries during the supracervical hysterectomy. Use 58541 when the uterus is 250 g or less and no tube or ovary is removed.
Does the cervix remain?
Yes. This is a supracervical hysterectomy: the uterine body is removed and the cervix is retained.
Can the tube or ovary removal be billed separately?
Removal of one or more tubes and/or ovaries is part of the service represented by 58542. Do not separately report the same adnexal removal as though it were outside this hysterectomy service.
What supports the 250 g threshold?
The operative and pathology records should support the uterine weight and the laparoscopic supracervical approach. Use the higher-weight code when the uterus weighs more than 250 g.
Can an assistant or co-surgeon be reported?
CMS permits assistant-at-surgery and co-surgeon payment for this code. Team surgery is not permitted.
Should modifier 50 be appended?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate for the 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.
6,55358520,,Repair of ruptured uterus,A,,13.14,5.68,NA,5.68,,2.31,21.13,21.13,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,55458540,,Revision of uterus,A,,15.32,6.22,NA,6.22,,2.69,24.23,24.23,0,090,0.12,0.74,0.14,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,55558541,,Lsh uterus 250 g or less,A,,11.98,5.48,NA,5.48,,1.96,19.42,19.42,0,090,0.12,0.74,0.14,3,0,2,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
6,55658542,,Lsh w/t/o ut 250 g or less,A,,13.81,5.79,NA,5.79,,2.36,21.96,21.96,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,55758543,,Lsh uterus above 250 g,A,,14.03,5.73,NA,5.73,,2.47,22.23,22.23,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,55858544,,Lsh w/t/o uterus above 250 g,A,,15.21,6.17,NA,6.17,,2.63,24.01,24.01,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,55958545,,Laparoscopic myomectomy,A,,15.16,6.17,NA,6.17,,2.86,24.19,24.19,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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