No office rate
Both cover total laparoscopic hysterectomy for a uterus 250 g or less. Choose 58571 when at least one tube or ovary is also removed; choose 58570 when neither is removed.
On this page
CMS RVU26D · Effective 2026-10-01
58571 in Modesto
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$814.07
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 58571: Total laparoscopic hysterectomy with adnexal removal
Report this code for total laparoscopic removal of the uterus and cervix weighing 250 g or less, with removal of one or more fallopian tubes or ovaries.
A gynecologic surgeon removes the uterus and cervix laparoscopically and also removes one or more fallopian tubes or ovaries. The code covers cases in which the uterus weighs 250 g or less. Typical indications include symptomatic fibroids, adenomyosis, or abnormal uterine bleeding when hysterectomy is planned; the operation is commonly performed in a hospital or ambulatory surgery center.
Select this code rather than the corresponding code without adnexal removal when at least one tube or ovary is removed. The operative report should support the laparoscopic approach, removal of the uterus and cervix, adnexal removal, and uterine weight; pathology documentation can support the weight threshold. CMS assigns a 90-day global period, including 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% reduction. Modifier 50 is inappropriate. Assistant-at-surgery and co-surgeon payment may be allowed; team surgery is not permitted.
CMS billing rules for 58571
- 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 RVU14.63 · 59%
- Practice expense (office) RVU7.21 · 29%
- Malpractice RVU2.97 · 12%
30.8K
Medicare services in 2024 · #965 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.
58571 compared with similar codes
Office rates for Modesto, from the same CMS release.
No office rate
This code covers a uterus over 250 g without adnexal removal. For a uterus over 250 g with adnexal removal, compare 58573 instead.
No office rate
The procedure includes adnexal removal, as with 58571, but the uterus weighs over 250 g rather than 250 g or less.
No office rate
This code describes a laparoscopic-assisted vaginal hysterectomy with adnexal removal for a uterus 250 g or less. Choose based on the operative approach rather than the shared weight and adnexal features.
The same code, a different location
How does Modesto compare?
58571 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 · 58571
Office
Unavailable
Facility
$814.07
No comparable office rate is available.
Merced
California · 58571
Office
Unavailable
Facility
$814.07
No comparable office rate is available.
Napa
California · 58571
Office
Unavailable
Facility
$887.24
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 58571
Office
Unavailable
Facility
$848.79
No comparable office rate is available.
Redding
California · 58571
Office
Unavailable
Facility
$814.07
No comparable office rate is available.
Rest Of California
California · 58571
Office
Unavailable
Facility
$814.07
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 58571
Office
Unavailable
Facility
$846.01
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 58571
Office
Unavailable
Facility
$839.49
No comparable office rate is available.
Salinas
California · 58571
Office
Unavailable
Facility
$836.09
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 58571
Office
Unavailable
Facility
$845.10
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 58571
Office
Unavailable
Facility
$920.17
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 58571
Office
Unavailable
Facility
$916.79
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 58571
Office
Unavailable
Facility
$942.84
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 58571
Office
Unavailable
Facility
$929.05
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 58571
Office
Unavailable
Facility
$824.43
No comparable office rate is available.
Santa Cruz-Watsonville
California · 58571
Office
Unavailable
Facility
$844.69
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 58571
Office
Unavailable
Facility
$836.31
No comparable office rate is available.
Santa Rosa-Petaluma
California · 58571
Office
Unavailable
Facility
$852.21
No comparable office rate is available.
Stockton
California · 58571
Office
Unavailable
Facility
$814.07
No comparable office rate is available.
Vallejo
California · 58571
Office
Unavailable
Facility
$882.37
No comparable office rate is available.
Visalia
California · 58571
Office
Unavailable
Facility
$814.07
No comparable office rate is available.
Yuba City
California · 58571
Office
Unavailable
Facility
$814.07
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 58571
Office
Unavailable
Facility
$909.14
No comparable office rate is available.
Miami
Florida · 58571
Office
Unavailable
Facility
$990.23
No comparable office rate is available.
Chicago
Illinois · 58571
Office
Unavailable
Facility
$961.77
No comparable office rate is available.
Manhattan
New York · 58571
Office
Unavailable
Facility
$957.09
No comparable office rate is available.
Alaska*
Alaska · 58571
Office
Unavailable
Facility
$1044.12
No comparable office rate is available.
Alabama
Alabama · 58571
Office
Unavailable
Facility
$755.52
No comparable office rate is available.
Arkansas
Arkansas · 58571
Office
Unavailable
Facility
$746.61
No comparable office rate is available.
Arizona
Arizona · 58571
Office
Unavailable
Facility
$806.93
No comparable office rate is available.
Colorado
Colorado · 58571
Office
Unavailable
Facility
$828.23
No comparable office rate is available.
Connecticut
Connecticut · 58571
Office
Unavailable
Facility
$877.82
No comparable office rate is available.
Delaware
Delaware · 58571
Office
Unavailable
Facility
$818.21
No comparable office rate is available.
Fort Lauderdale
Florida · 58571
Office
Unavailable
Facility
$911.96
No comparable office rate is available.
Rest Of Florida
Florida · 58571
Office
Unavailable
Facility
$867.98
No comparable office rate is available.
Atlanta
Georgia · 58571
Office
Unavailable
Facility
$853.93
No comparable office rate is available.
Rest Of Georgia
Georgia · 58571
Office
Unavailable
Facility
$821.71
No comparable office rate is available.
Hawaii, Guam
Hawaii · 58571
Office
Unavailable
Facility
$819.91
No comparable office rate is available.
Iowa
Iowa · 58571
Office
Unavailable
Facility
$748.39
No comparable office rate is available.
Idaho
Idaho · 58571
Office
Unavailable
Facility
$757.13
No comparable office rate is available.
East St. Louis
Illinois · 58571
Office
Unavailable
Facility
$910.00
No comparable office rate is available.
Rest Of Illinois
Illinois · 58571
Office
Unavailable
Facility
$863.57
No comparable office rate is available.
Suburban Chicago
Illinois · 58571
Office
Unavailable
Facility
$915.18
No comparable office rate is available.
Indiana
Indiana · 58571
Office
Unavailable
Facility
$760.11
No comparable office rate is available.
Kansas
Kansas · 58571
Office
Unavailable
Facility
$756.35
No comparable office rate is available.
Kentucky
Kentucky · 58571
Office
Unavailable
Facility
$793.51
No comparable office rate is available.
New Orleans
Louisiana · 58571
Office
Unavailable
Facility
$827.96
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 58571
Office
Unavailable
Facility
$796.82
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 58571
Office
Unavailable
Facility
$884.52
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 58571
Office
Unavailable
Facility
$829.12
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 58571
Office
Unavailable
Facility
$877.59
No comparable office rate is available.
Rest Of Maryland
Maryland · 58571
Office
Unavailable
Facility
$828.32
No comparable office rate is available.
Rest Of Maine
Maine · 58571
Office
Unavailable
Facility
$771.91
No comparable office rate is available.
Southern Maine
Maine · 58571
Office
Unavailable
Facility
$789.90
No comparable office rate is available.
Detroit
Michigan · 58571
Office
Unavailable
Facility
$888.30
No comparable office rate is available.
Rest Of Michigan
Michigan · 58571
Office
Unavailable
Facility
$820.52
No comparable office rate is available.
Minnesota
Minnesota · 58571
Office
Unavailable
Facility
$765.82
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 58571
Office
Unavailable
Facility
$811.70
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 58571
Office
Unavailable
Facility
$817.32
No comparable office rate is available.
Rest Of Missouri
Missouri · 58571
Office
Unavailable
Facility
$792.86
No comparable office rate is available.
Mississippi
Mississippi · 58571
Office
Unavailable
Facility
$769.31
No comparable office rate is available.
Montana**
Montana · 58571
Office
Unavailable
Facility
$828.48
No comparable office rate is available.
North Carolina
North Carolina · 58571
Office
Unavailable
Facility
$776.73
No comparable office rate is available.
North Dakota**
North Dakota · 58571
Office
Unavailable
Facility
$769.75
No comparable office rate is available.
Nebraska
Nebraska · 58571
Office
Unavailable
Facility
$748.43
No comparable office rate is available.
New Hampshire
New Hampshire · 58571
Office
Unavailable
Facility
$826.15
No comparable office rate is available.
Northern Nj
New Jersey · 58571
Office
Unavailable
Facility
$904.74
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 58571
Office
Unavailable
Facility
$880.00
No comparable office rate is available.
New Mexico
New Mexico · 58571
Office
Unavailable
Facility
$828.63
No comparable office rate is available.
Nevada**
Nevada · 58571
Office
Unavailable
Facility
$812.35
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 58571
Office
Unavailable
Facility
$990.48
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 58571
Office
Unavailable
Facility
$894.38
No comparable office rate is available.
Queens
New York · 58571
Office
Unavailable
Facility
$947.63
No comparable office rate is available.
Rest Of New York
New York · 58571
Office
Unavailable
Facility
$787.17
No comparable office rate is available.
Ohio
Ohio · 58571
Office
Unavailable
Facility
$808.52
No comparable office rate is available.
Oklahoma
Oklahoma · 58571
Office
Unavailable
Facility
$780.79
No comparable office rate is available.
Portland
Oregon · 58571
Office
Unavailable
Facility
$837.83
No comparable office rate is available.
Rest Of Oregon
Oregon · 58571
Office
Unavailable
Facility
$798.25
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 58571
Office
Unavailable
Facility
$866.49
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 58571
Office
Unavailable
Facility
$803.47
No comparable office rate is available.
Puerto Rico
Puerto Rico · 58571
Office
Unavailable
Facility
$829.84
No comparable office rate is available.
Rhode Island
Rhode Island · 58571
Office
Unavailable
Facility
$835.19
No comparable office rate is available.
South Carolina
South Carolina · 58571
Office
Unavailable
Facility
$795.49
No comparable office rate is available.
South Dakota**
South Dakota · 58571
Office
Unavailable
Facility
$762.81
No comparable office rate is available.
Tennessee
Tennessee · 58571
Office
Unavailable
Facility
$760.83
No comparable office rate is available.
Austin
Texas · 58571
Office
Unavailable
Facility
$832.31
No comparable office rate is available.
Beaumont
Texas · 58571
Office
Unavailable
Facility
$799.96
No comparable office rate is available.
Brazoria
Texas · 58571
Office
Unavailable
Facility
$808.59
No comparable office rate is available.
Dallas
Texas · 58571
Office
Unavailable
Facility
$818.02
No comparable office rate is available.
Fort Worth
Texas · 58571
Office
Unavailable
Facility
$816.91
No comparable office rate is available.
Galveston
Texas · 58571
Office
Unavailable
Facility
$813.84
No comparable office rate is available.
Houston
Texas · 58571
Office
Unavailable
Facility
$868.20
No comparable office rate is available.
Rest Of Texas
Texas · 58571
Office
Unavailable
Facility
$806.77
No comparable office rate is available.
Utah
Utah · 58571
Office
Unavailable
Facility
$804.11
No comparable office rate is available.
Virginia
Virginia · 58571
Office
Unavailable
Facility
$795.42
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 58571
Office
Unavailable
Facility
$829.84
No comparable office rate is available.
Vermont
Vermont · 58571
Office
Unavailable
Facility
$777.26
No comparable office rate is available.
Rest Of Washington
Washington · 58571
Office
Unavailable
Facility
$824.08
No comparable office rate is available.
Seattle (King Cnty)
Washington · 58571
Office
Unavailable
Facility
$889.62
No comparable office rate is available.
Wisconsin
Wisconsin · 58571
Office
Unavailable
Facility
$749.92
No comparable office rate is available.
West Virginia
West Virginia · 58571
Office
Unavailable
Facility
$839.88
No comparable office rate is available.
Wyoming**
Wyoming · 58571
Office
Unavailable
Facility
$802.88
No comparable office rate is available.
See how rates vary across the country
58571 · 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 58571 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$895.48
$814.07 × 110% = $895.48
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 58571 in Modesto.
PPRRVU2026_Oct_nonQPP.csv
6,575
- Code
- 58571
- Physician work
- 14.63
- Practice expense
- 7.21
- Malpractice
- 2.97
GPCI2026.csv
16
- Locality
- Modesto
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 14.63 | × 1.017 | 14.8787 |
| Practice expense | 7.21 | × 1.096 | 7.9022 |
| Malpractice | 2.97 | × 0.536 | 1.5919 |
| Total RVUs | 24.3728 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Modesto$814.07
Open 58571 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 14.63 | 1.017 |
| Practice expense | 7.21 | 1.096 |
| Malpractice | 2.97 | 0.536 |
(14.63 × 1.017 + 7.21 × 1.096 + 2.97 × 0.536) × $33.4009 = $814.07
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
58571 · 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 | $814.07 | RVU26D |
| 2026-07-01 | Not available in this setting | $814.07 | RVU26C |
| 2026-04-01 | Not available in this setting | $814.07 | RVU26B |
| 2026-01-01 | Not available in this setting | $814.07 | RVU26A |
| 2025-10-01 | Not available in this setting | $886.75 | RVU25D |
| 2025-07-01 | Not available in this setting | $886.75 | RVU25C |
| 2025-04-01 | Not available in this setting | $886.75 | RVU25B |
| 2025-01-01 | Not available in this setting | $886.75 | RVU25A |
58571 billing questions
How does this differ from 58570?
58571 includes removal of one or more fallopian tubes or ovaries along with the uterus and cervix. Use 58570 when no tube or ovary is removed.
Does removal have to be bilateral?
No. Removal of a tube or ovary on one side, or on both sides, meets the adnexal-removal distinction. Modifier 50 is inappropriate for this code.
What documentation supports the 250 g threshold?
Document the uterus removed and its weight, with pathology documentation supporting the weight when available. The operative report should also establish the laparoscopic approach and which adnexa were removed.
Is routine postoperative care separately reported?
The CMS 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?
CMS indicates assistant-at-surgery payment may be made and co-surgeons are permitted. Team surgery is not permitted for this code.
What happens when another procedure is performed in the same session?
Under the standard multiple procedure rule, the highest-valued procedure is paid in full and the other procedure is subject to a 50% reduction.
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.
6,57258563,,Hysteroscopy ablation,A,,4.36,55.01,,1.36,,0.78,60.15,6.50,0,000,0.00,0.00,0.00,3,0,0,2,0,9,58555,33.4009,09,0,99,0.00,0.00,0.00
6,57358565,,Hysteroscopy sterilization,A,,6.94,39.22,,3.94,,1.22,47.38,12.10,0,090,0.12,0.74,0.14,3,2,1,2,0,9,58555,33.4009,09,0,99,0.00,0.00,0.00
6,57458570,,Tlh uterus 250 g or less,A,,13.03,6.26,NA,6.26,,2.48,21.77,21.77,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,57558571,,Tlh w/t/o 250 g or less,A,,14.63,7.21,NA,7.21,,2.97,24.81,24.81,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,57658572,,Tlh uterus over 250 g,A,,17.27,7.57,NA,7.57,,3.47,28.31,28.31,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,57758573,,Tlh w/t/o uterus over 250 g,A,,20.27,8.74,NA,8.74,,4.09,33.10,33.10,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,57858575,,Laps tot hyst resj mal,A,,31.79,14.52,NA,14.52,,6.85,53.16,53.16,0,090,0.12,0.74,0.14,2,2,2,2,0,9,,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