Billing code 57700: Cervical revisionMedicare rate & RVUs in Wyoming**
Reports operative revision of the cervix, commonly to address cervical stenosis or incompetence when surgical correction is performed.
In Wyoming**, Medicare pays $312.13 for 57700 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 57700 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 57700 covers
A gynecologic surgeon revises the cervix to address a structural problem such as stenosis or incompetence. The service involves operative correction rather than simply examining the cervix or obtaining tissue for pathology. It is generally performed in a surgical setting when the clinician determines that cervical revision is needed; the specific technique depends on the abnormality being treated.
Select this code when the documented procedure is a revision of the cervix, not cervical canal dilation alone or excision for a separate indication such as dysplasia. The operative report should identify the cervical problem and describe the revision performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one 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 payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
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.
How Wyoming** compares for 57700
Across 109 of 109 payment localities, the facility rate for 57700 runs from $285.07 in Arkansas to $389.77 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). Wyoming** pays $312.13. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Wyoming** · this page$312.13
- Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) · California$343.85+$31.72
- Dc + Md/Va Suburbs · District of Columbia$356.17+$44.04
- Miami · Florida$363.18+$51.05
- Chicago · Illinois$352.84+$40.71
- Manhattan · New York$367.01+$54.88
- Alaska* · Alaska$388.09+$75.96
Other areas in Wyoming first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $288.78 |
| ArkansasArkansas | — | $285.07 |
| ArizonaArizona | — | $310.33 |
| BakersfieldCalifornia | — | $326.13 |
| ChicoCalifornia | — | $324.02 |
| El CentroCalifornia | — | $324.14 |
| FresnoCalifornia | — | $324.02 |
| Hanford-CorcoranCalifornia | — | $324.02 |
| MaderaCalifornia | — | $324.02 |
| MercedCalifornia | — | $324.02 |
| ModestoCalifornia | — | $324.02 |
| NapaCalifornia | — | $363.57 |
| Oxnard-Thousand Oaks-VenturaCalifornia | — | $340.83 |
| ReddingCalifornia | — | $324.02 |
| Rest Of CaliforniaCalifornia | — | $324.02 |
| Riverside-San Bernardino-OntarioCalifornia | — | $332.10 |
| Sacramento-Roseville-FolsomCalifornia | — | $336.89 |
| SalinasCalifornia | — | $335.58 |
| San Diego-Chula Vista-CarlsbadCalifornia | — | $341.21 |
| San Francisco-Oakland-Berkeley (Marin Cnty)California | — | $380.86 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)California | — | $380.00 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty)California | — | $389.77 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)California | — | $386.29 |
| San Luis Obispo-Paso RoblesCalifornia | — | $330.55 |
| Santa Cruz-WatsonvilleCalifornia | — | $342.67 |
| Santa Maria-Santa BarbaraCalifornia | — | $336.21 |
| Santa Rosa-PetalumaCalifornia | — | $345.92 |
| StocktonCalifornia | — | $324.02 |
| VallejoCalifornia | — | $362.34 |
| VisaliaCalifornia | — | $324.02 |
| Yuba CityCalifornia | — | $324.02 |
| ColoradoColorado | — | $324.58 |
| ConnecticutConnecticut | — | $338.44 |
| DelawareDelaware | — | $315.00 |
| Fort LauderdaleFlorida | — | $340.86 |
| Rest Of FloridaFlorida | — | $324.56 |
| AtlantaGeorgia | — | $326.54 |
| Rest Of GeorgiaGeorgia | — | $307.04 |
| Hawaii, GuamHawaii | — | $328.92 |
| IowaIowa | — | $290.62 |
| IdahoIdaho | — | $293.28 |
| East St. LouisIllinois | — | $331.89 |
| Rest Of IllinoisIllinois | — | $319.53 |
| Suburban ChicagoIllinois | — | $343.08 |
| IndianaIndiana | — | $294.67 |
| KansasKansas | — | $291.63 |
| KentuckyKentucky | — | $299.65 |
| New OrleansLouisiana | — | $313.09 |
| Rest Of LouisianaLouisiana | — | $300.12 |
| Metropolitan BostonMassachusetts | — | $351.18 |
| Rest Of MassachusettsMassachusetts | — | $323.88 |
| Baltimore/Surr. CntysMaryland | — | $337.94 |
| Rest Of MarylandMaryland | — | $319.83 |
| Rest Of MaineMaine | — | $297.02 |
| Southern MaineMaine | — | $308.03 |
| DetroitMichigan | — | $330.51 |
| Rest Of MichiganMichigan | — | $308.65 |
| MinnesotaMinnesota | — | $305.42 |
| Metropolitan Kansas CityMissouri | — | $308.80 |
| Metropolitan St. LouisMissouri | — | $311.40 |
| Rest Of MissouriMissouri | — | $297.02 |
| MississippiMississippi | — | $290.98 |
| Montana**Montana | — | $318.59 |
| North CarolinaNorth Carolina | — | $299.42 |
| North Dakota**North Dakota | — | $303.76 |
| NebraskaNebraska | — | $291.36 |
| New HampshireNew Hampshire | — | $321.74 |
| Northern NjNew Jersey | — | $353.59 |
| Rest Of New JerseyNew Jersey | — | $340.72 |
| New MexicoNew Mexico | — | $311.07 |
| Nevada**Nevada | — | $314.61 |
| Nyc Suburbs/Long IslandNew York | — | $377.90 |
| Poughkpsie/N Nyc SuburbsNew York | — | $344.72 |
| QueensNew York | — | $366.44 |
| Rest Of New YorkNew York | — | $303.61 |
| OhioOhio | — | $305.62 |
| OklahomaOklahoma | — | $296.80 |
| PortlandOregon | — | $331.37 |
| Rest Of OregonOregon | — | $310.60 |
| Metropolitan PhiladelphiaPennsylvania | — | $332.26 |
| Rest Of PennsylvaniaPennsylvania | — | $304.80 |
| Puerto RicoPuerto Rico | — | $319.94 |
| Rhode IslandRhode Island | — | $323.65 |
| South CarolinaSouth Carolina | — | $303.34 |
| South Dakota**South Dakota | — | $302.01 |
| TennesseeTennessee | — | $293.22 |
| AustinTexas | — | $324.89 |
| BeaumontTexas | — | $303.19 |
| BrazoriaTexas | — | $312.90 |
| DallasTexas | — | $315.75 |
| Fort WorthTexas | — | $314.56 |
| GalvestonTexas | — | $314.41 |
| HoustonTexas | — | $328.13 |
| Rest Of TexasTexas | — | $308.46 |
| UtahUtah | — | $306.97 |
| VirginiaVirginia | — | $308.70 |
| Virgin IslandsUnited States Virgin Islands | — | $319.94 |
| VermontVermont | — | $304.75 |
| Rest Of WashingtonWashington | — | $322.55 |
| Seattle (King Cnty)Washington | — | $355.64 |
| WisconsinWisconsin | — | $294.93 |
| West VirginiaWest Virginia | — | $309.53 |
57700 rates by state
Office rate range in each state. Select a state to see its payment localities.
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 every state and territory as a table
| State / territory | Office 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 |
How the 57700 rate is calculated
Each of 57700’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 57700
RVUs × geographic indexes × conversion factor
Work4.24
4.24 RVUs× 1.000 GPCI
Practice expense4.55
4.55 RVUs× 1.000 GPCI
Malpractice0.75
0.75 RVUs× 1.000 GPCI
Adjusted RVUs
9.5400
Conversion factor
$33.4009
Medicare rate
$318.64
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Wyoming** inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,513
- Code
- 57700
- Physician work
- 4.24
- Practice expense
- 4.55
- Malpractice
- 0.75
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.24 | × 1.000 | 4.2400 |
| Practice expense | 4.55 | × 1.000 | 4.5500 |
| Malpractice | 0.75 | × 0.740 | 0.5550 |
| Total RVUs | 9.3450 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$312.13
Facility: (4.24 × 1 + 4.55 × 1 + 0.75 × 0.74) × $33.4009 = $312.13
Payment rules and modifiers for 57700
57700 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 57700
Cervical revision
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.12/0.74/0.14 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 57700
Cervical revision
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
57700 without 51 · national facility
$318.64
Cervical revision
57700-51 · Second procedure: 50%
$159.32
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 57700 has changed in Wyoming**
57700 · 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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $312.13 | RVU26D |
| 2026-07-01 | Not available in this setting | $312.13 | RVU26C |
| 2026-04-01 | Not available in this setting | $312.13 | RVU26B |
| 2026-01-01 | Not available in this setting | $312.13 | RVU26A |
| 2025-10-01 | Not available in this setting | $341.00 | RVU25D |
| 2025-07-01 | Not available in this setting | $341.00 | RVU25C |
| 2025-04-01 | Not available in this setting | $341.00 | RVU25B |
| 2025-01-01 | Not available in this setting | $341.00 | RVU25A |
| 2024-10-01 | Not available in this setting | $354.41 | RVU24D |
| 2022-07-01 | Not available in this setting | $366.67 | RVU22C |
| 2021-04-01 | Not available in this setting | $357.32 | RVU21B |
| 2021-01-01 | Not available in this setting | $357.32 | RVU21A |
| 2020-10-01 | Not available in this setting | $346.01 | RVU20D |
| 2020-07-01 | Not available in this setting | $346.01 | RVU20C |
| 2020-04-01 | Not available in this setting | $346.01 | RVU20B |
| 2020-01-01 | Not available in this setting | $346.01 | RVU20A |
| 2019-10-01 | Not available in this setting | $326.87 | RVU19D |
| 2019-07-01 | Not available in this setting | $326.87 | RVU19C |
| 2019-04-01 | Not available in this setting | $326.87 | RVU19B |
| 2019-01-01 | Not available in this setting | $326.87 | RVU19A |
| 2018-10-01 | Not available in this setting | $312.84 | RVU18D |
| 2018-07-01 | Not available in this setting | $312.84 | RVU18C |
| 2018-04-01 | Not available in this setting | $312.84 | RVU18B |
| 2018-01-01 | Not available in this setting | $312.84 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $320.81 | RVU17D |
| 2017-07-01 | Not available in this setting | $320.81 | RVU17C |
| 2017-04-01 | Not available in this setting | $320.81 | RVU17B |
| 2017-01-01 | Not available in this setting | $320.81 | RVU17A |
| 2016-10-01 | Not available in this setting | $328.13 | RVU16D |
| 2016-07-01 | Not available in this setting | $328.13 | RVU16C |
| 2016-04-01 | Not available in this setting | $328.13 | RVU16B |
| 2016-01-01 | Not available in this setting | $328.13 | RVU16A |
| 2015-10-01 | Not available in this setting | $320.46 | RVU15D |
| 2015-07-01 | Not available in this setting | $320.46 | RVU15C |
| 2015-04-01 | Not available in this setting | $318.87 | RVU15B |
| 2015-01-01 | Not available in this setting | $318.87 | RVU15A |
| 2014-10-01 | Not available in this setting | $326.20 | RVU14D |
| 2014-07-01 | Not available in this setting | $326.20 | RVU14C |
| 2014-04-01 | Not available in this setting | $326.20 | RVU14B |
| 2014-01-01 | Not available in this setting | $326.20 | RVU14A |
| 2013-10-01 | Not available in this setting | $324.50 | RVU13D |
| 2013-07-01 | Not available in this setting | $324.50 | RVU13C |
| 2013-04-01 | Not available in this setting | $324.50 | RVU13B |
| 2013-01-01 | Not available in this setting | $324.50 | RVU13AR |
Where the Wyoming** rate applies
Wyoming** is a Medicare payment area, not a city. Our Census mapping connects it to 205 cities and communities in Wyoming. Some span more than one payment area; confirm with the service ZIP.
57700 billing questions
When should 57700 be reported instead of cervical dilation?
Report 57700 for operative revision of the cervix, such as correction of stenosis or incompetence. Cervical canal dilation alone is represented by 57800.
How does 57700 differ from 57720?
57700 describes revision for a cervical problem such as stenosis or incompetence. 57720 is used for repair of a cervical laceration by the vaginal approach.
What documentation supports 57700?
Document the cervical abnormality prompting surgery and the revision performed. The operative report should make clear that the service was a revision, rather than dilation alone or a procedure for another indication.
Can modifier 50 be reported with 57700?
No. CMS identifies bilateral adjustment as inappropriate for this code because of its descriptor or anatomy.
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 another surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
Fee sheets
Put 57700 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →