$72.15
This code concerns the vaginal canal; 57800 concerns the cervical canal. Select according to the structure actually dilated.
On this page
CMS RVU26D · Effective 2026-10-01
57400 Vaginal dilation Medicare reimbursement rates in Minnesota
Reports therapeutic widening of a narrowed vaginal canal under anesthesia, typically to address stenosis that limits examination or access. Compare 57400 office and facility rates across CMS payment localities in Minnesota.
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.
What does Medicare pay for 57400 in Minnesota?
Minnesota has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$107.23
1 of 1 localities have a supported rate.
Payment area: Minnesota
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Gynecology
About 57400: Vaginal dilation under anesthesia
Reports therapeutic widening of a narrowed vaginal canal under anesthesia, typically to address stenosis that limits examination or access.
A gynecologist typically performs this procedure when vaginal narrowing or stenosis makes the canal difficult to examine or access. Under anesthesia, the clinician uses dilation to widen the vaginal canal; this is a therapeutic procedure, not simply a pelvic examination or vaginal endoscopy. It may be performed in a hospital or other procedural setting, and the clinical record should identify the narrowing and the reason dilation was needed.
Report the service when the documented work is dilation of the vagina, rather than dilation of the cervical canal. The operative note should support the indication and describe the procedure performed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. 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. Bilateral adjustment is not appropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 57400
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU2.21 · 64%
- Practice expense (office) RVU0.86 · 25%
- Malpractice RVU0.39 · 11%
90
Medicare services in 2024 · #4960 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.
57400 compared with similar codes
Office rates for Minnesota, from the same CMS release.
No office rate
57410 reports pelvic examination under anesthesia. It does not represent therapeutic widening of a narrowed vaginal canal.
$132.75
57420 is for endoscopic examination of the vagina. Use 57400 when the documented service is therapeutic dilation rather than scope-based evaluation.
Compare 57400 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Minnesota →
Office / nonfacility
Unavailable
Facility
$107.23
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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 57400 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
6,483
- Code
- 57400
- Physician work
- 2.21
- Practice expense
- 0.86
- Malpractice
- 0.39
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.21 | × 1.000 | 2.2100 |
| Practice expense | 0.86 | × 1.029 | 0.8849 |
| Malpractice | 0.39 | × 0.296 | 0.1154 |
| Total RVUs | 3.2104 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Minnesota$107.23
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.21 | 1 |
| Practice expense | 0.86 | 1.029 |
| Malpractice | 0.39 | 0.296 |
(2.21 × 1 + 0.86 × 1.029 + 0.39 × 0.296) × $33.4009 = $107.23
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.
57400 billing questions
How is vaginal dilation different from cervical dilation?
57400 is for dilation of the vaginal canal. Use 57800 when the procedure dilates the cervical canal instead.
Is this code for a pelvic examination under anesthesia?
No. Report 57400 when therapeutic vaginal dilation is performed; 57410 describes a pelvic examination under anesthesia.
Does the code have a global period?
It has a 0-day global period. Same-day preoperative and postoperative care is included.
Can modifier 50 be used?
No. CMS specifies that bilateral adjustment does not apply because the descriptor or anatomy makes modifier 50 inappropriate.
When can an assistant-at-surgery be paid?
Assistant-at-surgery payment is available only when the record documents medical necessity. Co-surgeons and team surgery are not permitted.
How does payment work when another procedure is 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.
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.
6,48057320,,Repair bladder-vagina lesion,A,,8.66,4.86,NA,4.86,,1.50,15.02,15.02,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,48157330,,Repair bladder-vagina lesion,A,,12.88,6.09,NA,6.09,,1.65,20.62,20.62,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,48257335,,Repair vagina,A,,19.52,8.07,NA,8.07,,3.43,31.02,31.02,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,48357400,,Dilation of vagina,A,,2.21,0.86,NA,0.86,,0.39,3.46,3.46,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,48457410,,Pelvic examination,A,,1.71,0.88,NA,0.88,,0.30,2.89,2.89,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,48557415,,Remove vaginal foreign body,A,,2.43,1.84,NA,1.84,,0.41,4.68,4.68,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,48657420,,Exam of vagina w/scope,A,,1.56,2.26,,0.57,,0.30,4.12,2.43,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002