$136.60–$146.27
Use 57505 for curettage tissue collected from inside the canal; use 57500 for a separately performed biopsy of a cervical site or lesion.
On this page
CMS RVU26D · Effective 2026-10-01
57505 Cervical sampling Medicare reimbursement rates in Missouri
Endocervical curettage collects tissue from the cervical canal for histologic evaluation, often during assessment of abnormal screening or colposcopic findings. Compare 57505 office and facility rates across CMS payment localities in Missouri.
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 57505 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$134.54–$144.03
3 of 3 localities have a supported rate.
Facility setting
$91.93–$96.97
3 of 3 localities have a supported rate.
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.
Where 57505 pays more and less in Missouri
3 payment localities
$134.54 to $144.03
Gynecology procedure
About 57505: Endocervical canal curettage
Endocervical curettage collects tissue from the cervical canal for histologic evaluation, often during assessment of abnormal screening or colposcopic findings.
A clinician uses a curette to collect tissue from inside the cervical canal for histologic examination. Gynecologists commonly perform this sampling in an office or outpatient setting when evaluating abnormal cervical screening results or colposcopic findings, including situations where assessment of the canal is needed. The specimen is submitted for pathology; this service samples the canal rather than removing a larger portion of the cervix.
Report the service when canal curettage is performed and is not already included in a more comprehensive colposcopy code, such as 57454 or 57456. Document the indication, the sampling performed, and any separately obtained cervical biopsy. Related postoperative visits during the 10-day global period are 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% reduction. Modifier 50 is not appropriate for this single midline canal. Medicare does not pay an assistant at surgery for this service, and co-surgeons and team surgeons are not permitted.
CMS billing rules for 57505
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.16 · 26%
- Practice expense (office) RVU3.09 · 69%
- Malpractice RVU0.21 · 5%
1.7K
Medicare services in 2024 · #2584 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.
57505 compared with similar codes
Office rates for Missouri, from the same CMS release.
$139.38–$146.84
Use 57456 when colposcopy and endocervical curettage are performed together. It includes the curettage, so do not also report 57505 for that work.
$332.10–$350.85
57520 describes cervical conization, which removes a larger portion of cervical tissue. 57505 is canal sampling by curettage.
Compare 57505 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
$142.51
Facility
$96.09
Metropolitan St. Louis →
Office / nonfacility
$144.03
Facility
$96.97
Rest Of Missouri →
Office / nonfacility
$134.54
Facility
$91.93
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57505 billing questions
Can 57505 be reported with a colposcopy?
Report it separately when endocervical curettage is performed with a colposcopy code that does not include that sampling, such as 57455. Do not separately report it with 57454 or 57456, which include endocervical curettage.
How is this different from a cervical biopsy?
Endocervical curettage samples tissue from within the cervical canal. A cervical biopsy, such as 57500, removes tissue from a specific cervical site or lesion.
What documentation supports reporting 57505?
Document the clinical reason for canal sampling and that curettage was performed, along with the specimen obtained. If a separate cervical biopsy was also done, document that sampling distinctly.
Should modifier 50 be appended?
No. The cervical canal is a single midline site, so bilateral reporting with modifier 50 is not appropriate.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full; other procedures performed in the same session are subject to the standard multiple procedure reduction. Related postoperative visits during the 10-day global period are included.
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.
6,49657461,,Conz of cervix w/scope leep,A,,3.34,6.52,,0.90,,0.60,10.46,4.84,0,000,0.00,0.00,0.00,3,0,1,0,0,9,57452,33.4009,09,0,99,0.00,0.00,0.00
6,49757465,,Cam cervix uteri drg colp,A,,0.79,0.72,,0.17,,0.14,1.65,1.10,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,49857500,,Biopsy of cervix,A,,1.17,3.15,,0.67,,0.21,4.53,2.05,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,49957505,,Endocervical curettage,A,,1.16,3.09,,1.61,,0.21,4.46,2.98,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,50057510,,Cauterization of cervix,A,,1.85,2.71,,0.87,,0.34,4.90,3.06,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,50157511,,Cryocautery of cervix,A,,1.90,3.45,,1.70,,0.34,5.69,3.94,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,50257513,,Laser surgery of cervix,A,,1.90,3.64,,1.68,,0.34,5.88,3.92,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00