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See a sample rate comparisonCPT 57455 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Vagina And Cervix Biopsy, An Exam Of The Vagina And Cervix Using A Scope (Colposcopy). The Procedure Removes A Sample Of Tissue For Testing (Biopsy).
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Female Genital System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None AG - Primary physician UA |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 57455 |
| Medicaid Fee Schedule | View Medicaid rates for 57455 |
National average reimbursement for CPT 57455 by major payers:
$178.14
$200.27
$214.97
$185.15
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CPT 57455
5 of 25 sample ratesHigher to lower in this preview
Theda Oaks Gastroenterology & Endoscopy Center, LLC
Theda Oaks Gastroenterology & Endoscopy Ctr, Ltd
$688.00Published rateElizabeth Turley
Deaconess Hospital Inc
$259.08Published rateRichard Joseph
Deaconess Hospital Inc
$259.08Published rateKatherine Boyd
Katherine L Boyd M D P C
$194.66Published rateAll Ways Homecare Inc
$55.00Published rate
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See a sample payer proposalCPT 57455 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 57455 code is part of the Surgery services used for Surgical Procedures on the Female Genital System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 57455 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 57420-CPT | Low | Colposcopy Of The Entire Vagina, With Cervix If Present |
| 57452-CPT | Low | Colposcopy (Vaginoscopy); |
| 57455-CPT | Low | Vagina And Cervix Biopsy, An Exam Of The Vagina And Cervix Using A Scope (Colposcopy). The Procedure Removes A Sample Of Tissue For Testing (Biopsy). |
| 57456-CPT | Low | Scope Exam For Cervix Biopsy, An Exam Of The Cervix Using A Scope (Colposcopy). The Procedure Includes Removing A Sample Of Tissue For Testing (Biopsy). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 57455. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 57455 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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