# CPT 57100: Biopsy of vaginal mucosa, simple

Medicare CPT 57100 pays $105.21 in a non-facility setting and $58.45 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $93.36 in Arkansas to $125.27 in Alaska, a 34% spread.

Web page: https://www.med-reveal.com/rates/57100-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $105.21 |
| National facility | $58.45 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $125.27 | $75.47 |
| District of Columbia | $118.62 | $63.53 |
| New York | $116.50 | $64.34 |
| New Jersey | $115.24 | $62.59 |
| California | $114.02 | $58.69 |
| Washington | $113.13 | $59.82 |
| Massachusetts | $112.44 | $59.90 |
| Florida | $112.36 | $65.45 |
| Connecticut | $112.06 | $61.70 |
| Hawaii | $110.17 | $57.01 |
| Illinois | $110.06 | $64.88 |
| Maryland | $108.79 | $60.04 |
| Colorado | $107.83 | $58.08 |
| Rhode Island | $107.10 | $58.80 |
| New Hampshire | $106.70 | $58.03 |
| Oregon | $106.64 | $57.38 |
| Puerto Rico | $105.75 | $58.47 |
| Virgin Islands | $105.75 | $58.47 |
| Montana | $105.20 | $58.44 |
| Pennsylvania | $104.87 | $59.07 |
| Michigan | $104.63 | $60.71 |
| Nevada | $104.04 | $57.24 |
| Georgia | $104.01 | $59.40 |
| Texas | $103.99 | $57.96 |
| Delaware | $103.96 | $57.76 |
| Wyoming | $103.30 | $56.54 |
| Arizona | $102.33 | $57.02 |
| Virginia | $102.05 | $56.09 |
| New Mexico | $101.81 | $58.93 |
| Minnesota | $101.74 | $53.63 |
| Vermont | $100.99 | $54.70 |
| Utah | $100.94 | $56.98 |
| North Dakota | $100.85 | $54.09 |
| West Virginia | $100.68 | $60.04 |
| Louisiana | $100.44 | $57.75 |
| South Dakota | $100.33 | $53.57 |
| Missouri | $100.26 | $57.35 |
| Ohio | $100.16 | $57.46 |
| Maine | $99.85 | $55.17 |
| South Carolina | $99.64 | $56.44 |
| North Carolina | $98.62 | $54.99 |
| Kentucky | $98.06 | $56.49 |
| Wisconsin | $97.66 | $52.86 |
| Oklahoma | $97.28 | $55.53 |
| Indiana | $97.14 | $53.80 |
| Idaho | $96.64 | $53.62 |
| Tennessee | $96.46 | $53.96 |
| Nebraska | $96.12 | $52.96 |
| Kansas | $95.92 | $53.65 |
| Iowa | $95.79 | $53.00 |
| Mississippi | $95.12 | $54.86 |
| Alabama | $94.68 | $53.76 |
| Arkansas | $93.36 | $53.19 |

## Related codes

- 54150: Circumcision, using clamp/device, newborn — https://www.med-reveal.com/rates/54150-cpt-fee-schedule
- 54160: Circumcision, surgical excision, other than clamp, newborn — https://www.med-reveal.com/rates/54160-cpt-fee-schedule
- 54161: Circumcision, surgical excision, older than 28 days — https://www.med-reveal.com/rates/54161-cpt-fee-schedule
- 54405: Insertion of multi-component inflatable penile prosthesis — https://www.med-reveal.com/rates/54405-cpt-fee-schedule
- 54500: Biopsy of testis — https://www.med-reveal.com/rates/54500-cpt-fee-schedule
- 54520: Orchiectomy, simple — https://www.med-reveal.com/rates/54520-cpt-fee-schedule
- 54522: Orchiectomy, partial — https://www.med-reveal.com/rates/54522-cpt-fee-schedule
- 54600: Reduction of torsion of testis — https://www.med-reveal.com/rates/54600-cpt-fee-schedule

Commercial negotiated rates for 57100 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules