# CPT 57452: Colposcopy Cervix Upper/adjacent Vagina

Medicare CPT 57452 pays $125.59 in a non-facility setting and $82.50 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $111.77 in Arkansas to $150.50 in Alaska, a 35% spread.

Web page: https://www.med-reveal.com/rates/57452-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Obstetrics & Gynecology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $125.59 |
| National facility | $82.50 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $150.50 | $104.61 |
| District of Columbia | $141.33 | $90.57 |
| New York | $138.90 | $90.83 |
| New Jersey | $137.40 | $88.89 |
| California | $135.85 | $84.86 |
| Washington | $134.83 | $85.72 |
| Florida | $134.04 | $90.81 |
| Massachusetts | $134.04 | $85.63 |
| Connecticut | $133.63 | $87.23 |
| Illinois | $131.37 | $89.73 |
| Hawaii | $131.27 | $82.28 |
| Maryland | $129.79 | $84.88 |
| Colorado | $128.63 | $82.79 |
| Rhode Island | $127.82 | $83.32 |
| New Hampshire | $127.30 | $82.44 |
| Oregon | $127.23 | $81.83 |
| Puerto Rico | $126.21 | $82.65 |
| Virgin Islands | $126.21 | $82.65 |
| Montana | $125.57 | $82.48 |
| Pennsylvania | $125.23 | $83.03 |
| Michigan | $124.97 | $84.51 |
| Georgia | $124.24 | $83.13 |
| Nevada | $124.21 | $81.08 |
| Texas | $124.18 | $81.76 |
| Delaware | $124.14 | $81.57 |
| Wyoming | $123.33 | $80.24 |
| Arizona | $122.22 | $80.47 |
| Virginia | $121.88 | $79.52 |
| New Mexico | $121.68 | $82.17 |
| Minnesota | $121.45 | $77.11 |
| Vermont | $120.62 | $77.96 |
| Utah | $120.61 | $80.11 |
| North Dakota | $120.43 | $77.34 |
| West Virginia | $120.40 | $82.96 |
| Louisiana | $120.07 | $80.72 |
| Missouri | $119.84 | $80.30 |
| South Dakota | $119.82 | $76.73 |
| Ohio | $119.73 | $80.39 |
| Maine | $119.31 | $78.14 |
| South Carolina | $119.11 | $79.29 |
| North Carolina | $117.89 | $77.69 |
| Kentucky | $117.29 | $78.98 |
| Wisconsin | $116.72 | $75.44 |
| Oklahoma | $116.36 | $77.88 |
| Indiana | $116.15 | $76.21 |
| Idaho | $115.56 | $75.92 |
| Tennessee | $115.37 | $76.20 |
| Nebraska | $114.94 | $75.17 |
| Kansas | $114.74 | $75.79 |
| Iowa | $114.56 | $75.13 |
| Mississippi | $113.85 | $76.75 |
| Alabama | $113.30 | $75.60 |
| Arkansas | $111.77 | $74.76 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 57452 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