| Code | Description | States | Median rate |
|---|---|---|---|
| 57010 | Drainage of a pelvic abscess through the vagina | 48 | $343.26 |
| 57022 | Drainage of a vaginal blood collection after childbirth | 46 | $139.17 |
| 57023 | Drainage of a vaginal blood collection, not childbirth | 46 | $242.87 |
| 57100 | Biopsy of the vaginal wall, simple | 48 | $80.97 |
| 57106 | Partial removal of the vaginal wall | 48 | $398.93 |
| 57110 | Complete removal of the vaginal wall | 46 | $697.56 |
| 57120 | Closure of the vagina for prolapse (Le Fort) | 48 | $418.34 |
| 57150 | Vaginal irrigation or medication application | 46 | $44.02 |
| 57160 | Fitting and insertion of a pessary | 48 | $57.00 |
| 57170 | Diaphragm or cervical cap fitting | 46 | $57.95 |
| 57230 | Urethrocele repair | 47 | $317.81 |
| 57240 | Front vaginal wall repair (cystocele) | 48 | $458.52 |
| 57250 | Back vaginal wall repair (rectocele) | 48 | $454.85 |
| 57260 | Front and back vaginal wall repair | 48 | $579.85 |
| 57267 | Mesh placement for pelvic floor repair, each site (add-on) | 47 | $212.52 |
| 57268 | Bowel hernia (enterocele) repair through the vagina | 48 | $403.30 |
| 57270 | Bowel hernia (enterocele) repair, abdominal approach | 46 | $617.38 |
| 57280 | Vaginal vault suspension, abdominal approach | 46 | $732.41 |
| 57287 | Removal or revision of an incontinence sling | 47 | $571.48 |
| 57288 | Sling operation for urinary incontinence | 48 | $617.49 |
| 57291 | Artificial vagina construction, no graft | 42 | $441.55 |
| 57292 | Artificial vagina construction with graft | 42 | $655.44 |
| 57295 | Vaginal mesh revision or removal, vaginal approach | 47 | $404.04 |
| 57296 | Vaginal mesh revision or removal, open abdominal | 45 | $727.42 |
| 57300 | Closure of a rectum-to-vagina fistula, vaginal or anal | 48 | $466.78 |
| 57305 | Closure of a rectum-to-vagina fistula, abdominal approach | 46 | $724.52 |
| 57310 | Closure of a urethra-to-vagina fistula | 48 | $386.09 |
| 57320 | Closure of a bladder-to-vagina fistula, vaginal approach | 48 | $458.05 |
| 57335 | Vaginoplasty for intersex condition | 41 | $903.38 |
| 57410 | Pelvic exam under anesthesia | 48 | $90.78 |
| 57415 | Vaginal foreign body removal under anesthesia | 48 | $127.23 |
| 57421 | Magnified exam of the vagina and cervix with biopsy | 47 | $142.60 |
| 57425 | Laparoscopic vaginal vault suspension | 48 | $750.75 |
| 57426 | Vaginal mesh revision or removal, laparoscopic | 47 | $680.98 |
| 57452 | Colposcopy of the cervix, diagnostic | 48 | $99.84 |
| 57454 | Colposcopy of the cervix with biopsy and scraping | 48 | $134.18 |
| 57455 | Colposcopy with cervical biopsy | 48 | $128.95 |
| 57456 | Colposcopy with cervical canal scraping | 48 | $121.50 |
| 57460 | Colposcopy with loop electrode biopsy (LEEP) | 48 | $245.77 |
| 57465 | Computer-aided cervix mapping during colposcopy (add-on) | 38 | $45.50 |
| 57500 | Cervical biopsy or polyp removal | 48 | $120.26 |
| 57505 | Scraping of the cervical canal for tissue sampling | 48 | $117.16 |
| 57522 | Cervical loop electrode excision (LEEP), non-colposcopic | 48 | $244.02 |
| 57530 | Removal of the cervix | 48 | $289.63 |
| 57531 | Radical cervix removal with pelvic lymph nodes | 46 | $1,349.32 |
| 57540 | Removal of a cervical stump, abdominal approach | 46 | $601.46 |
| 57550 | Removal of a cervical stump through the vagina | 48 | $344.69 |
| 57700 | Cervix stitch (cerclage), non-pregnant | 48 | $273.84 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.