CPT 57460 Surgery - Female Genital

How Much Does Biopsy of Cervix with Scope Leep Cost?

Also known as: Bx of cervix w/scope leep (CPT 57460)

LEEP (Loop Electrosurgical Excision Procedure) to remove abnormal cervical tissue.

The total estimated cost of Biopsy of Cervix with Scope Leep (CPT 57460) is $476 to $892, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $142.

Total Estimated Cost of Care

$476 — $892

This estimate includes hospital facility fees, anesthesia, and supplies .

Surgeon/Physician Fee
$142
Hospital Facility Fee
$425
Anesthesia (est.)
$28
Important: The physician fee of $142 shown in the cost cards below is what Medicare pays the surgeon/doctor only. The hospital charges a separate facility fee that typically makes up 70-85% of the total cost.
Medicare Physician Fee (Facility Setting)
$142
Physician component only — CMS PFS 2026
Medicare Physician Fee (Office/Clinic)
$309
Non-facility setting

Patient Guide: Biopsy of Cervix with Scope Leep

What you need to know before your appointment

What to Expect

After numbing the cervix, the doctor uses a thin, heated wire loop to remove a thin layer of abnormal tissue from the cervix. The tissue is sent to a lab.

How Long Does It Take?

15-20 minutes

Common Reasons Doctors Order This

Cervical dysplasia (pre-cancerous cervical changes), abnormal colposcopy and biopsy results, CIN 2 or CIN 3

How to Prepare

Take ibuprofen 1 hour before. Schedule when not menstruating. Avoid intercourse, tampons, and heavy lifting for 4 weeks after.

Procedures Commonly Done Together

These procedures are frequently performed alongside Bx of cervix w/scope leep

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How to Reduce Your Cost for Bx of cervix w/scope leep

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    For this procedure, the office rate ($309) differs from the facility rate ($142). Ask if it can be done in an office setting.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

2.76
Work RVU
1.00
Practice Expense RVU
0.48
Malpractice RVU
9.25
Total RVU

Payment = Total RVU (9.25) x CF ($33.40) = $309

Frequently Asked Questions

How much does Bx of cervix w/scope leep cost?

The Medicare facility rate for Bx of cervix w/scope leep is $142. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Bx of cervix w/scope leep cost without insurance?

Without insurance, the cost of Bx of cervix w/scope leep can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Bx of cervix w/scope leep?

Most commercial health insurance plans and Medicare cover Bx of cervix w/scope leep when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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