# CPT 21555: Excision, tumor, soft tissue of neck/thorax, subcutaneous

Medicare CPT 21555 pays $462.60 in a non-facility setting and $297.60 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $406.13 in Arkansas to $534.68 in Alaska, a 32% spread.

Web page: https://www.med-reveal.com/rates/21555-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $462.60 |
| National facility | $297.60 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $534.68 | $358.95 |
| District of Columbia | $527.18 | $332.81 |
| New York | $513.97 | $329.89 |
| California | $510.82 | $315.58 |
| New Jersey | $510.09 | $324.30 |
| Washington | $503.77 | $315.67 |
| Massachusetts | $499.82 | $314.43 |
| Connecticut | $494.52 | $316.81 |
| Hawaii | $493.03 | $305.43 |
| Florida | $489.55 | $324.00 |
| Maryland | $479.42 | $307.40 |
| Colorado | $477.75 | $302.19 |
| Illinois | $477.67 | $318.24 |
| Oregon | $472.45 | $298.62 |
| Rhode Island | $472.20 | $301.76 |
| New Hampshire | $471.74 | $299.97 |
| Puerto Rico | $465.56 | $298.75 |
| Virgin Islands | $465.56 | $298.75 |
| Montana | $462.55 | $297.55 |
| Pennsylvania | $459.38 | $297.76 |
| Nevada | $458.33 | $293.17 |
| Delaware | $456.81 | $293.78 |
| Texas | $456.62 | $294.17 |
| Wyoming | $455.48 | $290.48 |
| Michigan | $455.08 | $300.15 |
| Georgia | $454.09 | $296.68 |
| Minnesota | $452.20 | $282.42 |
| Virginia | $449.34 | $287.15 |
| Arizona | $449.16 | $289.28 |
| North Dakota | $446.33 | $281.33 |
| Vermont | $446.01 | $282.66 |
| South Dakota | $444.42 | $279.42 |
| New Mexico | $442.69 | $291.38 |
| Utah | $441.43 | $286.33 |
| Maine | $438.75 | $281.09 |
| Louisiana | $437.25 | $286.60 |
| Missouri | $436.96 | $285.54 |
| Ohio | $436.17 | $285.53 |
| South Carolina | $435.22 | $282.76 |
| West Virginia | $434.28 | $290.90 |
| North Carolina | $432.19 | $278.25 |
| Wisconsin | $430.79 | $272.72 |
| Kentucky | $426.28 | $279.59 |
| Indiana | $426.17 | $273.21 |
| Oklahoma | $423.72 | $276.38 |
| Idaho | $423.67 | $271.87 |
| Tennessee | $422.05 | $272.06 |
| Nebraska | $421.98 | $269.69 |
| Iowa | $420.05 | $269.08 |
| Kansas | $419.61 | $270.45 |
| Mississippi | $412.88 | $270.81 |
| Alabama | $412.43 | $268.05 |
| Arkansas | $406.13 | $264.40 |

## Related codes

- 19000: Puncture aspiration of cyst of breast — https://www.med-reveal.com/rates/19000-cpt-fee-schedule
- 19020: Mastotomy with exploration or drainage of abscess — https://www.med-reveal.com/rates/19020-cpt-fee-schedule
- 19081: Biopsy, breast, with placement of localization device, stereotactic guidance, first lesion — https://www.med-reveal.com/rates/19081-cpt-fee-schedule
- 19083: Biopsy, breast, with placement of localization device, ultrasound guidance, first lesion — https://www.med-reveal.com/rates/19083-cpt-fee-schedule
- 19100: Biopsy of breast, percutaneous, needle core — https://www.med-reveal.com/rates/19100-cpt-fee-schedule
- 19120: Excision of cyst/fibroadenoma/lesion of breast — https://www.med-reveal.com/rates/19120-cpt-fee-schedule
- 19301: Mastectomy, partial (lumpectomy) — https://www.med-reveal.com/rates/19301-cpt-fee-schedule
- 19303: Mastectomy, simple, complete — https://www.med-reveal.com/rates/19303-cpt-fee-schedule

Commercial negotiated rates for 21555 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