# CPT 32551: Tube thoracostomy, chest tube insertion

Medicare CPT 32551 pays $142.96 in a non-facility setting and $142.96 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $129.16 in Wisconsin to $185.81 in Alaska, a 44% spread.

Web page: https://www.med-reveal.com/rates/32551-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Emergency Medicine, General Surgery, Pulmonary Disease

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $142.96 |
| National facility | $142.96 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $185.81 | $185.81 |
| Florida | $160.43 | $160.43 |
| Illinois | $159.17 | $159.17 |
| New York | $157.22 | $157.22 |
| District of Columbia | $154.95 | $154.95 |
| New Jersey | $152.81 | $152.81 |
| Connecticut | $150.77 | $150.77 |
| Michigan | $148.88 | $148.88 |
| West Virginia | $147.50 | $147.50 |
| Maryland | $146.76 | $146.76 |
| Massachusetts | $146.07 | $146.07 |
| Washington | $145.80 | $145.80 |
| Georgia | $145.54 | $145.54 |
| Pennsylvania | $144.59 | $144.59 |
| New Mexico | $144.51 | $144.51 |
| Rhode Island | $143.70 | $143.70 |
| Puerto Rico | $142.96 | $142.96 |
| Virgin Islands | $142.96 | $142.96 |
| Montana | $142.92 | $142.92 |
| California | $142.80 | $142.80 |
| Texas | $141.79 | $141.79 |
| Colorado | $141.77 | $141.77 |
| New Hampshire | $141.71 | $141.71 |
| Louisiana | $141.58 | $141.58 |
| Delaware | $141.29 | $141.29 |
| Ohio | $140.87 | $140.87 |
| Missouri | $140.55 | $140.55 |
| Oregon | $140.05 | $140.05 |
| Nevada | $139.91 | $139.91 |
| Utah | $139.54 | $139.54 |
| Arizona | $139.51 | $139.51 |
| Hawaii | $138.75 | $138.75 |
| Kentucky | $138.54 | $138.54 |
| South Carolina | $138.25 | $138.25 |
| Wyoming | $138.18 | $138.18 |
| Virginia | $137.12 | $137.12 |
| Oklahoma | $136.11 | $136.11 |
| Maine | $134.95 | $134.95 |
| North Carolina | $134.60 | $134.60 |
| Mississippi | $134.59 | $134.59 |
| Vermont | $133.62 | $133.62 |
| Tennessee | $132.11 | $132.11 |
| North Dakota | $132.04 | $132.04 |
| Alabama | $131.77 | $131.77 |
| Indiana | $131.64 | $131.64 |
| Kansas | $131.38 | $131.38 |
| Idaho | $131.22 | $131.22 |
| Minnesota | $130.77 | $130.77 |
| South Dakota | $130.76 | $130.76 |
| Arkansas | $130.42 | $130.42 |
| Iowa | $129.69 | $129.69 |
| Nebraska | $129.55 | $129.55 |
| Wisconsin | $129.16 | $129.16 |

## Related codes

- 30000: Drainage of abscess, nasal, internal approach — https://www.med-reveal.com/rates/30000-cpt-fee-schedule
- 30117: Excision or destruction of intranasal lesion, internal approach — https://www.med-reveal.com/rates/30117-cpt-fee-schedule
- 30130: Excision, inferior turbinate, partial or complete — https://www.med-reveal.com/rates/30130-cpt-fee-schedule
- 30140: Submucous resection, inferior turbinate, partial or complete — https://www.med-reveal.com/rates/30140-cpt-fee-schedule
- 30300: Removal of foreign body, intranasal, office-type instrument — https://www.med-reveal.com/rates/30300-cpt-fee-schedule
- 30400: Rhinoplasty, primary, simple — https://www.med-reveal.com/rates/30400-cpt-fee-schedule
- 30420: Rhinoplasty, primary, including major septal repair — https://www.med-reveal.com/rates/30420-cpt-fee-schedule
- 30520: Septoplasty/submucous resection — https://www.med-reveal.com/rates/30520-cpt-fee-schedule

Commercial negotiated rates for 32551 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