# CPT 32554: Thoracentesis, needle or catheter, without imaging guidance

Medicare CPT 32554 pays $260.53 in a non-facility setting and $79.16 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $229.72 in Arkansas to $299.57 in Alaska, a 30% spread.

Web page: https://www.med-reveal.com/rates/32554-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Emergency Medicine, General Surgery, Pulmonary Disease

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $260.53 |
| National facility | $79.16 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $299.57 | $106.42 |
| District of Columbia | $299.11 | $85.46 |
| California | $295.06 | $80.45 |
| New Jersey | $288.65 | $84.43 |
| New York | $288.32 | $85.99 |
| Washington | $288.13 | $81.37 |
| Massachusetts | $285.12 | $81.36 |
| Hawaii | $284.21 | $77.99 |
| Connecticut | $278.15 | $82.82 |
| Colorado | $272.14 | $79.17 |
| Maryland | $270.11 | $81.03 |
| Oregon | $269.46 | $78.39 |
| Florida | $267.81 | $85.85 |
| New Hampshire | $267.62 | $78.82 |
| Rhode Island | $267.31 | $79.96 |
| Puerto Rico | $262.56 | $79.20 |
| Virgin Islands | $262.56 | $79.20 |
| Minnesota | $261.23 | $74.60 |
| Illinois | $260.56 | $85.32 |
| Montana | $260.51 | $79.15 |
| Nevada | $259.55 | $78.00 |
| Wyoming | $258.70 | $77.34 |
| Delaware | $257.78 | $78.59 |
| Pennsylvania | $257.56 | $79.91 |
| Texas | $257.34 | $78.79 |
| North Dakota | $256.36 | $74.99 |
| South Dakota | $255.87 | $74.50 |
| Virginia | $255.16 | $76.88 |
| Vermont | $255.12 | $75.56 |
| Arizona | $253.49 | $77.75 |
| Georgia | $253.05 | $80.03 |
| Michigan | $251.52 | $81.22 |
| Maine | $249.26 | $75.96 |
| Utah | $248.15 | $77.66 |
| Wisconsin | $247.51 | $73.76 |
| New Mexico | $245.80 | $79.49 |
| North Carolina | $244.97 | $75.76 |
| South Carolina | $244.70 | $77.12 |
| Missouri | $244.41 | $77.98 |
| Louisiana | $243.95 | $78.36 |
| Ohio | $243.67 | $78.08 |
| Indiana | $242.73 | $74.60 |
| Idaho | $241.28 | $74.42 |
| Nebraska | $241.20 | $73.79 |
| Iowa | $239.77 | $73.82 |
| Tennessee | $239.59 | $74.73 |
| Kansas | $238.39 | $74.43 |
| Kentucky | $238.35 | $77.12 |
| Oklahoma | $238.16 | $76.20 |
| West Virginia | $238.08 | $80.48 |
| Alabama | $233.18 | $74.49 |
| Mississippi | $231.68 | $75.52 |
| Arkansas | $229.72 | $73.92 |

## 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 32554 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