# CPT 32555: Thoracentesis with imaging guidance

Medicare CPT 32555 pays $310.96 in a non-facility setting and $93.86 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $275.00 in Arkansas to $359.51 in Alaska, a 31% spread.

Web page: https://www.med-reveal.com/rates/32555-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Pulmonary Disease

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $310.96 |
| National facility | $93.86 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $359.51 | $128.29 |
| District of Columbia | $356.68 | $100.93 |
| California | $352.36 | $95.46 |
| New Jersey | $344.33 | $99.87 |
| Washington | $343.91 | $96.41 |
| New York | $343.67 | $101.47 |
| Massachusetts | $340.29 | $96.38 |
| Hawaii | $339.35 | $92.50 |
| Connecticut | $331.68 | $97.85 |
| Colorado | $324.95 | $93.95 |
| Maryland | $322.26 | $95.93 |
| Oregon | $321.82 | $93.10 |
| New Hampshire | $319.47 | $93.46 |
| Rhode Island | $319.15 | $94.88 |
| Florida | $318.69 | $100.85 |
| Puerto Rico | $313.38 | $93.89 |
| Virgin Islands | $313.38 | $93.89 |
| Minnesota | $312.45 | $89.05 |
| Montana | $310.95 | $93.84 |
| Illinois | $310.16 | $100.38 |
| Nevada | $309.97 | $92.64 |
| Wyoming | $309.05 | $91.95 |
| Delaware | $307.83 | $93.33 |
| Pennsylvania | $307.42 | $94.77 |
| Texas | $307.28 | $93.54 |
| North Dakota | $306.60 | $89.49 |
| South Dakota | $306.08 | $88.98 |
| Vermont | $305.03 | $90.10 |
| Virginia | $304.90 | $91.48 |
| Arizona | $302.78 | $92.40 |
| Georgia | $301.95 | $94.83 |
| Michigan | $299.94 | $96.08 |
| Maine | $297.99 | $90.55 |
| Utah | $296.42 | $92.35 |
| Wisconsin | $296.23 | $88.24 |
| New Mexico | $293.37 | $94.28 |
| North Carolina | $292.91 | $90.35 |
| South Carolina | $292.40 | $91.79 |
| Missouri | $291.93 | $92.69 |
| Louisiana | $291.32 | $93.10 |
| Ohio | $291.03 | $92.81 |
| Indiana | $290.41 | $89.15 |
| Idaho | $288.71 | $88.97 |
| Nebraska | $288.70 | $88.31 |
| Iowa | $287.00 | $88.35 |
| Tennessee | $286.65 | $89.30 |
| Kansas | $285.26 | $88.99 |
| Kentucky | $284.83 | $91.82 |
| Oklahoma | $284.74 | $90.86 |
| West Virginia | $284.03 | $95.36 |
| Alabama | $279.05 | $89.08 |
| Mississippi | $277.10 | $90.17 |
| Arkansas | $275.00 | $88.50 |

## 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 32555 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