# CPT 46255: Hemorrhoidectomy, internal and external, simple

Medicare CPT 46255 pays $580.84 in a non-facility setting and $350.71 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $511.28 in Arkansas to $673.30 in Alaska, a 32% spread.

Web page: https://www.med-reveal.com/rates/46255-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $580.84 |
| National facility | $350.71 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $673.30 | $428.20 |
| District of Columbia | $662.21 | $391.11 |
| New York | $644.38 | $387.64 |
| California | $643.98 | $371.67 |
| New Jersey | $640.66 | $381.54 |
| Washington | $633.95 | $371.60 |
| Massachusetts | $628.70 | $370.15 |
| Hawaii | $621.31 | $359.65 |
| Connecticut | $620.39 | $372.54 |
| Florida | $610.91 | $380.01 |
| Maryland | $601.82 | $361.91 |
| Colorado | $601.01 | $356.15 |
| Illinois | $595.98 | $373.61 |
| Oregon | $594.53 | $352.09 |
| Rhode Island | $593.46 | $355.73 |
| New Hampshire | $592.98 | $353.41 |
| Puerto Rico | $584.66 | $352.00 |
| Virgin Islands | $584.66 | $352.00 |
| Montana | $580.78 | $350.65 |
| Pennsylvania | $576.42 | $351.01 |
| Nevada | $576.15 | $345.79 |
| Delaware | $573.91 | $346.54 |
| Texas | $573.54 | $346.98 |
| Wyoming | $572.94 | $342.81 |
| Minnesota | $570.72 | $333.91 |
| Michigan | $569.51 | $353.42 |
| Georgia | $569.17 | $349.63 |
| Virginia | $565.30 | $339.08 |
| Arizona | $564.41 | $341.41 |
| North Dakota | $562.79 | $332.65 |
| Vermont | $561.94 | $334.11 |
| South Dakota | $560.66 | $330.53 |
| New Mexico | $554.68 | $343.65 |
| Utah | $554.41 | $338.09 |
| Maine | $552.19 | $332.30 |
| Louisiana | $548.44 | $338.34 |
| Missouri | $548.36 | $337.17 |
| Ohio | $547.26 | $337.15 |
| South Carolina | $546.73 | $334.09 |
| North Carolina | $543.82 | $329.11 |
| Wisconsin | $543.48 | $323.01 |
| West Virginia | $543.01 | $343.03 |
| Indiana | $536.84 | $323.50 |
| Kentucky | $535.10 | $330.52 |
| Idaho | $533.72 | $322.00 |
| Oklahoma | $532.46 | $326.96 |
| Nebraska | $532.00 | $319.59 |
| Tennessee | $531.39 | $322.20 |
| Iowa | $529.47 | $318.90 |
| Kansas | $528.44 | $320.40 |
| Alabama | $519.05 | $317.69 |
| Mississippi | $518.87 | $320.72 |
| Arkansas | $511.28 | $313.60 |

## Related codes

- 40490: Biopsy of lip — https://www.med-reveal.com/rates/40490-cpt-fee-schedule
- 40650: Repair lip, vermilion only — https://www.med-reveal.com/rates/40650-cpt-fee-schedule
- 41010: Frenotomy, lingual — https://www.med-reveal.com/rates/41010-cpt-fee-schedule
- 41112: Excision of lesion of tongue — https://www.med-reveal.com/rates/41112-cpt-fee-schedule
- 41599: Unlisted procedure, tongue/floor of mouth — https://www.med-reveal.com/rates/41599-cpt-fee-schedule
- 42700: Incision and drainage of peritonsillar abscess — https://www.med-reveal.com/rates/42700-cpt-fee-schedule
- 42820: Tonsillectomy and adenoidectomy, under age 12 — https://www.med-reveal.com/rates/42820-cpt-fee-schedule
- 42821: Tonsillectomy and adenoidectomy, age 12 or over — https://www.med-reveal.com/rates/42821-cpt-fee-schedule

Commercial negotiated rates for 46255 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