# CPT 54160: Circumcision, surgical excision, other than clamp, newborn

Medicare CPT 54160 pays $228.46 in a non-facility setting and $132.27 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $204.09 in Arkansas to $273.53 in Alaska, a 34% spread.

Web page: https://www.med-reveal.com/rates/54160-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $228.46 |
| National facility | $132.27 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $273.53 | $171.09 |
| District of Columbia | $258.18 | $144.86 |
| New York | $251.93 | $144.62 |
| California | $251.10 | $137.28 |
| New Jersey | $250.63 | $142.31 |
| Washington | $247.63 | $137.96 |
| Massachusetts | $245.76 | $137.68 |
| Connecticut | $242.82 | $139.22 |
| Hawaii | $242.31 | $132.94 |
| Florida | $239.35 | $142.83 |
| Maryland | $236.13 | $135.84 |
| Colorado | $235.67 | $133.32 |
| Illinois | $234.24 | $141.29 |
| Oregon | $233.30 | $131.95 |
| Rhode Island | $233.29 | $133.92 |
| New Hampshire | $232.62 | $132.48 |
| Puerto Rico | $229.78 | $132.53 |
| Virgin Islands | $229.78 | $132.53 |
| Montana | $228.44 | $132.25 |
| Pennsylvania | $227.20 | $132.98 |
| Nevada | $226.76 | $130.47 |
| Delaware | $226.14 | $131.10 |
| Texas | $226.04 | $131.34 |
| Wyoming | $225.60 | $129.40 |
| Michigan | $224.72 | $134.39 |
| Minnesota | $224.62 | $125.63 |
| Georgia | $224.54 | $132.77 |
| Virginia | $222.93 | $128.37 |
| Arizona | $222.69 | $129.48 |
| North Dakota | $221.91 | $125.72 |
| Vermont | $221.67 | $126.44 |
| South Dakota | $221.14 | $124.95 |
| New Mexico | $219.48 | $131.27 |
| Utah | $219.24 | $128.82 |
| Maine | $218.34 | $126.43 |
| Louisiana | $217.24 | $129.42 |
| Missouri | $217.18 | $128.90 |
| Ohio | $216.81 | $128.98 |
| South Carolina | $216.55 | $127.67 |
| West Virginia | $215.54 | $131.94 |
| North Carolina | $215.44 | $125.69 |
| Wisconsin | $215.17 | $123.01 |
| Indiana | $212.95 | $123.77 |
| Kentucky | $212.55 | $127.03 |
| Idaho | $211.86 | $123.36 |
| Oklahoma | $211.57 | $125.66 |
| Nebraska | $211.22 | $122.43 |
| Tennessee | $211.08 | $123.64 |
| Iowa | $210.35 | $122.33 |
| Kansas | $210.04 | $123.08 |
| Mississippi | $206.83 | $124.01 |
| Alabama | $206.81 | $122.64 |
| Arkansas | $204.09 | $121.46 |

## Related codes

- 54150: Circumcision, using clamp/device, newborn — https://www.med-reveal.com/rates/54150-cpt-fee-schedule
- 54161: Circumcision, surgical excision, older than 28 days — https://www.med-reveal.com/rates/54161-cpt-fee-schedule
- 54405: Insertion of multi-component inflatable penile prosthesis — https://www.med-reveal.com/rates/54405-cpt-fee-schedule
- 54500: Biopsy of testis — https://www.med-reveal.com/rates/54500-cpt-fee-schedule
- 54520: Orchiectomy, simple — https://www.med-reveal.com/rates/54520-cpt-fee-schedule
- 54522: Orchiectomy, partial — https://www.med-reveal.com/rates/54522-cpt-fee-schedule
- 54600: Reduction of torsion of testis — https://www.med-reveal.com/rates/54600-cpt-fee-schedule
- 54640: Orchiopexy, inguinal approach — https://www.med-reveal.com/rates/54640-cpt-fee-schedule

Commercial negotiated rates for 54160 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