# CPT 54161: Circumcision, surgical excision, older than 28 days

Medicare CPT 54161 pays $181.03 in a non-facility setting and $181.03 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $165.94 in Arkansas to $232.66 in Alaska, a 40% spread.

Web page: https://www.med-reveal.com/rates/54161-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Urology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $181.03 |
| National facility | $181.03 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $232.66 | $232.66 |
| District of Columbia | $198.93 | $198.93 |
| New York | $198.00 | $198.00 |
| New Jersey | $195.17 | $195.17 |
| Florida | $194.51 | $194.51 |
| Illinois | $192.21 | $192.21 |
| Connecticut | $190.67 | $190.67 |
| Washington | $189.71 | $189.71 |
| California | $189.27 | $189.27 |
| Massachusetts | $189.18 | $189.18 |
| Maryland | $186.02 | $186.02 |
| Rhode Island | $183.51 | $183.51 |
| Hawaii | $183.18 | $183.18 |
| Michigan | $183.17 | $183.17 |
| Colorado | $183.02 | $183.02 |
| Pennsylvania | $181.77 | $181.77 |
| New Hampshire | $181.69 | $181.69 |
| Puerto Rico | $181.47 | $181.47 |
| Virgin Islands | $181.47 | $181.47 |
| Georgia | $181.25 | $181.25 |
| Oregon | $181.17 | $181.17 |
| Montana | $181.00 | $181.00 |
| Texas | $179.72 | $179.72 |
| Delaware | $179.45 | $179.45 |
| West Virginia | $179.38 | $179.38 |
| New Mexico | $178.97 | $178.97 |
| Nevada | $178.75 | $178.75 |
| Wyoming | $177.39 | $177.39 |
| Arizona | $177.19 | $177.19 |
| Louisiana | $176.58 | $176.58 |
| Utah | $176.07 | $176.07 |
| Ohio | $176.03 | $176.03 |
| Missouri | $175.97 | $175.97 |
| Virginia | $175.91 | $175.91 |
| South Carolina | $174.46 | $174.46 |
| Vermont | $173.52 | $173.52 |
| Kentucky | $173.32 | $173.32 |
| Maine | $173.18 | $173.18 |
| Minnesota | $172.86 | $172.86 |
| North Dakota | $172.70 | $172.70 |
| North Carolina | $172.03 | $172.03 |
| South Dakota | $171.72 | $171.72 |
| Oklahoma | $171.61 | $171.61 |
| Indiana | $169.53 | $169.53 |
| Mississippi | $169.20 | $169.20 |
| Tennessee | $169.19 | $169.19 |
| Idaho | $168.94 | $168.94 |
| Wisconsin | $168.86 | $168.86 |
| Kansas | $168.43 | $168.43 |
| Nebraska | $167.78 | $167.78 |
| Alabama | $167.60 | $167.60 |
| Iowa | $167.58 | $167.58 |
| Arkansas | $165.94 | $165.94 |

## Related codes

- 54150: Circumcision, using clamp/device, newborn — https://www.med-reveal.com/rates/54150-cpt-fee-schedule
- 54160: Circumcision, surgical excision, other than clamp, newborn — https://www.med-reveal.com/rates/54160-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 54161 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