# CPT 54400: Insj Penile Prosthesis Non-inflatable Semi-rigid

Medicare CPT 54400 pays $484.98 in a non-facility setting and $484.98 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $445.49 in Arkansas to $626.65 in Alaska, a 41% spread.

Web page: https://www.med-reveal.com/rates/54400-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Urology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $484.98 |
| National facility | $484.98 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $626.65 | $626.65 |
| District of Columbia | $531.78 | $531.78 |
| New York | $530.05 | $530.05 |
| New Jersey | $522.17 | $522.17 |
| Florida | $521.84 | $521.84 |
| Illinois | $516.02 | $516.02 |
| Connecticut | $510.41 | $510.41 |
| Washington | $507.00 | $507.00 |
| Massachusetts | $505.75 | $505.75 |
| California | $505.22 | $505.22 |
| Maryland | $498.13 | $498.13 |
| Michigan | $491.61 | $491.61 |
| Rhode Island | $491.39 | $491.39 |
| Colorado | $489.62 | $489.62 |
| Hawaii | $489.08 | $489.08 |
| Pennsylvania | $487.29 | $487.29 |
| New Hampshire | $486.25 | $486.25 |
| Georgia | $486.17 | $486.17 |
| Puerto Rico | $486.03 | $486.03 |
| Virgin Islands | $486.03 | $486.03 |
| Montana | $484.90 | $484.90 |
| Oregon | $484.67 | $484.67 |
| West Virginia | $482.15 | $482.15 |
| Texas | $481.60 | $481.60 |
| Delaware | $480.82 | $480.82 |
| New Mexico | $480.42 | $480.42 |
| Nevada | $478.71 | $478.71 |
| Wyoming | $474.99 | $474.99 |
| Arizona | $474.86 | $474.86 |
| Louisiana | $473.91 | $473.91 |
| Ohio | $472.42 | $472.42 |
| Missouri | $472.20 | $472.20 |
| Utah | $472.19 | $472.19 |
| Virginia | $471.17 | $471.17 |
| South Carolina | $467.97 | $467.97 |
| Kentucky | $465.29 | $465.29 |
| Vermont | $464.53 | $464.53 |
| Maine | $464.05 | $464.05 |
| Minnesota | $462.23 | $462.23 |
| North Dakota | $462.16 | $462.16 |
| North Carolina | $461.20 | $461.20 |
| Oklahoma | $460.58 | $460.58 |
| South Dakota | $459.48 | $459.48 |
| Indiana | $454.44 | $454.44 |
| Mississippi | $454.39 | $454.39 |
| Tennessee | $453.73 | $453.73 |
| Idaho | $452.90 | $452.90 |
| Wisconsin | $452.19 | $452.19 |
| Kansas | $451.72 | $451.72 |
| Alabama | $449.81 | $449.81 |
| Nebraska | $449.70 | $449.70 |
| Iowa | $449.24 | $449.24 |
| Arkansas | $445.49 | $445.49 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 54400 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