# CPT 54405: Insertion of multi-component inflatable penile prosthesis

Medicare CPT 54405 pays $728.81 in a non-facility setting and $728.81 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $671.82 in Arkansas to $950.67 in Alaska, a 42% spread.

Web page: https://www.med-reveal.com/rates/54405-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Urology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $728.81 |
| National facility | $728.81 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $950.67 | $950.67 |
| District of Columbia | $795.94 | $795.94 |
| New York | $795.64 | $795.64 |
| Florida | $787.00 | $787.00 |
| New Jersey | $782.76 | $782.76 |
| Illinois | $779.26 | $779.26 |
| Connecticut | $766.05 | $766.05 |
| Washington | $758.19 | $758.19 |
| Massachusetts | $756.86 | $756.86 |
| California | $753.68 | $753.68 |
| Maryland | $747.96 | $747.96 |
| Michigan | $741.68 | $741.68 |
| Rhode Island | $737.67 | $737.67 |
| Colorado | $733.65 | $733.65 |
| Pennsylvania | $733.26 | $733.26 |
| Georgia | $732.49 | $732.49 |
| Puerto Rico | $730.04 | $730.04 |
| Virgin Islands | $730.04 | $730.04 |
| Hawaii | $729.94 | $729.94 |
| West Virginia | $729.45 | $729.45 |
| New Hampshire | $729.21 | $729.21 |
| Montana | $728.69 | $728.69 |
| Oregon | $726.22 | $726.22 |
| New Mexico | $724.84 | $724.84 |
| Texas | $724.06 | $724.06 |
| Delaware | $722.69 | $722.69 |
| Nevada | $718.85 | $718.85 |
| Louisiana | $714.70 | $714.70 |
| Arizona | $714.01 | $714.01 |
| Wyoming | $713.00 | $713.00 |
| Ohio | $712.32 | $712.32 |
| Missouri | $711.80 | $711.80 |
| Utah | $710.90 | $710.90 |
| Virginia | $707.62 | $707.62 |
| South Carolina | $704.86 | $704.86 |
| Kentucky | $701.99 | $701.99 |
| Maine | $697.42 | $697.42 |
| Vermont | $696.83 | $696.83 |
| Oklahoma | $694.38 | $694.38 |
| North Carolina | $693.79 | $693.79 |
| North Dakota | $692.70 | $692.70 |
| Minnesota | $691.67 | $691.67 |
| South Dakota | $688.44 | $688.44 |
| Mississippi | $685.83 | $685.83 |
| Indiana | $683.32 | $683.32 |
| Tennessee | $682.91 | $682.91 |
| Idaho | $681.17 | $681.17 |
| Kansas | $679.93 | $679.93 |
| Wisconsin | $678.55 | $678.55 |
| Alabama | $678.04 | $678.04 |
| Nebraska | $675.98 | $675.98 |
| Iowa | $675.57 | $675.57 |
| Arkansas | $671.82 | $671.82 |

## 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
- 54161: Circumcision, surgical excision, older than 28 days — https://www.med-reveal.com/rates/54161-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 54405 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