# CPT 54500: Biopsy of testis

Medicare CPT 54500 pays $67.14 in a non-facility setting and $67.14 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $61.86 in Arkansas to $87.35 in Alaska, a 41% spread.

Web page: https://www.med-reveal.com/rates/54500-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $67.14 |
| National facility | $67.14 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $87.35 | $87.35 |
| District of Columbia | $73.44 | $73.44 |
| New York | $73.29 | $73.29 |
| Florida | $72.26 | $72.26 |
| New Jersey | $72.18 | $72.18 |
| Illinois | $71.51 | $71.51 |
| Connecticut | $70.58 | $70.58 |
| Washington | $70.02 | $70.02 |
| Massachusetts | $69.86 | $69.86 |
| California | $69.71 | $69.71 |
| Maryland | $68.91 | $68.91 |
| Michigan | $68.16 | $68.16 |
| Rhode Island | $68.00 | $68.00 |
| Colorado | $67.70 | $67.70 |
| Pennsylvania | $67.50 | $67.50 |
| Hawaii | $67.49 | $67.49 |
| Georgia | $67.38 | $67.38 |
| Puerto Rico | $67.27 | $67.27 |
| Virgin Islands | $67.27 | $67.27 |
| New Hampshire | $67.25 | $67.25 |
| Montana | $67.13 | $67.13 |
| Oregon | $67.02 | $67.02 |
| West Virginia | $66.95 | $66.95 |
| Texas | $66.70 | $66.70 |
| New Mexico | $66.63 | $66.63 |
| Delaware | $66.58 | $66.58 |
| Nevada | $66.26 | $66.26 |
| Arizona | $65.78 | $65.78 |
| Wyoming | $65.75 | $65.75 |
| Louisiana | $65.73 | $65.73 |
| Ohio | $65.52 | $65.52 |
| Missouri | $65.48 | $65.48 |
| Utah | $65.45 | $65.45 |
| Virginia | $65.24 | $65.24 |
| South Carolina | $64.89 | $64.89 |
| Kentucky | $64.57 | $64.57 |
| Vermont | $64.31 | $64.31 |
| Maine | $64.29 | $64.29 |
| North Dakota | $63.96 | $63.96 |
| Minnesota | $63.93 | $63.93 |
| North Carolina | $63.93 | $63.93 |
| Oklahoma | $63.91 | $63.91 |
| South Dakota | $63.59 | $63.59 |
| Mississippi | $63.09 | $63.09 |
| Indiana | $63.00 | $63.00 |
| Tennessee | $62.93 | $62.93 |
| Idaho | $62.80 | $62.80 |
| Kansas | $62.66 | $62.66 |
| Wisconsin | $62.64 | $62.64 |
| Alabama | $62.44 | $62.44 |
| Nebraska | $62.35 | $62.35 |
| Iowa | $62.30 | $62.30 |
| Arkansas | $61.86 | $61.86 |

## 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
- 54405: Insertion of multi-component inflatable penile prosthesis — https://www.med-reveal.com/rates/54405-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 54500 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