# CPT 54520: Orchiectomy, simple

Medicare CPT 54520 pays $305.62 in a non-facility setting and $305.62 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $278.49 in Arkansas to $388.07 in Alaska, a 39% spread.

Web page: https://www.med-reveal.com/rates/54520-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Urology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $305.62 |
| National facility | $305.62 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $388.07 | $388.07 |
| District of Columbia | $337.02 | $337.02 |
| New York | $335.12 | $335.12 |
| New Jersey | $330.20 | $330.20 |
| Florida | $329.06 | $329.06 |
| Illinois | $324.77 | $324.77 |
| Connecticut | $322.55 | $322.55 |
| Washington | $321.11 | $321.11 |
| California | $320.54 | $320.54 |
| Massachusetts | $320.13 | $320.13 |
| Maryland | $314.37 | $314.37 |
| Hawaii | $310.22 | $310.22 |
| Rhode Island | $309.85 | $309.85 |
| Colorado | $309.30 | $309.30 |
| Michigan | $308.94 | $308.94 |
| New Hampshire | $307.02 | $307.02 |
| Pennsylvania | $306.63 | $306.63 |
| Puerto Rico | $306.45 | $306.45 |
| Virgin Islands | $306.45 | $306.45 |
| Oregon | $306.07 | $306.07 |
| Georgia | $305.67 | $305.67 |
| Montana | $305.57 | $305.57 |
| Texas | $303.15 | $303.15 |
| Delaware | $302.72 | $302.72 |
| West Virginia | $301.91 | $301.91 |
| Nevada | $301.65 | $301.65 |
| New Mexico | $301.51 | $301.51 |
| Wyoming | $299.28 | $299.28 |
| Arizona | $298.74 | $298.74 |
| Louisiana | $297.32 | $297.32 |
| Utah | $296.62 | $296.62 |
| Virginia | $296.60 | $296.60 |
| Ohio | $296.37 | $296.37 |
| Missouri | $296.30 | $296.30 |
| South Carolina | $293.71 | $293.71 |
| Vermont | $292.49 | $292.49 |
| Maine | $291.68 | $291.68 |
| Minnesota | $291.60 | $291.60 |
| Kentucky | $291.50 | $291.50 |
| North Dakota | $291.13 | $291.13 |
| North Carolina | $289.54 | $289.54 |
| South Dakota | $289.43 | $289.43 |
| Oklahoma | $288.57 | $288.57 |
| Indiana | $285.16 | $285.16 |
| Tennessee | $284.45 | $284.45 |
| Wisconsin | $284.19 | $284.19 |
| Mississippi | $284.17 | $284.17 |
| Idaho | $284.08 | $284.08 |
| Kansas | $283.10 | $283.10 |
| Nebraska | $282.09 | $282.09 |
| Iowa | $281.69 | $281.69 |
| Alabama | $281.47 | $281.47 |
| Arkansas | $278.49 | $278.49 |

## 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
- 54500: Biopsy of testis — https://www.med-reveal.com/rates/54500-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 54520 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