# CPT 54640: Orchiopexy, inguinal approach

Medicare CPT 54640 pays $393.80 in a non-facility setting and $393.80 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $361.72 in Arkansas to $510.92 in Alaska, a 41% spread.

Web page: https://www.med-reveal.com/rates/54640-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $393.80 |
| National facility | $393.80 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $510.92 | $510.92 |
| New York | $430.70 | $430.70 |
| District of Columbia | $430.38 | $430.38 |
| Florida | $427.35 | $427.35 |
| New Jersey | $423.13 | $423.13 |
| Illinois | $423.02 | $423.02 |
| Connecticut | $414.43 | $414.43 |
| Washington | $409.29 | $409.29 |
| Massachusetts | $408.69 | $408.69 |
| California | $406.36 | $406.36 |
| Maryland | $404.33 | $404.33 |
| Michigan | $401.57 | $401.57 |
| Rhode Island | $398.32 | $398.32 |
| Pennsylvania | $396.29 | $396.29 |
| Georgia | $396.15 | $396.15 |
| Colorado | $395.98 | $395.98 |
| West Virginia | $394.91 | $394.91 |
| Puerto Rico | $394.45 | $394.45 |
| Virgin Islands | $394.45 | $394.45 |
| New Hampshire | $393.79 | $393.79 |
| Montana | $393.73 | $393.73 |
| Hawaii | $393.67 | $393.67 |
| New Mexico | $391.97 | $391.97 |
| Oregon | $391.83 | $391.83 |
| Texas | $391.03 | $391.03 |
| Delaware | $390.23 | $390.23 |
| Nevada | $388.05 | $388.05 |
| Louisiana | $386.15 | $386.15 |
| Arizona | $385.43 | $385.43 |
| Ohio | $384.78 | $384.78 |
| Wyoming | $384.68 | $384.68 |
| Missouri | $384.45 | $384.45 |
| Utah | $383.81 | $383.81 |
| Virginia | $381.67 | $381.67 |
| South Carolina | $380.41 | $380.41 |
| Kentucky | $378.95 | $378.95 |
| Maine | $375.94 | $375.94 |
| Vermont | $375.40 | $375.40 |
| Oklahoma | $374.54 | $374.54 |
| North Carolina | $373.97 | $373.97 |
| North Dakota | $372.96 | $372.96 |
| Minnesota | $372.21 | $372.21 |
| South Dakota | $370.51 | $370.51 |
| Mississippi | $369.79 | $369.79 |
| Indiana | $367.97 | $367.97 |
| Tennessee | $367.83 | $367.83 |
| Idaho | $366.76 | $366.76 |
| Kansas | $366.14 | $366.14 |
| Alabama | $365.22 | $365.22 |
| Wisconsin | $365.04 | $365.04 |
| Nebraska | $363.75 | $363.75 |
| Iowa | $363.56 | $363.56 |
| Arkansas | $361.72 | $361.72 |

## 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
- 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

Commercial negotiated rates for 54640 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