# CPT 54690: Laparoscopic orchiectomy

Medicare CPT 54690 pays $593.20 in a non-facility setting and $593.20 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $546.52 in Arkansas to $772.47 in Alaska, a 41% spread.

Web page: https://www.med-reveal.com/rates/54690-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $593.20 |
| National facility | $593.20 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $772.47 | $772.47 |
| District of Columbia | $648.36 | $648.36 |
| New York | $647.68 | $647.68 |
| Florida | $639.91 | $639.91 |
| New Jersey | $637.43 | $637.43 |
| Illinois | $633.45 | $633.45 |
| Connecticut | $623.64 | $623.64 |
| Washington | $617.79 | $617.79 |
| Massachusetts | $616.60 | $616.60 |
| California | $614.47 | $614.47 |
| Maryland | $608.88 | $608.88 |
| Michigan | $603.11 | $603.11 |
| Rhode Island | $600.56 | $600.56 |
| Colorado | $597.55 | $597.55 |
| Pennsylvania | $596.65 | $596.65 |
| Georgia | $595.84 | $595.84 |
| Hawaii | $595.05 | $595.05 |
| Puerto Rico | $594.27 | $594.27 |
| Virgin Islands | $594.27 | $594.27 |
| New Hampshire | $593.80 | $593.80 |
| Montana | $593.10 | $593.10 |
| West Virginia | $592.82 | $592.82 |
| Oregon | $591.50 | $591.50 |
| New Mexico | $589.45 | $589.45 |
| Texas | $589.30 | $589.30 |
| Delaware | $588.22 | $588.22 |
| Nevada | $585.22 | $585.22 |
| Louisiana | $581.29 | $581.29 |
| Arizona | $581.11 | $581.11 |
| Wyoming | $580.52 | $580.52 |
| Ohio | $579.38 | $579.38 |
| Missouri | $578.99 | $578.99 |
| Utah | $578.43 | $578.43 |
| Virginia | $576.09 | $576.09 |
| South Carolina | $573.47 | $573.47 |
| Kentucky | $570.93 | $570.93 |
| Maine | $567.72 | $567.72 |
| Vermont | $567.48 | $567.48 |
| Oklahoma | $564.85 | $564.85 |
| North Carolina | $564.65 | $564.65 |
| North Dakota | $564.23 | $564.23 |
| Minnesota | $563.61 | $563.61 |
| South Dakota | $560.82 | $560.82 |
| Mississippi | $557.77 | $557.77 |
| Indiana | $556.21 | $556.21 |
| Tennessee | $555.76 | $555.76 |
| Idaho | $554.43 | $554.43 |
| Kansas | $553.33 | $553.33 |
| Wisconsin | $552.59 | $552.59 |
| Alabama | $551.62 | $551.62 |
| Nebraska | $550.29 | $550.29 |
| Iowa | $549.91 | $549.91 |
| Arkansas | $546.52 | $546.52 |

## 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 54690 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