# CPT 55040: Excision of hydrocele, unilateral

Medicare CPT 55040 pays $314.97 in a non-facility setting and $314.97 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $287.41 in Arkansas to $400.41 in Alaska, a 39% spread.

Web page: https://www.med-reveal.com/rates/55040-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $314.97 |
| National facility | $314.97 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $400.41 | $400.41 |
| District of Columbia | $347.50 | $347.50 |
| New York | $345.07 | $345.07 |
| New Jersey | $340.41 | $340.41 |
| Florida | $337.80 | $337.80 |
| Illinois | $333.35 | $333.35 |
| Connecticut | $332.27 | $332.27 |
| Washington | $331.50 | $331.50 |
| California | $331.35 | $331.35 |
| Massachusetts | $330.38 | $330.38 |
| Maryland | $323.96 | $323.96 |
| Hawaii | $320.59 | $320.59 |
| Rhode Island | $319.54 | $319.54 |
| Colorado | $319.19 | $319.19 |
| Michigan | $317.69 | $317.69 |
| New Hampshire | $316.68 | $316.68 |
| Oregon | $315.93 | $315.93 |
| Pennsylvania | $315.87 | $315.87 |
| Puerto Rico | $315.87 | $315.87 |
| Virgin Islands | $315.87 | $315.87 |
| Montana | $314.92 | $314.92 |
| Georgia | $314.65 | $314.65 |
| Texas | $312.49 | $312.49 |
| Delaware | $312.10 | $312.10 |
| Nevada | $311.12 | $311.12 |
| New Mexico | $310.28 | $310.28 |
| West Virginia | $310.27 | $310.27 |
| Wyoming | $308.80 | $308.80 |
| Arizona | $308.02 | $308.02 |
| Louisiana | $306.18 | $306.18 |
| Virginia | $306.06 | $306.06 |
| Utah | $305.72 | $305.72 |
| Ohio | $305.25 | $305.25 |
| Missouri | $305.22 | $305.22 |
| South Carolina | $302.76 | $302.76 |
| Vermont | $302.12 | $302.12 |
| Minnesota | $301.58 | $301.58 |
| Maine | $301.04 | $301.04 |
| North Dakota | $300.88 | $300.88 |
| Kentucky | $300.31 | $300.31 |
| South Dakota | $299.22 | $299.22 |
| North Carolina | $298.78 | $298.78 |
| Oklahoma | $297.50 | $297.50 |
| Indiana | $294.47 | $294.47 |
| Wisconsin | $293.78 | $293.78 |
| Tennessee | $293.63 | $293.63 |
| Idaho | $293.36 | $293.36 |
| Mississippi | $292.95 | $292.95 |
| Kansas | $292.27 | $292.27 |
| Nebraska | $291.45 | $291.45 |
| Iowa | $290.99 | $290.99 |
| Alabama | $290.44 | $290.44 |
| Arkansas | $287.41 | $287.41 |

## 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 55040 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