# CPT 55250: Vasectomy

Medicare CPT 55250 pays $346.70 in a non-facility setting and $218.11 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $308.49 in Arkansas to $409.83 in Alaska, a 33% spread.

Web page: https://www.med-reveal.com/rates/55250-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $346.70 |
| National facility | $218.11 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $409.83 | $272.88 |
| District of Columbia | $393.88 | $242.39 |
| California | $385.05 | $232.89 |
| New York | $382.71 | $239.25 |
| New Jersey | $381.59 | $236.80 |
| Washington | $378.39 | $231.80 |
| Massachusetts | $375.15 | $230.68 |
| Hawaii | $371.32 | $225.11 |
| Connecticut | $369.00 | $230.50 |
| Florida | $360.72 | $231.70 |
| Colorado | $359.21 | $222.38 |
| Maryland | $358.69 | $224.63 |
| Oregon | $355.62 | $220.15 |
| Rhode Island | $354.63 | $221.79 |
| New Hampshire | $354.08 | $220.22 |
| Illinois | $352.35 | $228.09 |
| Puerto Rico | $348.94 | $218.93 |
| Virgin Islands | $348.94 | $218.93 |
| Montana | $346.67 | $218.08 |
| Nevada | $344.58 | $215.86 |
| Pennsylvania | $344.09 | $218.14 |
| Minnesota | $343.29 | $210.96 |
| Delaware | $343.16 | $216.11 |
| Wyoming | $343.05 | $214.46 |
| Texas | $342.85 | $216.25 |
| Georgia | $339.38 | $216.70 |
| Michigan | $338.83 | $218.08 |
| Virginia | $338.79 | $212.38 |
| North Dakota | $338.37 | $209.78 |
| Arizona | $337.77 | $213.17 |
| Vermont | $337.54 | $210.24 |
| South Dakota | $337.39 | $208.79 |
| Utah | $331.90 | $211.03 |
| Maine | $331.55 | $208.68 |
| New Mexico | $331.03 | $213.11 |
| Missouri | $328.14 | $210.13 |
| Louisiana | $327.98 | $210.58 |
| South Carolina | $327.67 | $208.85 |
| Wisconsin | $327.64 | $204.44 |
| Ohio | $327.43 | $210.03 |
| North Carolina | $326.71 | $206.73 |
| West Virginia | $323.56 | $211.82 |
| Indiana | $323.23 | $204.02 |
| Idaho | $321.49 | $203.18 |
| Nebraska | $320.82 | $202.13 |
| Kentucky | $320.78 | $206.46 |
| Tennessee | $319.93 | $203.04 |
| Oklahoma | $319.74 | $204.90 |
| Iowa | $319.31 | $201.64 |
| Kansas | $318.36 | $202.11 |
| Alabama | $312.77 | $200.25 |
| Mississippi | $312.07 | $201.35 |
| Arkansas | $308.49 | $198.02 |

## 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 55250 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