CPT 55810

Prostatectomy Perineal Radical

CPT 55810 pays $1,165.02 in a non-facility setting and $1,165.02 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,077.35 in Arkansas to $1,532.61 in Alaska, a 42% spread.

National non-facility rate

$1,165.02

Office and other outpatient settings

Facility rate
$1,165.02

Hospital and ASC settings

Highest state
$1,532.61

Alaska

Lowest state
$1,077.35

Arkansas · 42% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $1,165.02
CPT 55810 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $1,165.02, national facility $1,165.02.
StateRate compared visuallyNon-facilityFacility
Alaska
$1,532.61$1,532.61
New York
$1,270.53$1,270.53
District of Columbia
$1,267.72$1,267.72
Florida
$1,262.06$1,262.06
Illinois
$1,251.09$1,251.09
New Jersey
$1,248.47$1,248.47
Connecticut
$1,223.15$1,223.15
Washington
$1,206.67$1,206.67
Massachusetts
$1,205.33$1,205.33
California
$1,196.84$1,196.84
Maryland
$1,194.76$1,194.76
Michigan
$1,189.77$1,189.77
Rhode Island
$1,178.08$1,178.08
Georgia
$1,173.62$1,173.62
Pennsylvania
$1,173.56$1,173.56
West Virginia
$1,173.08$1,173.08
Colorado
$1,169.72$1,169.72
Puerto Rico
$1,166.50$1,166.50
Virgin Islands
$1,166.50$1,166.50
Montana
$1,164.82$1,164.82
New Hampshire
$1,163.51$1,163.51
New Mexico
$1,162.81$1,162.81
Hawaii
$1,159.62$1,159.62
Texas
$1,157.93$1,157.93
Oregon
$1,157.86$1,157.86
Delaware
$1,155.45$1,155.45
Nevada
$1,148.34$1,148.34
Louisiana
$1,146.08$1,146.08
Ohio
$1,142.12$1,142.12
Arizona
$1,141.95$1,141.95
Missouri
$1,140.99$1,140.99
Wyoming
$1,138.62$1,138.62
Utah
$1,138.31$1,138.31
Virginia
$1,130.54$1,130.54
South Carolina
$1,129.08$1,129.08
Kentucky
$1,126.14$1,126.14
Maine
$1,114.97$1,114.97
Oklahoma
$1,113.22$1,113.22
Vermont
$1,112.14$1,112.14
North Carolina
$1,110.11$1,110.11
North Dakota
$1,104.71$1,104.71
Minnesota
$1,101.44$1,101.44
Mississippi
$1,100.64$1,100.64
South Dakota
$1,097.60$1,097.60
Tennessee
$1,093.21$1,093.21
Indiana
$1,092.94$1,092.94
Idaho
$1,089.71$1,089.71
Kansas
$1,088.50$1,088.50
Alabama
$1,086.89$1,086.89
Wisconsin
$1,083.31$1,083.31
Nebraska
$1,080.88$1,080.88
Iowa
$1,080.63$1,080.63
Arkansas
$1,077.35$1,077.35

Billed by 1 specialties

Commercial rates for 55810

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates