# CPT 55831: Prostatectomy Retropubic Subtotal

Medicare CPT 55831 pays $774.90 in a non-facility setting and $774.90 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $714.29 in Arkansas to $1,011.93 in Alaska, a 42% spread.

Web page: https://www.med-reveal.com/rates/55831-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Urology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $774.90 |
| National facility | $774.90 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,011.93 | $1,011.93 |
| New York | $846.13 | $846.13 |
| District of Columbia | $845.50 | $845.50 |
| Florida | $838.81 | $838.81 |
| New Jersey | $831.79 | $831.79 |
| Illinois | $830.78 | $830.78 |
| Connecticut | $814.50 | $814.50 |
| Washington | $804.82 | $804.82 |
| Massachusetts | $803.64 | $803.64 |
| California | $799.20 | $799.20 |
| Maryland | $795.19 | $795.19 |
| Michigan | $789.92 | $789.92 |
| Rhode Island | $783.94 | $783.94 |
| Pennsylvania | $779.98 | $779.98 |
| Georgia | $779.59 | $779.59 |
| Colorado | $779.17 | $779.17 |
| West Virginia | $777.48 | $777.48 |
| Puerto Rico | $776.10 | $776.10 |
| Virgin Islands | $776.10 | $776.10 |
| Montana | $774.77 | $774.77 |
| New Hampshire | $774.75 | $774.75 |
| Hawaii | $774.19 | $774.19 |
| New Mexico | $771.72 | $771.72 |
| Oregon | $771.20 | $771.20 |
| Texas | $769.84 | $769.84 |
| Delaware | $768.29 | $768.29 |
| Nevada | $763.95 | $763.95 |
| Louisiana | $760.64 | $760.64 |
| Arizona | $759.08 | $759.08 |
| Ohio | $758.03 | $758.03 |
| Wyoming | $757.53 | $757.53 |
| Missouri | $757.38 | $757.38 |
| Utah | $756.08 | $756.08 |
| Virginia | $751.86 | $751.86 |
| South Carolina | $749.68 | $749.68 |
| Kentucky | $747.01 | $747.01 |
| Maine | $741.05 | $741.05 |
| Vermont | $739.90 | $739.90 |
| Oklahoma | $738.60 | $738.60 |
| North Carolina | $737.38 | $737.38 |
| North Dakota | $735.22 | $735.22 |
| Minnesota | $733.67 | $733.67 |
| South Dakota | $730.54 | $730.54 |
| Mississippi | $729.66 | $729.66 |
| Indiana | $725.96 | $725.96 |
| Tennessee | $725.77 | $725.77 |
| Idaho | $723.69 | $723.69 |
| Kansas | $722.56 | $722.56 |
| Alabama | $720.90 | $720.90 |
| Wisconsin | $720.27 | $720.27 |
| Nebraska | $717.94 | $717.94 |
| Iowa | $717.61 | $717.61 |
| Arkansas | $714.29 | $714.29 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 55831 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