# CPT 55840: Prostatectomy, retropubic radical, with nerve sparing

Medicare CPT 55840 pays $1,045.11 in a non-facility setting and $1,045.11 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $964.60 in Arkansas to $1,369.00 in Alaska, a 42% spread.

Web page: https://www.med-reveal.com/rates/55840-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Urology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $1,045.11 |
| National facility | $1,045.11 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,369.00 | $1,369.00 |
| New York | $1,140.65 | $1,140.65 |
| District of Columbia | $1,138.97 | $1,138.97 |
| Florida | $1,131.98 | $1,131.98 |
| Illinois | $1,121.59 | $1,121.59 |
| New Jersey | $1,121.01 | $1,121.01 |
| Connecticut | $1,098.01 | $1,098.01 |
| Washington | $1,084.06 | $1,084.06 |
| Massachusetts | $1,082.66 | $1,082.66 |
| California | $1,075.85 | $1,075.85 |
| Maryland | $1,072.19 | $1,072.19 |
| Michigan | $1,066.37 | $1,066.37 |
| Rhode Island | $1,057.05 | $1,057.05 |
| Pennsylvania | $1,052.35 | $1,052.35 |
| Georgia | $1,052.12 | $1,052.12 |
| West Virginia | $1,050.40 | $1,050.40 |
| Colorado | $1,050.11 | $1,050.11 |
| Puerto Rico | $1,046.60 | $1,046.60 |
| Virgin Islands | $1,046.60 | $1,046.60 |
| Montana | $1,044.93 | $1,044.93 |
| New Hampshire | $1,044.36 | $1,044.36 |
| Hawaii | $1,042.28 | $1,042.28 |
| New Mexico | $1,041.92 | $1,041.92 |
| Oregon | $1,039.39 | $1,039.39 |
| Texas | $1,038.47 | $1,038.47 |
| Delaware | $1,036.31 | $1,036.31 |
| Nevada | $1,030.20 | $1,030.20 |
| Louisiana | $1,026.90 | $1,026.90 |
| Arizona | $1,024.02 | $1,024.02 |
| Ohio | $1,023.35 | $1,023.35 |
| Missouri | $1,022.41 | $1,022.41 |
| Wyoming | $1,021.49 | $1,021.49 |
| Utah | $1,020.34 | $1,020.34 |
| Virginia | $1,014.01 | $1,014.01 |
| South Carolina | $1,011.84 | $1,011.84 |
| Kentucky | $1,008.70 | $1,008.70 |
| Maine | $999.68 | $999.68 |
| Vermont | $997.65 | $997.65 |
| Oklahoma | $997.19 | $997.19 |
| North Carolina | $995.00 | $995.00 |
| North Dakota | $991.15 | $991.15 |
| Minnesota | $988.65 | $988.65 |
| Mississippi | $985.47 | $985.47 |
| South Dakota | $984.79 | $984.79 |
| Indiana | $979.54 | $979.54 |
| Tennessee | $979.52 | $979.52 |
| Idaho | $976.55 | $976.55 |
| Kansas | $975.23 | $975.23 |
| Alabama | $973.37 | $973.37 |
| Wisconsin | $971.39 | $971.39 |
| Nebraska | $968.70 | $968.70 |
| Iowa | $968.36 | $968.36 |
| Arkansas | $964.60 | $964.60 |

## 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 55840 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
