CPT 55866

Laps Surg Prst8ect Rpbic Rad W/Nrv Sparing Robot

CPT 55866 pays $1,081.86 in a non-facility setting and $1,081.86 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $999.94 in Arkansas to $1,421.78 in Alaska, a 42% spread.

National non-facility rate

$1,081.86

Office and other outpatient settings

Facility rate
$1,081.86

Hospital and ASC settings

Highest state
$1,421.78

Alaska

Lowest state
$999.94

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 $1,081.86
CPT 55866 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $1,081.86, national facility $1,081.86.
StateRate compared visuallyNon-facilityFacility
Alaska
$1,421.78$1,421.78
New York
$1,180.09$1,180.09
District of Columbia
$1,177.58$1,177.58
Florida
$1,172.19$1,172.19
Illinois
$1,161.89$1,161.89
New Jersey
$1,159.56$1,159.56
Connecticut
$1,136.04$1,136.04
Washington
$1,120.77$1,120.77
Massachusetts
$1,119.51$1,119.51
California
$1,111.69$1,111.69
Maryland
$1,109.56$1,109.56
Michigan
$1,104.77$1,104.77
Rhode Island
$1,093.99$1,093.99
Georgia
$1,089.76$1,089.76
Pennsylvania
$1,089.72$1,089.72
West Virginia
$1,089.08$1,089.08
Colorado
$1,086.31$1,086.31
Puerto Rico
$1,083.25$1,083.25
Virgin Islands
$1,083.25$1,083.25
Montana
$1,081.67$1,081.67
New Hampshire
$1,080.53$1,080.53
New Mexico
$1,079.62$1,079.62
Hawaii
$1,077.11$1,077.11
Oregon
$1,075.26$1,075.26
Texas
$1,075.19$1,075.19
Delaware
$1,072.90$1,072.90
Nevada
$1,066.33$1,066.33
Louisiana
$1,064.04$1,064.04
Ohio
$1,060.35$1,060.35
Arizona
$1,060.31$1,060.31
Missouri
$1,059.31$1,059.31
Wyoming
$1,057.28$1,057.28
Utah
$1,056.86$1,056.86
Virginia
$1,049.72$1,049.72
South Carolina
$1,048.23$1,048.23
Kentucky
$1,045.42$1,045.42
Maine
$1,035.16$1,035.16
Oklahoma
$1,033.40$1,033.40
Vermont
$1,032.60$1,032.60
North Carolina
$1,030.59$1,030.59
North Dakota
$1,025.71$1,025.71
Minnesota
$1,022.73$1,022.73
Mississippi
$1,021.62$1,021.62
South Dakota
$1,019.09$1,019.09
Tennessee
$1,014.81$1,014.81
Indiana
$1,014.59$1,014.59
Idaho
$1,011.57$1,011.57
Kansas
$1,010.41$1,010.41
Alabama
$1,008.85$1,008.85
Wisconsin
$1,005.70$1,005.70
Nebraska
$1,003.36$1,003.36
Iowa
$1,003.11$1,003.11
Arkansas
$999.94$999.94

Related Surgery

55840Prostatectomy Retropubic W/Wo Nerve Sparing55831Prostatectomy Retropubic Subtotal55821Prostatectomy Suprapubic Subtotal 1/2 Stages55810Prostatectomy Perineal Radical55801Prostatectomy Perineal Subtotal55700Prostate Needle Biopsy Any Approach54650Orchiopexy Abdl Approach Intra-Abdominal Testis54530Orchiectomy Radical Tumor Inguinal Approach

Billed by 1 specialties

Urology

Commercial rates for 55866

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

See negotiated rates