# CPT 55866: Laparoscopic radical prostatectomy

Medicare 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.

Web page: https://www.med-reveal.com/rates/55866-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Urology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $1,081.86 |
| National facility | $1,081.86 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| 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 | $1,109.57 | $1,109.57 |
| Michigan | $1,104.76 | $1,104.76 |
| 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 | $1,035.17 | $1,035.17 |
| 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 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 55866 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