# CPT 56405: Incision and drainage of vulvar/perineal abscess

Medicare CPT 56405 pays $145.96 in a non-facility setting and $116.90 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $129.22 in Arkansas to $172.05 in Alaska, a 33% spread.

Web page: https://www.med-reveal.com/rates/56405-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $145.96 |
| National facility | $116.90 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $172.05 | $141.11 |
| District of Columbia | $165.37 | $131.14 |
| New York | $161.65 | $129.23 |
| New Jersey | $160.37 | $127.65 |
| California | $160.01 | $125.62 |
| Washington | $158.09 | $124.97 |
| Massachusetts | $156.95 | $124.31 |
| Connecticut | $155.60 | $124.30 |
| Florida | $154.48 | $125.32 |
| Hawaii | $154.48 | $121.44 |
| Illinois | $151.04 | $122.97 |
| Maryland | $151.04 | $120.75 |
| Colorado | $150.33 | $119.41 |
| Rhode Island | $148.88 | $118.86 |
| Oregon | $148.70 | $118.09 |
| New Hampshire | $148.52 | $118.27 |
| Puerto Rico | $146.81 | $117.43 |
| Virgin Islands | $146.81 | $117.43 |
| Montana | $145.94 | $116.89 |
| Pennsylvania | $145.18 | $116.71 |
| Nevada | $144.60 | $115.51 |
| Delaware | $144.26 | $115.55 |
| Texas | $144.23 | $115.63 |
| Michigan | $144.08 | $116.79 |
| Wyoming | $143.70 | $114.65 |
| Georgia | $143.65 | $115.93 |
| Minnesota | $142.42 | $112.52 |
| Arizona | $141.96 | $113.80 |
| Virginia | $141.90 | $113.33 |
| North Dakota | $140.80 | $111.74 |
| Vermont | $140.78 | $112.02 |
| New Mexico | $140.33 | $113.69 |
| South Dakota | $140.20 | $111.14 |
| Utah | $139.75 | $112.43 |
| Maine | $138.76 | $111.00 |
| Louisiana | $138.64 | $112.11 |
| Missouri | $138.51 | $111.85 |
| Ohio | $138.30 | $111.77 |
| West Virginia | $138.07 | $112.81 |
| South Carolina | $137.91 | $111.06 |
| North Carolina | $136.87 | $109.76 |
| Wisconsin | $136.22 | $108.38 |
| Kentucky | $135.36 | $109.53 |
| Indiana | $135.01 | $108.07 |
| Oklahoma | $134.52 | $108.57 |
| Idaho | $134.28 | $107.54 |
| Tennessee | $133.86 | $107.44 |
| Nebraska | $133.72 | $106.90 |
| Iowa | $133.17 | $106.58 |
| Kansas | $133.13 | $106.86 |
| Mississippi | $131.35 | $106.33 |
| Alabama | $131.09 | $105.66 |
| Arkansas | $129.22 | $104.26 |

## 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 56405 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