# CPT 56420: I&d of Bartholins Gland Abscess

Medicare CPT 56420 pays $182.03 in a non-facility setting and $100.20 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $160.20 in Arkansas to $210.09 in Alaska, a 31% spread.

Web page: https://www.med-reveal.com/rates/56420-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Obstetrics & Gynecology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $182.03 |
| National facility | $100.20 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $210.09 | $122.94 |
| District of Columbia | $208.12 | $111.72 |
| California | $203.37 | $106.54 |
| New York | $201.84 | $110.55 |
| New Jersey | $201.14 | $109.00 |
| Washington | $199.63 | $106.35 |
| Massachusetts | $197.83 | $105.89 |
| Hawaii | $196.09 | $103.05 |
| Connecticut | $194.45 | $106.32 |
| Florida | $190.05 | $107.94 |
| Colorado | $188.98 | $101.92 |
| Maryland | $188.67 | $103.37 |
| Oregon | $187.01 | $100.79 |
| Rhode Island | $186.26 | $101.72 |
| New Hampshire | $186.25 | $101.06 |
| Illinois | $185.21 | $106.14 |
| Puerto Rico | $183.31 | $100.58 |
| Virgin Islands | $183.31 | $100.58 |
| Montana | $182.02 | $100.19 |
| Nevada | $180.82 | $98.91 |
| Pennsylvania | $180.40 | $100.25 |
| Minnesota | $180.08 | $95.88 |
| Wyoming | $179.95 | $98.12 |
| Delaware | $179.93 | $99.08 |
| Texas | $179.75 | $99.19 |
| Georgia | $177.83 | $99.76 |
| Michigan | $177.54 | $100.70 |
| Virginia | $177.51 | $97.07 |
| North Dakota | $177.27 | $95.44 |
| Arizona | $176.94 | $97.64 |
| Vermont | $176.80 | $95.79 |
| South Dakota | $176.71 | $94.88 |
| Utah | $173.58 | $96.66 |
| Maine | $173.38 | $95.19 |
| New Mexico | $173.08 | $98.04 |
| Missouri | $171.43 | $96.34 |
| Louisiana | $171.34 | $96.63 |
| South Carolina | $171.16 | $95.55 |
| Wisconsin | $171.14 | $92.75 |
| Ohio | $171.03 | $96.31 |
| North Carolina | $170.61 | $94.27 |
| West Virginia | $168.82 | $97.71 |
| Indiana | $168.62 | $92.77 |
| Idaho | $167.63 | $92.34 |
| Nebraska | $167.25 | $91.72 |
| Kentucky | $167.23 | $94.48 |
| Tennessee | $166.74 | $92.36 |
| Oklahoma | $166.63 | $93.55 |
| Iowa | $166.38 | $91.51 |
| Kansas | $165.84 | $91.87 |
| Alabama | $162.65 | $91.05 |
| Mississippi | $162.25 | $91.80 |
| Arkansas | $160.20 | $89.91 |

## 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 56420 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