CPT 56440

Marsupialization Bartholins Gland Cyst

CPT 56440 pays $163.66 in a non-facility setting and $163.66 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $148.35 in Arkansas to $207.03 in Alaska, a 40% spread.

National non-facility rate

$163.66

Office and other outpatient settings

Facility rate
$163.66

Hospital and ASC settings

Highest state
$207.03

Alaska

Lowest state
$148.35

Arkansas · 40% 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 $163.66
CPT 56440 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $163.66, national facility $163.66.
StateRate compared visuallyNon-facilityFacility
Alaska
$207.03$207.03
District of Columbia
$180.07$180.07
New York
$180.07$180.07
Florida
$179.02$179.02
Illinois
$176.80$176.80
New Jersey
$176.57$176.57
Connecticut
$173.03$173.03
Washington
$170.73$170.73
Massachusetts
$170.44$170.44
California
$169.50$169.50
Maryland
$168.40$168.40
Michigan
$166.94$166.94
Rhode Island
$165.49$165.49
Colorado
$164.70$164.70
Pennsylvania
$164.52$164.52
Georgia
$164.50$164.50
Hawaii
$164.24$164.24
Puerto Rico
$164.01$164.01
Virgin Islands
$164.01$164.01
New Hampshire
$163.85$163.85
Montana
$163.63$163.63
West Virginia
$163.57$163.57
Oregon
$162.84$162.84
New Mexico
$162.45$162.45
Texas
$162.21$162.21
Delaware
$161.87$161.87
Nevada
$161.04$161.04
Louisiana
$159.77$159.77
Arizona
$159.70$159.70
Wyoming
$159.50$159.50
Ohio
$159.14$159.14
Missouri
$159.01$159.01
Utah
$158.82$158.82
Virginia
$158.04$158.04
South Carolina
$157.20$157.20
Kentucky
$156.37$156.37
Maine
$155.30$155.30
Vermont
$155.21$155.21
Oklahoma
$154.37$154.37
North Carolina
$154.30$154.30
North Dakota
$154.14$154.14
Minnesota
$153.93$153.93
South Dakota
$153.02$153.02
Mississippi
$152.05$152.05
Indiana
$151.52$151.52
Tennessee
$151.38$151.38
Idaho
$150.94$150.94
Kansas
$150.58$150.58
Wisconsin
$150.33$150.33
Alabama
$150.03$150.03
Nebraska
$149.58$149.58
Iowa
$149.45$149.45
Arkansas
$148.35$148.35

Billed by 1 specialties

Commercial rates for 56440

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

See negotiated rates