# CPT 57160: Fitting/insertion of pessary

Medicare CPT 57160 pays $70.48 in a non-facility setting and $40.42 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $62.91 in Arkansas to $85.12 in Alaska, a 35% spread.

Web page: https://www.med-reveal.com/rates/57160-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Obstetrics & Gynecology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $70.48 |
| National facility | $40.42 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $85.12 | $53.11 |
| District of Columbia | $79.09 | $43.68 |
| New York | $77.86 | $44.33 |
| New Jersey | $76.97 | $43.13 |
| California | $75.90 | $40.33 |
| Washington | $75.44 | $41.16 |
| Florida | $75.34 | $45.18 |
| Massachusetts | $75.02 | $41.25 |
| Connecticut | $74.91 | $42.54 |
| Illinois | $73.91 | $44.87 |
| Hawaii | $73.35 | $39.18 |
| Maryland | $72.79 | $41.45 |
| Colorado | $72.06 | $40.07 |
| Rhode Island | $71.69 | $40.64 |
| New Hampshire | $71.34 | $40.05 |
| Oregon | $71.27 | $39.60 |
| Puerto Rico | $70.80 | $40.41 |
| Virgin Islands | $70.80 | $40.41 |
| Montana | $70.47 | $40.41 |
| Pennsylvania | $70.33 | $40.89 |
| Michigan | $70.30 | $42.07 |
| Georgia | $69.83 | $41.15 |
| Texas | $69.71 | $40.12 |
| Delaware | $69.68 | $39.98 |
| Nevada | $69.68 | $39.58 |
| Wyoming | $69.17 | $39.11 |
| Arizona | $68.63 | $39.50 |
| New Mexico | $68.46 | $40.90 |
| Virginia | $68.38 | $38.83 |
| Minnesota | $68.00 | $37.07 |
| West Virginia | $67.87 | $41.74 |
| Utah | $67.78 | $39.52 |
| Vermont | $67.64 | $37.88 |
| Louisiana | $67.55 | $40.10 |
| North Dakota | $67.50 | $37.44 |
| Missouri | $67.40 | $39.81 |
| Ohio | $67.35 | $39.90 |
| South Dakota | $67.15 | $37.09 |
| Maine | $66.99 | $38.26 |
| South Carolina | $66.96 | $39.18 |
| North Carolina | $66.23 | $38.18 |
| Kentucky | $66.01 | $39.28 |
| Wisconsin | $65.48 | $36.68 |
| Oklahoma | $65.46 | $38.62 |
| Indiana | $65.24 | $37.38 |
| Idaho | $64.92 | $37.27 |
| Tennessee | $64.84 | $37.52 |
| Nebraska | $64.56 | $36.81 |
| Kansas | $64.50 | $37.32 |
| Iowa | $64.36 | $36.85 |
| Mississippi | $64.11 | $38.23 |
| Alabama | $63.75 | $37.45 |
| Arkansas | $62.91 | $37.09 |

## 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 57160 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