# CPT 57291: Construction of artificial vagina, without graft

Medicare CPT 57291 pays $488.32 in a non-facility setting and $488.32 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $442.23 in Arkansas to $617.16 in Alaska, a 40% spread.

Web page: https://www.med-reveal.com/rates/57291-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $488.32 |
| National facility | $488.32 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $617.16 | $617.16 |
| New York | $537.57 | $537.57 |
| District of Columbia | $537.18 | $537.18 |
| Florida | $535.33 | $535.33 |
| Illinois | $528.70 | $528.70 |
| New Jersey | $526.77 | $526.77 |
| Connecticut | $516.42 | $516.42 |
| Washington | $508.94 | $508.94 |
| Massachusetts | $508.17 | $508.17 |
| California | $504.88 | $504.88 |
| Maryland | $502.50 | $502.50 |
| Michigan | $498.69 | $498.69 |
| Rhode Island | $493.58 | $493.58 |
| Georgia | $491.13 | $491.13 |
| Colorado | $491.05 | $491.05 |
| Pennsylvania | $491.01 | $491.01 |
| Puerto Rico | $489.32 | $489.32 |
| Virgin Islands | $489.32 | $489.32 |
| Hawaii | $489.29 | $489.29 |
| West Virginia | $488.79 | $488.79 |
| New Hampshire | $488.66 | $488.66 |
| Montana | $488.22 | $488.22 |
| Oregon | $485.45 | $485.45 |
| New Mexico | $485.08 | $485.08 |
| Texas | $483.93 | $483.93 |
| Delaware | $482.87 | $482.87 |
| Nevada | $480.28 | $480.28 |
| Louisiana | $476.89 | $476.89 |
| Arizona | $476.35 | $476.35 |
| Wyoming | $475.56 | $475.56 |
| Ohio | $474.97 | $474.97 |
| Missouri | $474.54 | $474.54 |
| Utah | $473.83 | $473.83 |
| Virginia | $471.20 | $471.20 |
| South Carolina | $468.95 | $468.95 |
| Kentucky | $466.61 | $466.61 |
| Maine | $462.95 | $462.95 |
| Vermont | $462.49 | $462.49 |
| Oklahoma | $460.47 | $460.47 |
| North Carolina | $460.01 | $460.01 |
| North Dakota | $459.16 | $459.16 |
| Minnesota | $458.34 | $458.34 |
| South Dakota | $455.72 | $455.72 |
| Mississippi | $453.55 | $453.55 |
| Indiana | $451.55 | $451.55 |
| Tennessee | $451.21 | $451.21 |
| Idaho | $449.81 | $449.81 |
| Kansas | $448.80 | $448.80 |
| Wisconsin | $447.71 | $447.71 |
| Alabama | $447.26 | $447.26 |
| Nebraska | $445.62 | $445.62 |
| Iowa | $445.29 | $445.29 |
| Arkansas | $442.23 | $442.23 |

## 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 57291 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