MedPayIQ
Browse codesSavedAbout

Medicare rate data current as of December 23, 2024 (CMS Physician Fee Schedule RVU25A). Next scheduled CMS update: January 2026. About our data

Free Revenue Protection Toolkit

The NCCI Hard-Stop Reference and more denial-prevention guides. Free — enter your email to download.

HomeSearch codesAboutOur storyPrivacyTermsContact

Reimbursement rates sourced from CMS Medicare Physician Fee Schedule RVU25A. Data accurate as of release date. For informational purposes only — verify with payer contracts before billing decisions.

CPT codes and descriptions are copyright 2024 American Medical Association. All Rights Reserved.

© 2026 MedPayIQ

Home/CPT codes/54220/By state
CPT 54220Surgery

Reimbursement by state

Irrg crpra cavrnosa priapism

Highest
$260.56
Alaska
Median
$211.46
across 53 states
Lowest
$192.75
Arkansas
Spread
35%
highest vs lowest
RankStateLocalityRatevs Median
1topAlaskaAlaska$260.56+23.2%
2New YorkManhattanⓘ$250.60+18.5%
3District of ColumbiaWashington DC + MD/VA Suburbs$247.08+16.8%
4WashingtonSeattle (King County)$245.52+16.1%
5New JerseyNorthern NJ$243.40+15.1%
6MassachusettsMetro Boston

Methodology

Each state shows the non-facility rate for one representative Medicare locality. Most states have only one locality, but several (CA, NY, TX, FL, IL, MA, MO, NJ, OR, WA, PA) have multiple. For those, we use the largest metropolitan locality. States like California span a wide GPCI range — billers in different California cities should check the locality-specific rate on the main code page.

Rates derived from 2025 CMS Physician Fee Schedule (RVU25A) with 2025 GPCI adjustments. Conversion factor: 32.3465.

← Back to CPT 54220

$243.07
+14.9%
7FloridaMiamiⓘ$238.71+12.9%
8IllinoisChicagoⓘ$232.67+10.0%
9ConnecticutConnecticut$232.15+9.8%
10MarylandBaltimore / Surrounding Counties$231.65+9.5%
11HawaiiHawaii / Guam$229.56+8.6%
12PennsylvaniaMetropolitan Philadelphia$227.16+7.4%
13OregonPortland$226.41+7.1%
14CaliforniaLos Angeles-Long Beach-Anaheimⓘ$225.14+6.5%
15MichiganDetroit$223.93+5.9%
16ColoradoColorado$221.49+4.7%
17Rhode IslandRhode Island$221.34+4.7%
18TexasHoustonⓘ$221.09+4.6%
19New HampshireNew Hampshire$219.38+3.7%
20Puerto RicoPuerto Rico$217.05+2.6%
21Virgin IslandsVirgin Islands$217.05+2.6%
22MontanaMontana$216.12+2.2%
23DelawareDelaware$215.46+1.9%
24NevadaNevada$214.43+1.4%
25MaineMaine (rest)$213.56+1.0%
26WyomingWyoming$213.11+0.8%
27VirginiaVirginia$211.46+0.0%
28ArizonaArizona$211.42-0.0%
29MinnesotaMinnesota$210.71-0.4%
30North DakotaNorth Dakota$210.30-0.5%
31LouisianaNew Orleans$210.21-0.6%
32MissouriSt. Louis$209.77-0.8%
33VermontVermont$209.44-1.0%
34South DakotaSouth Dakota$208.60-1.4%
35UtahUtah$207.11-2.1%
36New MexicoNew Mexico$207.02-2.1%
37OhioOhio$205.64-2.8%
38GeorgiaGeorgia$203.29-3.9%
39West VirginiaWest Virginia$203.28-3.9%
40South CarolinaSouth Carolina$203.17-3.9%
41North CarolinaNorth Carolina$202.88-4.1%
42WisconsinWisconsin$202.56-4.2%
43OklahomaOklahoma$200.36-5.2%
44IndianaIndiana$200.11-5.4%
45KentuckyKentucky$199.86-5.5%
46KansasKansas$198.80-6.0%
47IowaIowa$198.63-6.1%
48IdahoIdaho$198.05-6.3%
49TennesseeTennessee$197.59-6.6%
50NebraskaNebraska$197.20-6.7%
51MississippiMississippi$194.90-7.8%
52AlabamaAlabama$194.60-8.0%
53lowArkansasArkansas$192.75-8.8%