CPT code 21557: Tumor resection, radical, under 5 cm2026 Medicare rate & RVUs in Ohio

In Ohio, Medicare pays $857.37 for 21557 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 21557 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 21557 covers

This code describes radical resection of a soft-tissue tumor in the neck or anterior thorax, such as a small soft-tissue sarcoma. The surgeon removes the tumor more extensively than with a limited excision, typically taking it out en bloc with a planned margin of surrounding tissue. These operations are generally performed in a hospital operating room by a surgeon experienced in head and neck or soft-tissue tumor surgery.

Select this code when the operative report supports radical resection and documents a tumor size under 5 cm; a limited deep excision or a biopsy is a different service. Record the site, measured size, depth, extent of removal, and operative technique. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued is paid in full and other procedures are subject to the standard 50% reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Ohio compares for 21557

Across 109 of 109 payment localities, the facility rate for 21557 runs from $789.90 in Arkansas to $1,095.18 in Alaska. Ohio pays $857.37. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

21557 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 21557 in every payment locality

How the 21557 rate is calculated

Each of 21557’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 21557

21557 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 21557

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 21557 has changed in Ohio

Price 21557 for an earlier date of service

Where the Ohio rate applies

Ohio is a Medicare payment area, not a city. Our Census mapping connects it to 1265 cities and communities in Ohio. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Ada
• Adamsville
• Addyston
• Adelphi
• Adena
• Ai
• Akron

Browse all communities in Ohio

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates