CPT code 55810: Radical prostatectomy, perineal approach2026 Medicare rate & RVUs in Idaho

In Idaho, Medicare pays $1,089.71 for 55810 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 55810 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 55810 covers

A urologist removes the prostate through an incision in the perineum as treatment for prostate cancer. Radical prostatectomy includes removal of the prostate and seminal vesicles; nerve-sparing may be performed when clinically appropriate. This is a major operation performed in an operating room, generally in a hospital or other surgical facility.

Choose this code for the perineal approach when the operation is radical and the documented extent matches this code rather than a code that includes pelvic lymph node work. The operative report should identify the approach, the structures removed, and any nerve-sparing or lymph node procedures. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. 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 Idaho compares for 55810

Across 109 of 109 payment localities, the facility rate for 55810 runs from $1,077.35 in Arkansas to $1,532.61 in Alaska. Idaho pays $1,089.71. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

55810 rates by state

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

See 55810 in every payment locality

How the 55810 rate is calculated

Each of 55810’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 55810

55810 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 55810

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

How 55810 has changed in Idaho

Price 55810 for an earlier date of service

Where the Idaho rate applies

Idaho is a Medicare payment area, not a city. Our Census mapping connects it to 235 cities and communities in Idaho. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Acequia
• Albion
• American Falls
• Ammon
• Arbon Valley
• Arco
• Arimo

Browse all communities in Idaho

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