CPT code 55866: Prostatectomy, laparoscopic, radical2026 Medicare rate & RVUs in Utah

In Utah, Medicare pays $1,056.86 for 55866 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 55866 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 55866 covers

A urologist removes the prostate through a laparoscopic approach, using small abdominal incisions and instruments to dissect and remove the gland. The operation may include preservation of the neurovascular bundles when clinically appropriate; robotic assistance is included when used. This approach is commonly selected for patients undergoing radical prostate surgery for prostate cancer, with most Medicare services performed in a facility.

Select this code for a radical laparoscopic prostatectomy, not a simple or subtotal prostate removal. The operative report should establish the laparoscopic approach, radical intent, structures removed, and any nerve-sparing work or robotic assistance. Medicare assigns a 90-day global period, including the day-before preoperative visit and 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% 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 Utah compares for 55866

Across 109 of 109 payment localities, the facility rate for 55866 runs from $999.94 in Arkansas to $1,421.78 in Alaska. Utah pays $1,056.86. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

55866 rates by state

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

See 55866 in every payment locality

How the 55866 rate is calculated

Each of 55866’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 55866

55866 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 55866

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

How 55866 has changed in Utah

Price 55866 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

• Alpine
• Alta
• Altamont
• Alton
• Amalga
• American Fork
• Aneth
• Annabella

Browse all communities in Utah

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