CPT code 55876: Prostate markers, radiation guidance devices2026 Medicare rate & RVUs in South Dakota
Needle placement of prostate fiducial markers or dosimeters to support image localization during planned radiation treatment.
In South Dakota, Medicare pays $147.09 for 55876 in the office and $86.64 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 55876 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 55876 covers
This service places one or more small interstitial devices, such as fiducial markers or a dosimeter, in the prostate to help localize the gland during radiation treatment. A urologist or other qualified physician typically performs the needle-based procedure, often with imaging guidance, in an office or facility. The needle approach may vary; the purpose is radiation guidance rather than delivery of radioactive seeds or removal of prostate tissue.
Report one service for the marker-placement session; the code includes single or multiple devices. The record should identify the prostate as the target, the devices placed, and their radiation-guidance purpose. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. 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 for this prostate service. Medicare does not pay an assistant at surgery; co-surgeon or team-surgery payment requires supporting documentation.
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 South Dakota compares for 55876
Across 109 of 109 payment localities, the office rate for 55876 runs from $135.75 in Arkansas to $193.69 in San Benito County, CA. South Dakota pays $147.09. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$147.09
- Los Angeles, CA · California$167.69+$20.60
- Washington, DC area · District of Columbia$170.83+$23.74
- Miami, FL · Florida$164.64+$17.55
- Chicago, IL · Illinois$160.36+$13.27
- Manhattan, NY · New York$172.98+$25.89
- Alaska · Alaska$182.43+$35.34
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $137.49 | $84.59 |
| ArkansasArkansas | $135.75 | $83.82 |
| ArizonaArizona | $147.65 | $89.07 |
| Bakersfield, CACalifornia | $158.39 | $92.14 |
| Chico, CACalifornia | $157.82 | $91.56 |
| El Centro, CACalifornia | $157.85 | $91.59 |
| Fresno, CACalifornia | $157.82 | $91.56 |
| Hanford, CACalifornia | $157.82 | $91.56 |
| Madera, CACalifornia | $157.82 | $91.56 |
| Merced, CACalifornia | $157.82 | $91.56 |
| Modesto, CACalifornia | $157.82 | $91.56 |
| Napa, CACalifornia | $179.89 | $100.21 |
| Oxnard, CACalifornia | $166.60 | $95.14 |
| Redding, CACalifornia | $157.82 | $91.56 |
| Rest of CaliforniaCalifornia | $157.82 | $91.56 |
| Riverside, CACalifornia | $159.89 | $93.63 |
| Sacramento, CACalifornia | $164.82 | $94.51 |
| Salinas, CACalifornia | $164.18 | $94.12 |
| San Diego, CACalifornia | $167.44 | $95.14 |
| Marin County, CACalifornia | $189.53 | $104.28 |
| San Francisco, CACalifornia | $189.31 | $104.07 |
| San Benito County, CACalifornia | $193.69 | $106.52 |
| Santa Clara County, CACalifornia | $192.81 | $105.63 |
| San Luis Obispo, CACalifornia | $161.62 | $92.77 |
| Santa Cruz, CACalifornia | $168.58 | $95.12 |
| Santa Maria, CACalifornia | $164.64 | $94.14 |
| Santa Rosa, CACalifornia | $170.24 | $96.00 |
| Stockton, CACalifornia | $157.82 | $91.56 |
| Vallejo, CACalifornia | $179.58 | $99.90 |
| Visalia, CACalifornia | $157.82 | $91.56 |
| Yuba City, CACalifornia | $157.82 | $91.56 |
| ColoradoColorado | $156.26 | $91.93 |
| ConnecticutConnecticut | $160.58 | $95.47 |
| DelawareDelaware | $149.89 | $90.16 |
| Fort Lauderdale, FLFlorida | $157.58 | $96.34 |
| Rest of FloridaFlorida | $150.60 | $92.81 |
| Atlanta, GAGeorgia | $154.17 | $92.74 |
| Rest of GeorgiaGeorgia | $142.97 | $89.04 |
| Hawaii, Guam, HIHawaii | $160.76 | $92.02 |
| IowaIowa | $139.96 | $84.64 |
| IdahoIdaho | $140.88 | $85.26 |
| East St. Louis, ILIllinois | $150.66 | $95.04 |
| Rest of IllinoisIllinois | $147.18 | $91.98 |
| Suburban Chicago, ILIllinois | $158.99 | $96.90 |
| IndianaIndiana | $141.58 | $85.54 |
| KansasKansas | $139.66 | $85.01 |
| KentuckyKentucky | $140.94 | $87.20 |
| New Orleans, LALouisiana | $146.95 | $90.06 |
| Rest of LouisianaLouisiana | $140.86 | $87.36 |
| Metropolitan Boston, MAMassachusetts | $170.09 | $97.91 |
| Rest of MassachusettsMassachusetts | $155.61 | $91.95 |
| Baltimore area, MDMaryland | $160.17 | $95.31 |
| Rest of MarylandMaryland | $152.41 | $91.23 |
| Rest of MaineMaine | $141.83 | $86.21 |
| Southern Maine, MEMaine | $148.17 | $88.26 |
| Detroit, MIMichigan | $152.56 | $94.22 |
| Rest of MichiganMichigan | $144.42 | $89.23 |
| MinnesotaMinnesota | $149.41 | $87.20 |
| Metropolitan Kansas City, MOMissouri | $145.76 | $88.99 |
| Metropolitan St. Louis, MOMissouri | $147.07 | $89.52 |
| Rest of MissouriMissouri | $138.93 | $86.81 |
| MississippiMississippi | $137.35 | $85.29 |
| MontanaMontana | $151.29 | $90.84 |
| North CarolinaNorth Carolina | $143.08 | $86.68 |
| North DakotaNorth Dakota | $147.54 | $87.08 |
| NebraskaNebraska | $140.54 | $84.74 |
| New HampshireNew Hampshire | $154.14 | $91.21 |
| Northern New JerseyNew Jersey | $169.46 | $99.33 |
| Rest of New JerseyNew Jersey | $162.32 | $96.31 |
| New MexicoNew Mexico | $145.24 | $89.80 |
| NevadaNevada | $150.33 | $89.82 |
| NYC suburbs and Long Island, NYNew York | $177.09 | $105.20 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $163.59 | $97.39 |
| Queens, NYNew York | $173.83 | $102.37 |
| Rest of New YorkNew York | $145.00 | $87.56 |
| OhioOhio | $143.66 | $88.46 |
| OklahomaOklahoma | $140.42 | $86.43 |
| Portland, OROregon | $160.41 | $93.24 |
| Rest of OregonOregon | $149.07 | $88.85 |
| Metropolitan Philadelphia, PAPennsylvania | $157.18 | $94.24 |
| Rest of PennsylvaniaPennsylvania | $143.70 | $88.20 |
| Puerto RicoPuerto Rico | $152.18 | $91.06 |
| Rhode IslandRhode Island | $154.61 | $92.16 |
| South CarolinaSouth Carolina | $143.63 | $87.77 |
| TennesseeTennessee | $140.31 | $85.36 |
| Austin, TXTexas | $155.83 | $91.87 |
| Beaumont, TXTexas | $142.89 | $87.87 |
| Brazoria, TXTexas | $149.56 | $89.65 |
| Dallas, TXTexas | $150.56 | $90.35 |
| Fort Worth, TXTexas | $149.76 | $90.15 |
| Galveston, TXTexas | $150.05 | $90.01 |
| Houston, TXTexas | $153.52 | $93.49 |
| Rest of TexasTexas | $146.18 | $88.80 |
| UtahUtah | $145.35 | $88.52 |
| VirginiaVirginia | $147.94 | $88.51 |
| Virgin Islands, VIUnited States Virgin Islands | $152.18 | $91.06 |
| VermontVermont | $147.29 | $87.43 |
| Rest of WashingtonWashington | $155.21 | $91.55 |
| King County, WAWashington | $173.06 | $98.88 |
| WisconsinWisconsin | $143.20 | $85.28 |
| West VirginiaWest Virginia | $142.45 | $89.91 |
| WyomingWyoming | $149.66 | $89.20 |
55876 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$135.75
$182.43
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $182.43 | 1 |
| AL | $137.49 | 1 |
| AR | $135.75 | 1 |
| AZ | $147.65 | 1 |
| CA | $157.82–$193.69 | 29 |
| CO | $156.26 | 1 |
| CT | $160.58 | 1 |
| DC | $170.83 | 1 |
| DE | $149.89 | 1 |
| FL | $150.60–$164.64 | 3 |
| GA | $142.97–$154.17 | 2 |
| GU | $160.76 | 1 |
| HI | $160.76 | 1 |
| IA | $139.96 | 1 |
| ID | $140.88 | 1 |
| IL | $147.18–$160.36 | 4 |
| IN | $141.58 | 1 |
| KS | $139.66 | 1 |
| KY | $140.94 | 1 |
| LA | $140.86–$146.95 | 2 |
| MA | $155.61–$170.09 | 2 |
| MD | $152.41–$170.83 | 3 |
| ME | $141.83–$148.17 | 2 |
| MI | $144.42–$152.56 | 2 |
| MN | $149.41 | 1 |
| MO | $138.93–$147.07 | 3 |
| MS | $137.35 | 1 |
| MT | $151.29 | 1 |
| NC | $143.08 | 1 |
| ND | $147.54 | 1 |
| NE | $140.54 | 1 |
| NH | $154.14 | 1 |
| NJ | $162.32–$169.46 | 2 |
| NM | $145.24 | 1 |
| NV | $150.33 | 1 |
| NY | $145.00–$177.09 | 5 |
| OH | $143.66 | 1 |
| OK | $140.42 | 1 |
| OR | $149.07–$160.41 | 2 |
| PA | $143.70–$157.18 | 2 |
| PR | $152.18 | 1 |
| RI | $154.61 | 1 |
| SC | $143.63 | 1 |
| SD | $147.09 | 1 |
| TN | $140.31 | 1 |
| TX | $142.89–$155.83 | 8 |
| UT | $145.35 | 1 |
| VA | $147.94–$170.83 | 2 |
| VI | $152.18 | 1 |
| VT | $147.29 | 1 |
| WA | $155.21–$173.06 | 2 |
| WI | $143.20 | 1 |
| WV | $142.45 | 1 |
| WY | $149.66 | 1 |
How the 55876 rate is calculated
Each of 55876’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.
How the rate is built · 55876
RVUs × geographic indexes × conversion factor
Work1.69
1.69 RVUs× 1.000 GPCI
Practice expense2.65
2.65 RVUs× 1.000 GPCI
Malpractice0.19
0.19 RVUs× 1.000 GPCI
Adjusted RVUs
4.5300
Conversion factor
$33.4009
Medicare rate
$151.31
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact South Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,394
- Code
- 55876
- Physician work
- 1.69
- Practice expense
- 2.65
- Malpractice
- 0.19
GPCI2026.csv
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.69 | × 1.000 | 1.6900 |
| Practice expense | 2.65 | × 1.000 | 2.6500 |
| Malpractice | 0.19 | × 0.336 | 0.0638 |
| Total RVUs | 4.4038 | ||
| Conversion factor | × 33.4009 | ||
Office rate, South Dakota$147.09
Office: (1.69 × 1 + 2.65 × 1 + 0.19 × 0.336) × $33.4009 = $147.09
Facility: (1.69 × 1 + 0.84 × 1 + 0.19 × 0.336) × $33.4009 = $86.64
Payment rules and modifiers for 55876
The CMS indicators that decide how 55876 is paid alongside other services.
CMS payment indicators · 55876
Prostate markers, radiation guidance devices
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 1 | Permitted with supporting documentation. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
55876 without 51 · national office
$151.31
Prostate markers, radiation guidance devices
55876-51 · Second procedure: 50%
$75.66
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 55876 has changed in South Dakota
55876 · Office / nonfacility
$147.09
Effective 2026-10-01
The base rate is $5.90 higher than on 2025-10-01, moving from $141.19 to $147.09 (4.2%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$141.19changed to$147.09
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.73 changed to 1.69
- Practice expense RVU 2.57 changed to 2.65
- Malpractice RVU 0.17 changed to 0.19
- Malpractice GPCI 0.382 changed to 0.336
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$147.55changed to$141.19
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 2.63 changed to 2.57
- Malpractice RVU 0.19 changed to 0.17
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$145.14changed to$147.55
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$149.08changed to$145.14
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 2.60 changed to 2.63
- Malpractice GPCI 0.364 changed to 0.382
January 1, 2023
RVU23A
$150.74changed to$149.08
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 2.56 changed to 2.60
- Malpractice GPCI 0.347 changed to 0.364
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$148.96changed to$150.74
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 2.48 changed to 2.56
- Malpractice RVU 0.17 changed to 0.19
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$146.03changed to$148.96
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 2.25 changed to 2.48
- Malpractice RVU 0.18 changed to 0.17
- Malpractice GPCI 0.368 changed to 0.347
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$141.99changed to$146.03
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 2.14 changed to 2.25
- Malpractice GPCI 0.389 changed to 0.368
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$137.88changed to$141.99
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 2.03 changed to 2.14
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$135.34changed to$137.88
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 1.97 changed to 2.03
- Malpractice GPCI 0.395 changed to 0.389
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$134.34changed to$135.34
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 1.95 changed to 1.97
- Malpractice GPCI 0.400 changed to 0.395
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$134.46changed to$134.34
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 1.94 changed to 1.95
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$133.79changed to$134.46
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$132.63changed to$133.79
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 1.91 changed to 1.94
- Malpractice RVU 0.15 changed to 0.18
- Malpractice GPCI 0.416 changed to 0.400
Held through RVU15B.
January 1, 2014
RVU14A
$131.30changed to$132.63
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 2.06 changed to 1.91
- Malpractice RVU 0.16 changed to 0.15
- Malpractice GPCI 0.432 changed to 0.416
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $131.30
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $147.09 | $86.64 | RVU26D |
| 2026-07-01 | $147.09 | $86.64 | RVU26C |
| 2026-04-01 | $147.09 | $86.64 | RVU26B |
| 2026-01-01 | $147.09 | $86.64 | RVU26A |
| 2025-10-01 | $141.19 | $95.91 | RVU25D |
| 2025-07-01 | $141.19 | $95.91 | RVU25C |
| 2025-04-01 | $141.19 | $95.91 | RVU25B |
| 2025-01-01 | $141.19 | $95.91 | RVU25A |
| 2024-10-01 | $147.55 | $97.62 | RVU24D |
| 2024-07-01 | $147.55 | $97.62 | RVU24C |
| 2024-04-01 | $147.55 | $97.62 | RVU24B |
| 2024-03-09 | $147.55 | $97.62 | RVU24AR |
| 2024-01-01 | $145.14 | $96.02 | RVU24A |
| 2023-10-01 | $149.08 | $97.57 | RVU23D |
| 2023-07-01 | $149.08 | $97.57 | RVU23C |
| 2023-04-01 | $149.08 | $97.57 | RVU23B |
| 2023-01-01 | $149.08 | $97.57 | RVU23A |
| 2022-10-01 | $150.74 | $98.14 | RVU22D |
| 2022-07-01 | $150.74 | $98.14 | RVU22C |
| 2022-04-01 | $150.74 | $98.14 | RVU22B |
| 2022-01-01 | $150.74 | $98.14 | RVU22A |
| 2021-10-01 | $148.96 | $98.01 | RVU21D |
| 2021-07-01 | $148.96 | $98.01 | RVU21C |
| 2021-04-01 | $148.96 | $98.01 | RVU21B |
| 2021-01-01 | $148.96 | $98.01 | RVU21A |
| 2020-10-01 | $146.03 | $100.92 | RVU20D |
| 2020-07-01 | $146.03 | $100.92 | RVU20C |
| 2020-04-01 | $146.03 | $100.92 | RVU20B |
| 2020-01-01 | $146.03 | $100.92 | RVU20A |
| 2019-10-01 | $141.99 | $100.91 | RVU19D |
| 2019-07-01 | $141.99 | $100.91 | RVU19C |
| 2019-04-01 | $141.99 | $100.91 | RVU19B |
| 2019-01-01 | $141.99 | $100.91 | RVU19A |
| 2018-10-01 | $137.88 | $101.16 | RVU18D |
| 2018-07-01 | $137.88 | $101.16 | RVU18C |
| 2018-04-01 | $137.88 | $101.16 | RVU18B |
| 2018-01-01 | $137.88 | $101.16 | RVU18AR1 |
| 2017-10-01 | $135.34 | $100.53 | RVU17D |
| 2017-07-01 | $135.34 | $100.53 | RVU17C |
| 2017-04-01 | $135.34 | $100.53 | RVU17B |
| 2017-01-01 | $135.34 | $100.53 | RVU17A |
| 2016-10-01 | $134.34 | $99.61 | RVU16D |
| 2016-07-01 | $134.34 | $99.61 | RVU16C |
| 2016-04-01 | $134.34 | $99.61 | RVU16B |
| 2016-01-01 | $134.34 | $99.61 | RVU16A |
| 2015-10-01 | $134.46 | $99.97 | RVU15D |
| 2015-07-01 | $134.46 | $99.97 | RVU15C |
| 2015-04-01 | $133.79 | $99.47 | RVU15B |
| 2015-01-01 | $133.79 | $99.47 | RVU15A |
| 2014-10-01 | $132.63 | $98.96 | RVU14D |
| 2014-07-01 | $132.63 | $98.96 | RVU14C |
| 2014-04-01 | $132.63 | $98.96 | RVU14B |
| 2014-01-01 | $132.63 | $98.96 | RVU14A |
| 2013-10-01 | $131.30 | $95.91 | RVU13D |
| 2013-07-01 | $131.30 | $95.91 | RVU13C |
| 2013-04-01 | $131.30 | $95.91 | RVU13B |
| 2013-01-01 | $131.30 | $95.91 | RVU13AR |
Where the South Dakota rate applies
South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Agar
- Agency Village
- Akaska
- Albee
- Alcester
- Alexandria
- Allen
55876 billing questions
Is this code for fiducial markers or brachytherapy seeds?
Use it for needle placement of prostate markers or a dosimeter to guide radiation localization. Brachytherapy needle or catheter placement is a different service, reported with 55875.
Does one code cover multiple markers?
Yes. The service includes placement of a single device or multiple devices during the session; the number of markers does not create additional units.
Can prostate spacer placement be reported at the same session?
Marker placement and biodegradable material placement around the prostate are distinct services and may occur during the same preparation encounter. Document each service performed.
Should modifier 50 be appended?
No. CMS identifies bilateral adjustment as inappropriate for this prostate service.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure's 0-day global period.
How are other procedures in the same session paid?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and the other procedures are subject to a 50% reduction. Medicare does not pay an assistant at surgery; co-surgeon or team-surgery payment requires supporting documentation.
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
Show the CMS file lines behind this rate
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