CPT code 55881: Prostate ablation, transurethral thermal ultrasound2026 Medicare rate & RVUs in New Mexico
Reports transurethral thermal ultrasound ablation of prostate tissue, with imaging guidance included when performed, rather than transrectal HIFU or another ablation method.
In New Mexico, Medicare pays $8,539.24 for 55881 in the office and $432.15 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 55881 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 55881 covers
A urologist delivers thermal ultrasound to prostate tissue through a transurethral device to ablate the targeted tissue. The procedure is typically performed in a hospital or ambulatory surgical setting; imaging guidance used during treatment is part of the service when performed. The operative record should identify the ablation method and document the treated prostate tissue and treatment session.
Report 55881 for the transurethral thermal ultrasound approach, not for transrectal HIFU or prostate removal. Imaging guidance performed as part of the ablation is included. The code has 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 the others are subject to the standard 50% reduction. Modifier 50 is inappropriate for this service. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are 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 New Mexico compares for 55881
Across 109 of 109 payment localities, the office rate for 55881 runs from $7,994.07 in Arkansas to $13,224.41 in San Benito County, CA. New Mexico pays $8,539.24. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$8,539.24
- Los Angeles, CA · California$10,900.07+$2,360.83
- Washington, DC area · District of Columbia$10,878.27+$2,339.03
- Miami, FL · Florida$9,699.04+$1,159.80
- Chicago, IL · Illinois$9,370.84+$831.60
- Manhattan, NY · New York$10,758.50+$2,219.26
- Alaska · Alaska$9,990.61+$1,451.37
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $8,138.73 | $402.96 |
| ArkansasArkansas | $7,994.07 | $399.75 |
| ArizonaArizona | $8,988.26 | $421.44 |
| Bakersfield, CACalifornia | $10,115.62 | $426.01 |
| Chico, CACalifornia | $10,111.96 | $422.35 |
| El Centro, CACalifornia | $10,112.17 | $422.56 |
| Fresno, CACalifornia | $10,111.96 | $422.35 |
| Hanford, CACalifornia | $10,111.96 | $422.35 |
| Madera, CACalifornia | $10,111.96 | $422.35 |
| Merced, CACalifornia | $10,111.96 | $422.35 |
| Modesto, CACalifornia | $10,111.96 | $422.35 |
| Napa, CACalifornia | $12,103.44 | $451.16 |
| Oxnard, CACalifornia | $10,885.31 | $435.38 |
| Redding, CACalifornia | $10,111.96 | $422.35 |
| Rest of CaliforniaCalifornia | $10,111.96 | $422.35 |
| Riverside, CACalifornia | $10,125.41 | $435.80 |
| Sacramento, CACalifornia | $10,714.98 | $433.03 |
| Salinas, CACalifornia | $10,677.74 | $431.16 |
| San Diego, CACalifornia | $11,007.33 | $433.63 |
| Marin County, CACalifornia | $12,931.32 | $465.67 |
| San Francisco, CACalifornia | $12,929.91 | $464.27 |
| San Benito County, CACalifornia | $13,224.41 | $475.85 |
| Santa Clara County, CACalifornia | $13,218.65 | $470.10 |
| San Luis Obispo, CACalifornia | $10,495.08 | $425.31 |
| Santa Cruz, CACalifornia | $11,173.49 | $431.82 |
| Santa Maria, CACalifornia | $10,739.15 | $430.68 |
| Santa Rosa, CACalifornia | $11,292.19 | $435.59 |
| Stockton, CACalifornia | $10,111.96 | $422.35 |
| Vallejo, CACalifornia | $12,101.41 | $449.13 |
| Visalia, CACalifornia | $10,111.96 | $422.35 |
| Yuba City, CACalifornia | $10,111.96 | $422.35 |
| ColoradoColorado | $9,835.40 | $428.70 |
| ConnecticutConnecticut | $9,971.55 | $449.92 |
| DelawareDelaware | $9,160.92 | $426.12 |
| Fort Lauderdale, FLFlorida | $9,419.71 | $463.90 |
| Rest of FloridaFlorida | $8,899.23 | $447.34 |
| Atlanta, GAGeorgia | $9,422.26 | $439.92 |
| Rest of GeorgiaGeorgia | $8,316.13 | $430.06 |
| Hawaii, Guam, HIHawaii | $10,473.61 | $421.53 |
| IowaIowa | $8,488.12 | $398.71 |
| IdahoIdaho | $8,535.82 | $402.20 |
| East St. Louis, ILIllinois | $8,599.64 | $466.03 |
| Rest of IllinoisIllinois | $8,518.59 | $446.87 |
| Suburban Chicago, ILIllinois | $9,545.19 | $465.60 |
| IndianaIndiana | $8,598.72 | $403.22 |
| KansasKansas | $8,394.55 | $402.39 |
| KentuckyKentucky | $8,277.92 | $418.38 |
| New Orleans, LALouisiana | $8,750.38 | $431.11 |
| Rest of LouisianaLouisiana | $8,244.07 | $419.88 |
| Metropolitan Boston, MAMassachusetts | $11,007.44 | $451.42 |
| Rest of MassachusettsMassachusetts | $9,739.33 | $429.88 |
| Baltimore area, MDMaryland | $9,935.75 | $449.48 |
| Rest of MarylandMaryland | $9,377.13 | $430.16 |
| Rest of MaineMaine | $8,541.99 | $408.38 |
| Southern Maine, MEMaine | $9,174.95 | $413.63 |
| Detroit, MIMichigan | $8,986.99 | $455.54 |
| Rest of MichiganMichigan | $8,500.62 | $428.89 |
| MinnesotaMinnesota | $9,499.64 | $402.37 |
| Metropolitan Kansas City, MOMissouri | $8,725.98 | $424.39 |
| Metropolitan St. Louis, MOMissouri | $8,842.84 | $426.32 |
| Rest of MissouriMissouri | $8,039.81 | $418.96 |
| MississippiMississippi | $8,021.16 | $409.16 |
| MontanaMontana | $9,270.34 | $429.45 |
| North CarolinaNorth Carolina | $8,658.52 | $409.97 |
| North DakotaNorth Dakota | $9,245.82 | $404.93 |
| NebraskaNebraska | $8,558.61 | $398.48 |
| New HampshireNew Hampshire | $9,630.54 | $427.18 |
| Northern New JerseyNew Jersey | $10,718.90 | $463.48 |
| Rest of New JerseyNew Jersey | $10,106.90 | $452.66 |
| NevadaNevada | $9,272.41 | $422.69 |
| NYC suburbs and Long Island, NYNew York | $11,010.28 | $498.47 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $10,139.91 | $459.14 |
| Queens, NYNew York | $10,930.73 | $480.80 |
| Rest of New YorkNew York | $8,812.63 | $413.79 |
| OhioOhio | $8,495.61 | $423.88 |
| OklahomaOklahoma | $8,307.85 | $412.94 |
| Portland, OROregon | $10,253.90 | $431.68 |
| Rest of OregonOregon | $9,222.48 | $416.96 |
| Metropolitan Philadelphia, PAPennsylvania | $9,649.46 | $446.10 |
| Rest of PennsylvaniaPennsylvania | $8,537.55 | $421.62 |
| Puerto RicoPuerto Rico | $9,367.81 | $429.67 |
| Rhode IslandRhode Island | $9,566.03 | $433.40 |
| South CarolinaSouth Carolina | $8,587.07 | $418.09 |
| South DakotaSouth Dakota | $9,242.92 | $402.03 |
| TennesseeTennessee | $8,440.46 | $404.10 |
| Austin, TXTexas | $9,783.10 | $429.44 |
| Beaumont, TXTexas | $8,465.61 | $420.40 |
| Brazoria, TXTexas | $9,183.68 | $422.36 |
| Dallas, TXTexas | $9,231.77 | $426.25 |
| Fort Worth, TXTexas | $9,143.22 | $426.10 |
| Galveston, TXTexas | $9,203.48 | $424.48 |
| Houston, TXTexas | $9,226.18 | $447.18 |
| Rest of TexasTexas | $8,812.01 | $422.01 |
| UtahUtah | $8,731.61 | $421.18 |
| VirginiaVirginia | $9,106.78 | $416.19 |
| Virgin Islands, VIUnited States Virgin Islands | $9,367.81 | $429.67 |
| VermontVermont | $9,160.86 | $408.39 |
| Rest of WashingtonWashington | $9,736.89 | $427.43 |
| King County, WAWashington | $11,301.31 | $453.54 |
| WisconsinWisconsin | $8,867.55 | $397.99 |
| West VirginiaWest Virginia | $8,121.10 | $438.37 |
| WyomingWyoming | $9,259.65 | $418.77 |
55881 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.
$7,994.07
$11,668.19
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 | $9,990.61 | 1 |
| AL | $8,138.73 | 1 |
| AR | $7,994.07 | 1 |
| AZ | $8,988.26 | 1 |
| CA | $10,111.96–$13,224.41 | 29 |
| CO | $9,835.40 | 1 |
| CT | $9,971.55 | 1 |
| DC | $10,878.27 | 1 |
| DE | $9,160.92 | 1 |
| FL | $8,899.23–$9,699.04 | 3 |
| GA | $8,316.13–$9,422.26 | 2 |
| GU | $10,473.61 | 1 |
| HI | $10,473.61 | 1 |
| IA | $8,488.12 | 1 |
| ID | $8,535.82 | 1 |
| IL | $8,518.59–$9,545.19 | 4 |
| IN | $8,598.72 | 1 |
| KS | $8,394.55 | 1 |
| KY | $8,277.92 | 1 |
| LA | $8,244.07–$8,750.38 | 2 |
| MA | $9,739.33–$11,007.44 | 2 |
| MD | $9,377.13–$10,878.27 | 3 |
| ME | $8,541.99–$9,174.95 | 2 |
| MI | $8,500.62–$8,986.99 | 2 |
| MN | $9,499.64 | 1 |
| MO | $8,039.81–$8,842.84 | 3 |
| MS | $8,021.16 | 1 |
| MT | $9,270.34 | 1 |
| NC | $8,658.52 | 1 |
| ND | $9,245.82 | 1 |
| NE | $8,558.61 | 1 |
| NH | $9,630.54 | 1 |
| NJ | $10,106.90–$10,718.90 | 2 |
| NM | $8,539.24 | 1 |
| NV | $9,272.41 | 1 |
| NY | $8,812.63–$11,010.28 | 5 |
| OH | $8,495.61 | 1 |
| OK | $8,307.85 | 1 |
| OR | $9,222.48–$10,253.90 | 2 |
| PA | $8,537.55–$9,649.46 | 2 |
| PR | $9,367.81 | 1 |
| RI | $9,566.03 | 1 |
| SC | $8,587.07 | 1 |
| SD | $9,242.92 | 1 |
| TN | $8,440.46 | 1 |
| TX | $8,465.61–$9,783.10 | 8 |
| UT | $8,731.61 | 1 |
| VA | $9,106.78–$10,878.27 | 2 |
| VI | $9,367.81 | 1 |
| VT | $9,160.86 | 1 |
| WA | $9,736.89–$11,301.31 | 2 |
| WI | $8,867.55 | 1 |
| WV | $8,121.10 | 1 |
| WY | $9,259.65 | 1 |
How the 55881 rate is calculated
Each of 55881’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 · 55881
RVUs × geographic indexes × conversion factor
Work9.56
9.56 RVUs× 1.000 GPCI
Practice expense266.75
266.75 RVUs× 1.000 GPCI
Malpractice1.24
1.24 RVUs× 1.000 GPCI
Adjusted RVUs
277.5500
Conversion factor
$33.4009
Medicare rate
$9,270.42
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,397
- Code
- 55881
- Physician work
- 9.56
- Practice expense
- 266.75
- Malpractice
- 1.24
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.56 | × 1.000 | 9.5600 |
| Practice expense | 266.75 | × 0.917 | 244.6098 |
| Malpractice | 1.24 | × 1.201 | 1.4892 |
| Total RVUs | 255.6590 | ||
| Conversion factor | × 33.4009 | ||
Office rate, New Mexico$8539.24
Office: (9.56 × 1 + 266.75 × 0.917 + 1.24 × 1.201) × $33.4009 = $8539.24
Facility: (9.56 × 1 + 2.06 × 0.917 + 1.24 × 1.201) × $33.4009 = $432.15
Payment rules and modifiers for 55881
The CMS indicators that decide how 55881 is paid alongside other services.
CMS payment indicators · 55881
Prostate ablation, transurethral thermal ultrasound
| 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) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
55881 without 51 · national office
$9,270.42
Prostate ablation, transurethral thermal ultrasound
55881-51 · Second procedure: 50%
$4,635.21
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 55881 has changed in New Mexico
55881 · Office / nonfacility
$8539.24
Effective 2026-10-01
The base rate is $774.14 higher than on 2025-10-01, moving from $7765.10 to $8539.24 (10.0%).
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
$7765.10changed to$8539.24
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 9.80 changed to 9.56
- Practice expense RVU 252.08 changed to 266.75
- Malpractice RVU 1.17 changed to 1.24
- Practice expense GPCI 0.908 changed to 0.917
- Malpractice GPCI 1.172 changed to 1.201
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
No ratechanged to$7765.10
Held through RVU25B, RVU25C, RVU25D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $8,539.24 | $432.15 | RVU26D |
| 2026-07-01 | $8,539.24 | $432.15 | RVU26C |
| 2026-04-01 | $8,539.24 | $432.15 | RVU26B |
| 2026-01-01 | $8,539.24 | $432.15 | RVU26A |
| 2025-10-01 | $7,765.10 | $466.79 | RVU25D |
| 2025-07-01 | $7,765.10 | $466.79 | RVU25C |
| 2025-04-01 | $7,765.10 | $466.79 | RVU25B |
| 2025-01-01 | $7,765.10 | $466.79 | RVU25A |
| 2024-10-01 | Not in this release | Not in this release | RVU24D |
| 2024-07-01 | Not in this release | Not in this release | RVU24C |
| 2024-04-01 | Not in this release | Not in this release | RVU24B |
| 2024-03-09 | Not in this release | Not in this release | RVU24AR |
| 2024-01-01 | Not in this release | Not in this release | RVU24A |
| 2023-10-01 | Not in this release | Not in this release | RVU23D |
| 2023-07-01 | Not in this release | Not in this release | RVU23C |
| 2023-04-01 | Not in this release | Not in this release | RVU23B |
| 2023-01-01 | Not in this release | Not in this release | RVU23A |
| 2022-10-01 | Not in this release | Not in this release | RVU22D |
| 2022-07-01 | Not in this release | Not in this release | RVU22C |
| 2022-04-01 | Not in this release | Not in this release | RVU22B |
| 2022-01-01 | Not in this release | Not in this release | RVU22A |
| 2021-10-01 | Not in this release | Not in this release | RVU21D |
| 2021-07-01 | Not in this release | Not in this release | RVU21C |
| 2021-04-01 | Not in this release | Not in this release | RVU21B |
| 2021-01-01 | Not in this release | Not in this release | RVU21A |
| 2020-10-01 | Not in this release | Not in this release | RVU20D |
| 2020-07-01 | Not in this release | Not in this release | RVU20C |
| 2020-04-01 | Not in this release | Not in this release | RVU20B |
| 2020-01-01 | Not in this release | Not in this release | RVU20A |
| 2019-10-01 | Not in this release | Not in this release | RVU19D |
| 2019-07-01 | Not in this release | Not in this release | RVU19C |
| 2019-04-01 | Not in this release | Not in this release | RVU19B |
| 2019-01-01 | Not in this release | Not in this release | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
55881 billing questions
How is 55881 different from 55880?
55881 describes transurethral thermal ultrasound ablation. Code 55880 is for prostate ablation using high-intensity focused ultrasound delivered transrectally.
Can imaging guidance be billed separately?
Imaging guidance performed as part of the transurethral thermal ultrasound ablation is included in 55881.
Should modifier 50 be appended for treatment on both sides?
No. Modifier 50 is inappropriate for this service; the code is not reported as a bilateral procedure.
Is an assistant at surgery payable?
No. Medicare's statutory restriction bars assistant-at-surgery payment for 55881.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full; other procedures in that session are subject to the standard multiple-procedure reduction.
What documentation supports reporting 55881?
Document the transurethral thermal ultrasound technique, the prostate tissue treated, and the procedure performed. The record should distinguish this approach from transrectal HIFU and other prostate ablation methods.
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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