No office rate
54520 describes simple orchiectomy. Use 54530 when the operation is radical, performed through an inguinal approach, and includes removal of the spermatic cord.
On this page
CMS RVU26D · Effective 2026-10-01
54530 in Chicago
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$520.01
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Urologic surgery
About 54530: Radical inguinal orchiectomy
Radical inguinal orchiectomy removes a testis and spermatic cord, typically for a suspected testicular malignancy, through an inguinal approach.
An inguinal radical orchiectomy removes the testis and spermatic cord through a groin incision, with the cord divided high in the inguinal canal. Urologists most often perform it in an operating room when a testicular mass is suspected to be malignant; the specimen is removed without entering through the scrotum. The operation may be performed on one side or both, depending on the clinical plan.
Report 54530 for the radical inguinal operation, rather than a simple orchiectomy, partial removal, or diagnostic biopsy. The operative report should establish the inguinal approach, radical removal of the testis and cord, and laterality. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care for 90 days. For bilateral surgery, modifier 50 is paid at 150%. When other 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. CMS may pay an assistant at surgery; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 54530
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.25 · 59%
- Practice expense (office) RVU4.69 · 33%
- Malpractice RVU1.11 · 8%
1.1K
Medicare services in 2024 · #2913 by national volume
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.
54530 compared with similar codes
Office rates for Chicago, from the same CMS release.
No office rate
54522 is for partial orchiectomy, preserving some testicular tissue. 54530 is for radical removal of the testis and spermatic cord.
No office rate
54535 is the related radical tumor procedure with abdominal exploration. 54530 describes the inguinal radical operation without that exploration.
No office rate
54505 reports an incisional testicular biopsy for tissue sampling; 54530 reports radical removal of the testis and cord.
The same code, a different location
How does Chicago compare?
54530 across payment areas
Same release and payment basis · bars start at $0
Chicago · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Illinois appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Manhattan
New York · 54530
Office
Unavailable
Facility
$534.02
No comparable office rate is available.
Alaska*
Alaska · 54530
Office
Unavailable
Facility
$600.60
No comparable office rate is available.
Alabama
Alabama · 54530
Office
Unavailable
Facility
$433.61
No comparable office rate is available.
Arkansas
Arkansas · 54530
Office
Unavailable
Facility
$429.21
No comparable office rate is available.
Arizona
Arizona · 54530
Office
Unavailable
Facility
$459.09
No comparable office rate is available.
Bakersfield
California · 54530
Office
Unavailable
Facility
$475.06
No comparable office rate is available.
Chico
California · 54530
Office
Unavailable
Facility
$471.80
No comparable office rate is available.
El Centro
California · 54530
Office
Unavailable
Facility
$471.99
No comparable office rate is available.
Fresno
California · 54530
Office
Unavailable
Facility
$471.80
No comparable office rate is available.
Hanford-Corcoran
California · 54530
Office
Unavailable
Facility
$471.80
No comparable office rate is available.
Madera
California · 54530
Office
Unavailable
Facility
$471.80
No comparable office rate is available.
Merced
California · 54530
Office
Unavailable
Facility
$471.80
No comparable office rate is available.
Modesto
California · 54530
Office
Unavailable
Facility
$471.80
No comparable office rate is available.
Napa
California · 54530
Office
Unavailable
Facility
$518.22
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 54530
Office
Unavailable
Facility
$491.53
No comparable office rate is available.
Redding
California · 54530
Office
Unavailable
Facility
$471.80
No comparable office rate is available.
Rest Of California
California · 54530
Office
Unavailable
Facility
$471.80
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 54530
Office
Unavailable
Facility
$483.83
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 54530
Office
Unavailable
Facility
$487.53
No comparable office rate is available.
Salinas
California · 54530
Office
Unavailable
Facility
$485.53
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 54530
Office
Unavailable
Facility
$491.27
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 54530
Office
Unavailable
Facility
$539.63
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 54530
Office
Unavailable
Facility
$538.37
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 54530
Office
Unavailable
Facility
$551.63
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 54530
Office
Unavailable
Facility
$546.48
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 54530
Office
Unavailable
Facility
$478.54
No comparable office rate is available.
Santa Cruz-Watsonville
California · 54530
Office
Unavailable
Facility
$491.55
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 54530
Office
Unavailable
Facility
$485.80
No comparable office rate is available.
Santa Rosa-Petaluma
California · 54530
Office
Unavailable
Facility
$496.06
No comparable office rate is available.
Stockton
California · 54530
Office
Unavailable
Facility
$471.80
No comparable office rate is available.
Vallejo
California · 54530
Office
Unavailable
Facility
$516.40
No comparable office rate is available.
Visalia
California · 54530
Office
Unavailable
Facility
$471.80
No comparable office rate is available.
Yuba City
California · 54530
Office
Unavailable
Facility
$471.80
No comparable office rate is available.
Colorado
Colorado · 54530
Office
Unavailable
Facility
$474.50
No comparable office rate is available.
Connecticut
Connecticut · 54530
Office
Unavailable
Facility
$494.64
No comparable office rate is available.
Delaware
Delaware · 54530
Office
Unavailable
Facility
$465.04
No comparable office rate is available.
Fort Lauderdale
Florida · 54530
Office
Unavailable
Facility
$501.28
No comparable office rate is available.
Rest Of Florida
Florida · 54530
Office
Unavailable
Facility
$481.04
No comparable office rate is available.
Atlanta
Georgia · 54530
Office
Unavailable
Facility
$480.07
No comparable office rate is available.
Rest Of Georgia
Georgia · 54530
Office
Unavailable
Facility
$459.48
No comparable office rate is available.
Hawaii, Guam
Hawaii · 54530
Office
Unavailable
Facility
$475.14
No comparable office rate is available.
Iowa
Iowa · 54530
Office
Unavailable
Facility
$433.61
No comparable office rate is available.
Idaho
Idaho · 54530
Office
Unavailable
Facility
$437.21
No comparable office rate is available.
Indiana
Indiana · 54530
Office
Unavailable
Facility
$438.79
No comparable office rate is available.
Kansas
Kansas · 54530
Office
Unavailable
Facility
$435.86
No comparable office rate is available.
Kentucky
Kentucky · 54530
Office
Unavailable
Facility
$448.74
No comparable office rate is available.
New Orleans
Louisiana · 54530
Office
Unavailable
Facility
$465.08
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 54530
Office
Unavailable
Facility
$449.71
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 54530
Office
Unavailable
Facility
$506.89
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 54530
Office
Unavailable
Facility
$474.47
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 54530
Office
Unavailable
Facility
$493.91
No comparable office rate is available.
Rest Of Maryland
Maryland · 54530
Office
Unavailable
Facility
$470.88
No comparable office rate is available.
Rest Of Maine
Maine · 54530
Office
Unavailable
Facility
$442.74
No comparable office rate is available.
Southern Maine
Maine · 54530
Office
Unavailable
Facility
$454.19
No comparable office rate is available.
Detroit
Michigan · 54530
Office
Unavailable
Facility
$489.23
No comparable office rate is available.
Rest Of Michigan
Michigan · 54530
Office
Unavailable
Facility
$460.44
No comparable office rate is available.
Minnesota
Minnesota · 54530
Office
Unavailable
Facility
$447.72
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 54530
Office
Unavailable
Facility
$458.87
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 54530
Office
Unavailable
Facility
$461.84
No comparable office rate is available.
Rest Of Missouri
Missouri · 54530
Office
Unavailable
Facility
$446.70
No comparable office rate is available.
Mississippi
Mississippi · 54530
Office
Unavailable
Facility
$437.83
No comparable office rate is available.
Montana**
Montana · 54530
Office
Unavailable
Facility
$469.21
No comparable office rate is available.
North Carolina
North Carolina · 54530
Office
Unavailable
Facility
$445.40
No comparable office rate is available.
North Dakota**
North Dakota · 54530
Office
Unavailable
Facility
$447.26
No comparable office rate is available.
Nebraska
Nebraska · 54530
Office
Unavailable
Facility
$434.16
No comparable office rate is available.
New Hampshire
New Hampshire · 54530
Office
Unavailable
Facility
$471.07
No comparable office rate is available.
Northern Nj
New Jersey · 54530
Office
Unavailable
Facility
$514.23
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 54530
Office
Unavailable
Facility
$498.31
No comparable office rate is available.
New Mexico
New Mexico · 54530
Office
Unavailable
Facility
$463.73
No comparable office rate is available.
Nevada**
Nevada · 54530
Office
Unavailable
Facility
$463.25
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 54530
Office
Unavailable
Facility
$548.30
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 54530
Office
Unavailable
Facility
$504.35
No comparable office rate is available.
Queens
New York · 54530
Office
Unavailable
Facility
$531.82
No comparable office rate is available.
Rest Of New York
New York · 54530
Office
Unavailable
Facility
$450.44
No comparable office rate is available.
Ohio
Ohio · 54530
Office
Unavailable
Facility
$455.95
No comparable office rate is available.
Oklahoma
Oklahoma · 54530
Office
Unavailable
Facility
$444.25
No comparable office rate is available.
Portland
Oregon · 54530
Office
Unavailable
Facility
$481.59
No comparable office rate is available.
Rest Of Oregon
Oregon · 54530
Office
Unavailable
Facility
$457.64
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 54530
Office
Unavailable
Facility
$487.82
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 54530
Office
Unavailable
Facility
$454.40
No comparable office rate is available.
Puerto Rico
Puerto Rico · 54530
Office
Unavailable
Facility
$470.45
No comparable office rate is available.
Rhode Island
Rhode Island · 54530
Office
Unavailable
Facility
$475.68
No comparable office rate is available.
South Carolina
South Carolina · 54530
Office
Unavailable
Facility
$451.82
No comparable office rate is available.
South Dakota**
South Dakota · 54530
Office
Unavailable
Facility
$444.66
No comparable office rate is available.
Tennessee
Tennessee · 54530
Office
Unavailable
Facility
$437.86
No comparable office rate is available.
Austin
Texas · 54530
Office
Unavailable
Facility
$474.69
No comparable office rate is available.
Beaumont
Texas · 54530
Office
Unavailable
Facility
$452.55
No comparable office rate is available.
Brazoria
Texas · 54530
Office
Unavailable
Facility
$461.92
No comparable office rate is available.
Dallas
Texas · 54530
Office
Unavailable
Facility
$465.87
No comparable office rate is available.
Fort Worth
Texas · 54530
Office
Unavailable
Facility
$464.79
No comparable office rate is available.
Galveston
Texas · 54530
Office
Unavailable
Facility
$464.01
No comparable office rate is available.
Houston
Texas · 54530
Office
Unavailable
Facility
$484.33
No comparable office rate is available.
Rest Of Texas
Texas · 54530
Office
Unavailable
Facility
$457.70
No comparable office rate is available.
Utah
Utah · 54530
Office
Unavailable
Facility
$456.10
No comparable office rate is available.
Virginia
Virginia · 54530
Office
Unavailable
Facility
$455.72
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 54530
Office
Unavailable
Facility
$470.45
No comparable office rate is available.
Vermont
Vermont · 54530
Office
Unavailable
Facility
$449.40
No comparable office rate is available.
Rest Of Washington
Washington · 54530
Office
Unavailable
Facility
$472.31
No comparable office rate is available.
Seattle (King Cnty)
Washington · 54530
Office
Unavailable
Facility
$511.84
No comparable office rate is available.
Wisconsin
Wisconsin · 54530
Office
Unavailable
Facility
$437.05
No comparable office rate is available.
West Virginia
West Virginia · 54530
Office
Unavailable
Facility
$464.74
No comparable office rate is available.
Wyoming**
Wyoming · 54530
Office
Unavailable
Facility
$459.64
No comparable office rate is available.
See how rates vary across the country
54530 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Chicago is a Medicare payment area. Our Census mapping connects it to 137 cities and communities in Illinois, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
- 54530 in Chicago
Multiple payment areas
- 54530 in Alsip
- 54530 in Arlington Heights
- 54530 in Barrington
Multiple payment areas
- 54530 in Barrington Hills
Multiple payment areas
- 54530 in Bartlett
Multiple payment areas
- 54530 in Bedford Park
- 54530 in Bellwood
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 54530 in Chicago. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$572.01
$520.01 × 110% = $572.01
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 54530 in Chicago.
PPRRVU2026_Oct_nonQPP.csv
6,313
- Code
- 54530
- Physician work
- 8.25
- Practice expense
- 4.69
- Malpractice
- 1.11
GPCI2026.csv
48
- Locality
- Chicago
- Physician work
- 1.007
- Practice expense
- 1.005
- Malpractice
- 2.295
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.25 | × 1.007 | 8.3077 |
| Practice expense | 4.69 | × 1.005 | 4.7134 |
| Malpractice | 1.11 | × 2.295 | 2.5474 |
| Total RVUs | 15.5686 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Chicago$520.01
Open 54530 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.25 | 1.007 |
| Practice expense | 4.69 | 1.005 |
| Malpractice | 1.11 | 2.295 |
(8.25 × 1.007 + 4.69 × 1.005 + 1.11 × 2.295) × $33.4009 = $520.01
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
54530 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $520.01 | RVU26D |
| 2026-07-01 | Not available in this setting | $520.01 | RVU26C |
| 2026-04-01 | Not available in this setting | $520.01 | RVU26B |
| 2026-01-01 | Not available in this setting | $520.01 | RVU26A |
| 2025-10-01 | Not available in this setting | $539.98 | RVU25D |
| 2025-07-01 | Not available in this setting | $539.98 | RVU25C |
| 2025-04-01 | Not available in this setting | $539.98 | RVU25B |
| 2025-01-01 | Not available in this setting | $539.98 | RVU25A |
54530 billing questions
How is 54530 different from a simple orchiectomy?
54530 describes radical removal through an inguinal approach, including the spermatic cord. A simple orchiectomy is a different operation and does not represent this radical tumor procedure.
Can 54530 be reported for partial removal of a testis?
No. Use the code for partial orchiectomy when only part of the testis is removed; 54530 represents radical removal of the testis and spermatic cord.
What documentation supports reporting 54530?
The operative report should support the inguinal approach and radical removal of the testis and spermatic cord, and identify the side or sides treated.
How is bilateral surgery handled?
For bilateral surgery, CMS pays 54530 with modifier 50 at 150%.
Are related postoperative visits separately payable?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
CMS may pay an assistant at surgery. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,31054512,,Excise lesion testis,A,,9.10,4.39,NA,4.39,,1.19,14.68,14.68,0,090,0.10,0.80,0.10,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,31154520,,Removal of testis,A,,5.17,3.25,NA,3.25,,0.73,9.15,9.15,0,090,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,31254522,,Orchiectomy partial,A,,9.99,4.74,NA,4.74,,1.29,16.02,16.02,0,090,0.10,0.80,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,31354530,,Removal of testis,A,,8.25,4.69,NA,4.69,,1.11,14.05,14.05,0,090,0.10,0.80,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,31454535,,Extensive testis surgery,A,,12.86,5.66,NA,5.66,,1.65,20.17,20.17,0,090,0.10,0.80,0.10,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,31554550,,Exploration for testis,A,,8.20,4.25,NA,4.25,,1.07,13.52,13.52,0,090,0.10,0.80,0.10,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,31654560,,Exploration for testis,A,,11.80,5.36,NA,5.36,,1.50,18.66,18.66,0,090,0.10,0.80,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563