Choose 55876 for prostate markers or a dosimeter used to guide radiation localization. Choose 55875 for needle or catheter placement for interstitial radioactive-element treatment.
On this page
CMS RVU26D · Effective 2026-10-01
55876 in Chico
Office / nonfacility
$157.82
Base rate per service
Facility setting
$91.56
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.
Urology procedure
About 55876: Prostate radiation marker placement
Needle placement of prostate fiducial markers or dosimeters to support image localization during planned radiation treatment.
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.
CMS billing rules for 55876
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery paid only with supporting documentation.
Where the value comes from
- Work RVU1.69 · 37%
- Practice expense (office) RVU2.65 · 58%
- Malpractice RVU0.19 · 4%
27.4K
Medicare services in 2024 · #1005 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.
55876 compared with similar codes
Office rates for Chico, from the same CMS release.
This code covers devices placed within the prostate for radiation guidance; 55874 covers biodegradable material placed around the prostate.
55876 places radiation-guidance devices. 55873 describes prostate cryoablation, an ablative treatment rather than marker placement.
The same code, a different location
How does Chico compare?
In Bakersfield, the office rate for 55876 is $158.39—$0.57 higher than the $157.82 rate in Chico. Both use the same code, release and participation basis.
55876 across payment areas
Same release and payment basis · bars start at $0
Chico · This locality
$157.82
$158.39
$0.57 higher than Chico
$157.85
$0.03 higher than Chico
$157.82
The same base rate than Chico
$157.82
The same base rate than Chico
$9.87 higher than Chico
$157.82
The same base rate than Chico
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
Across 109 of 109 CMS payment localities with a supported office rate, 55876 ranges from $135.75 in Arkansas to $193.69 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.
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
Merced
California · 55876
Office
$157.82
Facility
$91.56
The same base rate than Chico for the office setting.
Modesto
California · 55876
Office
$157.82
Facility
$91.56
The same base rate than Chico for the office setting.
Napa
California · 55876
Office
$179.89
Facility
$100.21
$22.07 higher than Chico for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 55876
Office
$166.60
Facility
$95.14
$8.78 higher than Chico for the office setting.
Redding
California · 55876
Office
$157.82
Facility
$91.56
The same base rate than Chico for the office setting.
Rest Of California
California · 55876
Office
$157.82
Facility
$91.56
The same base rate than Chico for the office setting.
Riverside-San Bernardino-Ontario
California · 55876
Office
$159.89
Facility
$93.63
$2.07 higher than Chico for the office setting.
Sacramento-Roseville-Folsom
California · 55876
Office
$164.82
Facility
$94.51
$7.00 higher than Chico for the office setting.
Salinas
California · 55876
Office
$164.18
Facility
$94.12
$6.36 higher than Chico for the office setting.
San Diego-Chula Vista-Carlsbad
California · 55876
Office
$167.44
Facility
$95.14
$9.62 higher than Chico for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 55876
Office
$189.53
Facility
$104.28
$31.71 higher than Chico for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 55876
Office
$189.31
Facility
$104.07
$31.49 higher than Chico for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 55876
Office
$193.69
Facility
$106.52
$35.87 higher than Chico for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 55876
Office
$192.81
Facility
$105.63
$34.99 higher than Chico for the office setting.
San Luis Obispo-Paso Robles
California · 55876
Office
$161.62
Facility
$92.77
$3.80 higher than Chico for the office setting.
Santa Cruz-Watsonville
California · 55876
Office
$168.58
Facility
$95.12
$10.76 higher than Chico for the office setting.
Santa Maria-Santa Barbara
California · 55876
Office
$164.64
Facility
$94.14
$6.82 higher than Chico for the office setting.
Santa Rosa-Petaluma
California · 55876
Office
$170.24
Facility
$96.00
$12.42 higher than Chico for the office setting.
Stockton
California · 55876
Office
$157.82
Facility
$91.56
The same base rate than Chico for the office setting.
Vallejo
California · 55876
Office
$179.58
Facility
$99.90
$21.76 higher than Chico for the office setting.
Visalia
California · 55876
Office
$157.82
Facility
$91.56
The same base rate than Chico for the office setting.
Yuba City
California · 55876
Office
$157.82
Facility
$91.56
The same base rate than Chico for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 55876
Office
$170.83
Facility
$99.61
$13.01 higher than Chico for the office setting.
Miami
Florida · 55876
Office
$164.64
Facility
$101.70
$6.82 higher than Chico for the office setting.
Chicago
Illinois · 55876
Office
$160.36
Facility
$99.60
$2.54 higher than Chico for the office setting.
Manhattan
New York · 55876
Office
$172.98
Facility
$102.73
$15.16 higher than Chico for the office setting.
Alaska*
Alaska · 55876
Office
$182.43
Facility
$118.05
$24.61 higher than Chico for the office setting.
Alabama
Alabama · 55876
Office
$137.49
Facility
$84.59
$20.33 lower than Chico for the office setting.
Arkansas
Arkansas · 55876
Office
$135.75
Facility
$83.82
$22.07 lower than Chico for the office setting.
Arizona
Arizona · 55876
Office
$147.65
Facility
$89.07
$10.17 lower than Chico for the office setting.
Colorado
Colorado · 55876
Office
$156.26
Facility
$91.93
$1.56 lower than Chico for the office setting.
Connecticut
Connecticut · 55876
Office
$160.58
Facility
$95.47
$2.76 higher than Chico for the office setting.
Delaware
Delaware · 55876
Office
$149.89
Facility
$90.16
$7.93 lower than Chico for the office setting.
Fort Lauderdale
Florida · 55876
Office
$157.58
Facility
$96.34
$0.24 lower than Chico for the office setting.
Rest Of Florida
Florida · 55876
Office
$150.60
Facility
$92.81
$7.22 lower than Chico for the office setting.
Atlanta
Georgia · 55876
Office
$154.17
Facility
$92.74
$3.65 lower than Chico for the office setting.
Rest Of Georgia
Georgia · 55876
Office
$142.97
Facility
$89.04
$14.85 lower than Chico for the office setting.
Hawaii, Guam
Hawaii · 55876
Office
$160.76
Facility
$92.02
$2.94 higher than Chico for the office setting.
Iowa
Iowa · 55876
Office
$139.96
Facility
$84.64
$17.86 lower than Chico for the office setting.
Idaho
Idaho · 55876
Office
$140.88
Facility
$85.26
$16.94 lower than Chico for the office setting.
East St. Louis
Illinois · 55876
Office
$150.66
Facility
$95.04
$7.16 lower than Chico for the office setting.
Rest Of Illinois
Illinois · 55876
Office
$147.18
Facility
$91.98
$10.64 lower than Chico for the office setting.
Suburban Chicago
Illinois · 55876
Office
$158.99
Facility
$96.90
$1.17 higher than Chico for the office setting.
Indiana
Indiana · 55876
Office
$141.58
Facility
$85.54
$16.24 lower than Chico for the office setting.
Kansas
Kansas · 55876
Office
$139.66
Facility
$85.01
$18.16 lower than Chico for the office setting.
Kentucky
Kentucky · 55876
Office
$140.94
Facility
$87.20
$16.88 lower than Chico for the office setting.
New Orleans
Louisiana · 55876
Office
$146.95
Facility
$90.06
$10.87 lower than Chico for the office setting.
Rest Of Louisiana
Louisiana · 55876
Office
$140.86
Facility
$87.36
$16.96 lower than Chico for the office setting.
Metropolitan Boston
Massachusetts · 55876
Office
$170.09
Facility
$97.91
$12.27 higher than Chico for the office setting.
Rest Of Massachusetts
Massachusetts · 55876
Office
$155.61
Facility
$91.95
$2.21 lower than Chico for the office setting.
Baltimore/Surr. Cntys
Maryland · 55876
Office
$160.17
Facility
$95.31
$2.35 higher than Chico for the office setting.
Rest Of Maryland
Maryland · 55876
Office
$152.41
Facility
$91.23
$5.41 lower than Chico for the office setting.
Rest Of Maine
Maine · 55876
Office
$141.83
Facility
$86.21
$15.99 lower than Chico for the office setting.
Southern Maine
Maine · 55876
Office
$148.17
Facility
$88.26
$9.65 lower than Chico for the office setting.
Detroit
Michigan · 55876
Office
$152.56
Facility
$94.22
$5.26 lower than Chico for the office setting.
Rest Of Michigan
Michigan · 55876
Office
$144.42
Facility
$89.23
$13.40 lower than Chico for the office setting.
Minnesota
Minnesota · 55876
Office
$149.41
Facility
$87.20
$8.41 lower than Chico for the office setting.
Metropolitan Kansas City
Missouri · 55876
Office
$145.76
Facility
$88.99
$12.06 lower than Chico for the office setting.
Metropolitan St. Louis
Missouri · 55876
Office
$147.07
Facility
$89.52
$10.75 lower than Chico for the office setting.
Rest Of Missouri
Missouri · 55876
Office
$138.93
Facility
$86.81
$18.89 lower than Chico for the office setting.
Mississippi
Mississippi · 55876
Office
$137.35
Facility
$85.29
$20.47 lower than Chico for the office setting.
Montana**
Montana · 55876
Office
$151.29
Facility
$90.84
$6.53 lower than Chico for the office setting.
North Carolina
North Carolina · 55876
Office
$143.08
Facility
$86.68
$14.74 lower than Chico for the office setting.
North Dakota**
North Dakota · 55876
Office
$147.54
Facility
$87.08
$10.28 lower than Chico for the office setting.
Nebraska
Nebraska · 55876
Office
$140.54
Facility
$84.74
$17.28 lower than Chico for the office setting.
New Hampshire
New Hampshire · 55876
Office
$154.14
Facility
$91.21
$3.68 lower than Chico for the office setting.
Northern Nj
New Jersey · 55876
Office
$169.46
Facility
$99.33
$11.64 higher than Chico for the office setting.
Rest Of New Jersey
New Jersey · 55876
Office
$162.32
Facility
$96.31
$4.50 higher than Chico for the office setting.
New Mexico
New Mexico · 55876
Office
$145.24
Facility
$89.80
$12.58 lower than Chico for the office setting.
Nevada**
Nevada · 55876
Office
$150.33
Facility
$89.82
$7.49 lower than Chico for the office setting.
Nyc Suburbs/Long Island
New York · 55876
Office
$177.09
Facility
$105.20
$19.27 higher than Chico for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 55876
Office
$163.59
Facility
$97.39
$5.77 higher than Chico for the office setting.
Queens
New York · 55876
Office
$173.83
Facility
$102.37
$16.01 higher than Chico for the office setting.
Rest Of New York
New York · 55876
Office
$145.00
Facility
$87.56
$12.82 lower than Chico for the office setting.
Ohio
Ohio · 55876
Office
$143.66
Facility
$88.46
$14.16 lower than Chico for the office setting.
Oklahoma
Oklahoma · 55876
Office
$140.42
Facility
$86.43
$17.40 lower than Chico for the office setting.
Portland
Oregon · 55876
Office
$160.41
Facility
$93.24
$2.59 higher than Chico for the office setting.
Rest Of Oregon
Oregon · 55876
Office
$149.07
Facility
$88.85
$8.75 lower than Chico for the office setting.
Metropolitan Philadelphia
Pennsylvania · 55876
Office
$157.18
Facility
$94.24
$0.64 lower than Chico for the office setting.
Rest Of Pennsylvania
Pennsylvania · 55876
Office
$143.70
Facility
$88.20
$14.12 lower than Chico for the office setting.
Puerto Rico
Puerto Rico · 55876
Office
$152.18
Facility
$91.06
$5.64 lower than Chico for the office setting.
Rhode Island
Rhode Island · 55876
Office
$154.61
Facility
$92.16
$3.21 lower than Chico for the office setting.
South Carolina
South Carolina · 55876
Office
$143.63
Facility
$87.77
$14.19 lower than Chico for the office setting.
South Dakota**
South Dakota · 55876
Office
$147.09
Facility
$86.64
$10.73 lower than Chico for the office setting.
Tennessee
Tennessee · 55876
Office
$140.31
Facility
$85.36
$17.51 lower than Chico for the office setting.
Austin
Texas · 55876
Office
$155.83
Facility
$91.87
$1.99 lower than Chico for the office setting.
Beaumont
Texas · 55876
Office
$142.89
Facility
$87.87
$14.93 lower than Chico for the office setting.
Brazoria
Texas · 55876
Office
$149.56
Facility
$89.65
$8.26 lower than Chico for the office setting.
Dallas
Texas · 55876
Office
$150.56
Facility
$90.35
$7.26 lower than Chico for the office setting.
Fort Worth
Texas · 55876
Office
$149.76
Facility
$90.15
$8.06 lower than Chico for the office setting.
Galveston
Texas · 55876
Office
$150.05
Facility
$90.01
$7.77 lower than Chico for the office setting.
Houston
Texas · 55876
Office
$153.52
Facility
$93.49
$4.30 lower than Chico for the office setting.
Rest Of Texas
Texas · 55876
Office
$146.18
Facility
$88.80
$11.64 lower than Chico for the office setting.
Utah
Utah · 55876
Office
$145.35
Facility
$88.52
$12.47 lower than Chico for the office setting.
Virginia
Virginia · 55876
Office
$147.94
Facility
$88.51
$9.88 lower than Chico for the office setting.
Virgin Islands
United States Virgin Islands · 55876
Office
$152.18
Facility
$91.06
$5.64 lower than Chico for the office setting.
Vermont
Vermont · 55876
Office
$147.29
Facility
$87.43
$10.53 lower than Chico for the office setting.
Rest Of Washington
Washington · 55876
Office
$155.21
Facility
$91.55
$2.61 lower than Chico for the office setting.
Seattle (King Cnty)
Washington · 55876
Office
$173.06
Facility
$98.88
$15.24 higher than Chico for the office setting.
Wisconsin
Wisconsin · 55876
Office
$143.20
Facility
$85.28
$14.62 lower than Chico for the office setting.
West Virginia
West Virginia · 55876
Office
$142.45
Facility
$89.91
$15.37 lower than Chico for the office setting.
Wyoming**
Wyoming · 55876
Office
$149.66
Facility
$89.20
$8.16 lower than Chico for the office setting.
See how rates vary across the country
55876 · 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.
$135.75
$182.43
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | 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 |
Where does this rate apply?
Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, 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.
Why are the office and facility amounts different?
For 55876 in Chico, the physician’s office rate is $157.82 and the facility-setting rate is $91.56: a difference of $66.26.
The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 55876 in Chico. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$173.60
$157.82 × 110% = $173.60
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 55876 in Chico.
PPRRVU2026_Oct_nonQPP.csv
6,394
- Code
- 55876
- Physician work
- 1.69
- Practice expense
- 2.65
- Malpractice
- 0.19
GPCI2026.csv
9
- Locality
- Chico
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.69 | × 1.017 | 1.7187 |
| Practice expense | 2.65 | × 1.096 | 2.9044 |
| Malpractice | 0.19 | × 0.536 | 0.1018 |
| Total RVUs | 4.7250 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Chico$157.82
Open 55876 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.69 | 1.017 |
| Practice expense | 2.65 | 1.096 |
| Malpractice | 0.19 | 0.536 |
(1.69 × 1.017 + 2.65 × 1.096 + 0.19 × 0.536) × $33.4009 = $157.82
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.69 | 1.017 |
| Practice expense | 0.84 | 1.096 |
| Malpractice | 0.19 | 0.536 |
(1.69 × 1.017 + 0.84 × 1.096 + 0.19 × 0.536) × $33.4009 = $91.56
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
55876 · Office / nonfacility
$157.82
Effective 2026-10-01
The base rate is $7.14 higher than on 2025-10-01, moving from $150.68 to $157.82 (4.7%).
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
$150.68changed to$157.82
- 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
- Work GPCI 1.014 changed to 1.017
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.560 changed to 0.536
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: $150.68
Held through RVU25B, RVU25C, RVU25D.
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
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 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.
