$5,522.43
Choose 55880 for transrectal HIFU ablation; 55873 represents prostate cryoablation.
On this page
CMS RVU26D · Effective 2026-10-01
55880 Prostate HIFU Medicare reimbursement rates in Arizona
Reports transrectal high-intensity focused ultrasound ablation of malignant prostate tissue, a treatment performed by a urologist for prostate cancer. Compare 55880 office and facility rates across CMS payment localities in Arizona.
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.
What does Medicare pay for 55880 in Arizona?
Arizona has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$861.74
1 of 1 localities have a supported rate.
Payment area: Arizona
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Urologic surgery
About 55880: Transrectal HIFU prostate cancer ablation
Reports transrectal high-intensity focused ultrasound ablation of malignant prostate tissue, a treatment performed by a urologist for prostate cancer.
Code 55880 describes treatment that uses a transrectal ultrasound probe to focus high-intensity acoustic energy on malignant prostate tissue. A urologist typically performs the procedure in a hospital or ambulatory surgical setting for prostate cancer when tissue ablation is selected rather than surgical removal. Ultrasound used to guide the HIFU treatment is part of the service described by this code.
Select the code when the documented treatment uses transrectal HIFU to ablate malignant prostate tissue; distinguish it from transurethral ultrasound ablation, cryoablation, and percutaneous electroporation by the treatment method and access route. The operative report should identify the HIFU approach, the prostate tissue treated, and the procedure performed. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment is statutorily restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 55880
- 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 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU17.29 · 66%
- Practice expense (office) RVU6.83 · 26%
- Malpractice RVU2.21 · 8%
1.3K
Medicare services in 2024 · #2805 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.
55880 compared with similar codes
Office rates for Arizona, from the same CMS release.
No office rate
55877 describes percutaneous irreversible electroporation of prostate tumor tissue, not transrectal HIFU.
$8,988.26
55881 is a transurethral thermal-ultrasound ablation service. The transrectal HIFU approach belongs to 55880.
$9,343.08
55882 describes transurethral ablation using a transducer, rather than the transrectal HIFU treatment represented by 55880.
Compare 55880 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Arizona →
Office / nonfacility
Unavailable
Facility
$861.74
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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 55880 in Arizona.
PPRRVU2026_Oct_nonQPP.csv
6,396
- Code
- 55880
- Physician work
- 17.29
- Practice expense
- 6.83
- Malpractice
- 2.21
GPCI2026.csv
6
- Locality
- Arizona
- Physician work
- 1.000
- Practice expense
- 0.969
- Malpractice
- 0.856
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 17.29 | × 1.000 | 17.2900 |
| Practice expense | 6.83 | × 0.969 | 6.6183 |
| Malpractice | 2.21 | × 0.856 | 1.8918 |
| Total RVUs | 25.8000 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arizona$861.74
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 17.29 | 1 |
| Practice expense | 6.83 | 0.969 |
| Malpractice | 2.21 | 0.856 |
(17.29 × 1 + 6.83 × 0.969 + 2.21 × 0.856) × $33.4009 = $861.74
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.
55880 billing questions
How is 55880 different from 55881 or 55882?
55880 describes transrectal HIFU treatment. Codes 55881 and 55882 describe transurethral prostate-tissue ablation, so use the code matching the treatment route and modality documented.
Can ultrasound guidance be billed separately?
Ultrasound guidance used for the HIFU treatment is included in the service represented by 55880.
Should modifier 50 be reported for treatment of both sides?
No. CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
What happens when another procedure is performed in the same session?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%. 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?
Assistant-at-surgery payment is subject to a statutory restriction. Co-surgeons and team surgery are not permitted for this code.
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.
6,39355875,,Transperi needle place pros,A,,13.12,6.05,NA,6.05,,1.42,20.59,20.59,0,090,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,39455876,,Place rt device/marker pros,A,,1.69,2.65,,0.84,,0.19,4.53,2.72,0,000,0.00,0.00,0.00,2,0,1,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
6,39555877,,Abltj ire prst8 1+ tum perq,A,,13.50,4.99,NA,4.99,,1.61,20.10,20.10,0,090,0.08,0.83,0.09,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,39655880,,Abltj mal prst8 tiss hifu,A,,17.29,6.83,NA,6.83,,2.21,26.33,26.33,0,090,0.08,0.83,0.09,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,39755881,,Ablt trurl prst8 tis thrm us,A,,9.56,266.75,,2.06,,1.24,277.55,12.86,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,39855882,,Ablt trurl prst8 tis trnsdcr,A,,11.21,275.71,,3.01,,1.58,288.50,15.80,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,39955899,,Unlisted px male genital sys,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536