# CPT 50120: Pyelotomy, with exploration

Medicare CPT 50120 pays $853.39 in a non-facility setting and $853.39 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $787.27 in Arkansas to $1,115.58 in Alaska, a 42% spread.

Web page: https://www.med-reveal.com/rates/50120-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $853.39 |
| National facility | $853.39 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,115.58 | $1,115.58 |
| New York | $931.43 | $931.43 |
| District of Columbia | $931.11 | $931.11 |
| Florida | $922.43 | $922.43 |
| New Jersey | $916.03 | $916.03 |
| Illinois | $913.63 | $913.63 |
| Connecticut | $896.75 | $896.75 |
| Washington | $886.74 | $886.74 |
| Massachusetts | $885.35 | $885.35 |
| California | $880.92 | $880.92 |
| Maryland | $875.66 | $875.66 |
| Michigan | $869.33 | $869.33 |
| Rhode Island | $863.54 | $863.54 |
| Pennsylvania | $858.89 | $858.89 |
| Colorado | $858.45 | $858.45 |
| Georgia | $858.26 | $858.26 |
| West Virginia | $855.57 | $855.57 |
| Puerto Rico | $854.74 | $854.74 |
| Virgin Islands | $854.74 | $854.74 |
| New Hampshire | $853.43 | $853.43 |
| Hawaii | $853.27 | $853.27 |
| Montana | $853.25 | $853.25 |
| Oregon | $849.74 | $849.74 |
| New Mexico | $849.57 | $849.57 |
| Texas | $847.92 | $847.92 |
| Delaware | $846.26 | $846.26 |
| Nevada | $841.57 | $841.57 |
| Louisiana | $837.58 | $837.58 |
| Arizona | $836.16 | $836.16 |
| Ohio | $834.76 | $834.76 |
| Wyoming | $834.64 | $834.64 |
| Missouri | $834.09 | $834.09 |
| Utah | $832.79 | $832.79 |
| Virginia | $828.43 | $828.43 |
| South Carolina | $825.79 | $825.79 |
| Kentucky | $822.75 | $822.75 |
| Maine | $816.62 | $816.62 |
| Vermont | $815.55 | $815.55 |
| Oklahoma | $813.68 | $813.68 |
| North Carolina | $812.56 | $812.56 |
| North Dakota | $810.54 | $810.54 |
| Minnesota | $809.00 | $809.00 |
| South Dakota | $805.49 | $805.49 |
| Mississippi | $803.87 | $803.87 |
| Indiana | $800.19 | $800.19 |
| Tennessee | $799.90 | $799.90 |
| Idaho | $797.71 | $797.71 |
| Kansas | $796.41 | $796.41 |
| Alabama | $794.48 | $794.48 |
| Wisconsin | $794.20 | $794.20 |
| Nebraska | $791.52 | $791.52 |
| Iowa | $791.12 | $791.12 |
| Arkansas | $787.27 | $787.27 |

## Related codes

- 50010: Renal exploration, not necessitating other specific procedures — https://www.med-reveal.com/rates/50010-cpt-fee-schedule
- 50060: Nephrolithotomy, removal of calculus — https://www.med-reveal.com/rates/50060-cpt-fee-schedule
- 50200: Renal biopsy, percutaneous, needle — https://www.med-reveal.com/rates/50200-cpt-fee-schedule
- 50230: Nephrectomy, radical, transperitoneal or retroperitoneal — https://www.med-reveal.com/rates/50230-cpt-fee-schedule
- 50240: Nephrectomy, partial — https://www.med-reveal.com/rates/50240-cpt-fee-schedule
- 50250: Cryosurgical ablation of renal mass, percutaneous — https://www.med-reveal.com/rates/50250-cpt-fee-schedule
- 50320: Donor nephrectomy, open, from living donor — https://www.med-reveal.com/rates/50320-cpt-fee-schedule
- 50390: Aspiration/injection of renal cyst — https://www.med-reveal.com/rates/50390-cpt-fee-schedule

Commercial negotiated rates for 50120 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules