# CPT 50390: Aspiration/injection of renal cyst

Medicare CPT 50390 pays $80.83 in a non-facility setting and $80.83 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $75.56 in Wisconsin to $110.23 in Alaska, a 46% spread.

Web page: https://www.med-reveal.com/rates/50390-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $80.83 |
| National facility | $80.83 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $110.23 | $110.23 |
| New York | $87.54 | $87.54 |
| Florida | $87.51 | $87.51 |
| Illinois | $87.10 | $87.10 |
| District of Columbia | $86.85 | $86.85 |
| New Jersey | $85.96 | $85.96 |
| Connecticut | $84.35 | $84.35 |
| Michigan | $83.08 | $83.08 |
| Massachusetts | $82.79 | $82.79 |
| Washington | $82.76 | $82.76 |
| Maryland | $82.63 | $82.63 |
| West Virginia | $82.54 | $82.54 |
| Georgia | $81.84 | $81.84 |
| California | $81.74 | $81.74 |
| Pennsylvania | $81.68 | $81.68 |
| Rhode Island | $81.62 | $81.62 |
| New Mexico | $81.41 | $81.41 |
| Puerto Rico | $80.84 | $80.84 |
| Virgin Islands | $80.84 | $80.84 |
| Montana | $80.82 | $80.82 |
| Colorado | $80.70 | $80.70 |
| Texas | $80.53 | $80.53 |
| New Hampshire | $80.36 | $80.36 |
| Delaware | $80.32 | $80.32 |
| Louisiana | $80.29 | $80.29 |
| Ohio | $80.01 | $80.01 |
| Oregon | $79.94 | $79.94 |
| Missouri | $79.90 | $79.90 |
| Nevada | $79.67 | $79.67 |
| Arizona | $79.51 | $79.51 |
| Utah | $79.51 | $79.51 |
| Hawaii | $79.25 | $79.25 |
| Kentucky | $79.12 | $79.12 |
| South Carolina | $79.02 | $79.02 |
| Wyoming | $79.01 | $79.01 |
| Virginia | $78.60 | $78.60 |
| Oklahoma | $78.19 | $78.19 |
| Maine | $77.77 | $77.77 |
| North Carolina | $77.63 | $77.63 |
| Mississippi | $77.61 | $77.61 |
| Vermont | $77.26 | $77.26 |
| Tennessee | $76.67 | $76.67 |
| North Dakota | $76.66 | $76.66 |
| Alabama | $76.53 | $76.53 |
| Indiana | $76.49 | $76.49 |
| Kansas | $76.39 | $76.39 |
| Idaho | $76.33 | $76.33 |
| Minnesota | $76.18 | $76.18 |
| South Dakota | $76.17 | $76.17 |
| Arkansas | $76.02 | $76.02 |
| Iowa | $75.75 | $75.75 |
| Nebraska | $75.70 | $75.70 |
| Wisconsin | $75.56 | $75.56 |

## 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
- 50120: Pyelotomy, with exploration — https://www.med-reveal.com/rates/50120-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

Commercial negotiated rates for 50390 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