# CPT 52204: Cystourethroscopy with biopsy

Medicare CPT 52204 pays $355.39 in a non-facility setting and $126.92 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $313.28 in Arkansas to $409.41 in Alaska, a 31% spread.

Web page: https://www.med-reveal.com/rates/52204-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Urology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $355.39 |
| National facility | $126.92 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $409.41 | $166.10 |
| District of Columbia | $407.43 | $138.30 |
| California | $400.78 | $130.45 |
| New York | $393.48 | $138.60 |
| New Jersey | $393.38 | $136.13 |
| Washington | $391.98 | $131.54 |
| Massachusetts | $388.07 | $131.39 |
| Hawaii | $386.16 | $126.40 |
| Connecticut | $379.44 | $133.39 |
| Colorado | $370.52 | $127.44 |
| Maryland | $368.39 | $130.22 |
| Florida | $367.00 | $137.78 |
| Oregon | $366.81 | $126.13 |
| New Hampshire | $364.61 | $126.78 |
| Rhode Island | $364.33 | $128.33 |
| Puerto Rico | $358.07 | $127.09 |
| Virgin Islands | $358.07 | $127.09 |
| Illinois | $357.27 | $136.51 |
| Montana | $355.36 | $126.90 |
| Minnesota | $354.92 | $119.83 |
| Nevada | $353.75 | $125.06 |
| Wyoming | $352.43 | $123.97 |
| Pennsylvania | $351.61 | $127.83 |
| Delaware | $351.55 | $125.83 |
| Texas | $351.02 | $126.10 |
| North Dakota | $348.64 | $120.18 |
| South Dakota | $347.84 | $119.38 |
| Virginia | $347.63 | $123.06 |
| Vermont | $347.18 | $121.00 |
| Georgia | $345.81 | $127.86 |
| Arizona | $345.70 | $124.33 |
| Michigan | $344.18 | $129.66 |
| Maine | $339.60 | $121.30 |
| Utah | $338.66 | $123.90 |
| Wisconsin | $336.63 | $117.76 |
| New Mexico | $336.13 | $126.63 |
| South Carolina | $333.96 | $122.86 |
| North Carolina | $333.90 | $120.74 |
| Missouri | $333.84 | $124.19 |
| Louisiana | $333.34 | $124.76 |
| Ohio | $332.90 | $124.31 |
| Indiana | $330.60 | $118.82 |
| Idaho | $328.64 | $118.45 |
| Nebraska | $328.34 | $117.47 |
| Tennessee | $326.51 | $118.84 |
| Iowa | $326.48 | $117.44 |
| West Virginia | $326.28 | $127.75 |
| Kentucky | $325.61 | $122.51 |
| Oklahoma | $325.08 | $121.07 |
| Kansas | $324.84 | $118.31 |
| Alabama | $318.02 | $118.11 |
| Mississippi | $316.35 | $119.64 |
| Arkansas | $313.28 | $117.04 |

## 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 52204 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