CPT 52224

Cysto W/Removal of Lesions Small

CPT 52224 pays $760.20 in a non-facility setting and $175.69 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $665.99 in Arkansas to $878.10 in District of Columbia, a 32% spread.

National non-facility rate

$760.20

Office and other outpatient settings

Facility rate
$175.69

Hospital and ASC settings

Highest state
$878.10

District of Columbia

Lowest state
$665.99

Arkansas · 32% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $760.20
CPT 52224 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $760.20, national facility $175.69.
StateRate compared visuallyNon-facilityFacility
District of Columbia
$878.10$189.54
California
$869.59$177.95
Alaska
$858.60$236.09
Washington
$846.57$180.23
New Jersey
$845.45$187.28
New York
$843.08$190.99
Hawaii
$837.15$172.55
Massachusetts
$836.97$180.27
Connecticut
$813.40$183.87
Colorado
$797.37$175.44
Oregon
$789.47$173.68
Maryland
$789.19$179.84
New Hampshire
$783.25$174.77
Rhode Island
$781.14$177.33
Florida
$777.74$191.27
Puerto Rico
$766.69$175.74
Virgin Islands
$766.69$175.74
Minnesota
$766.43$164.96
Montana
$760.17$175.66
Nevada
$758.08$172.98
Wyoming
$755.95$171.43
Illinois
$754.92$190.14
Delaware
$751.87$174.37
North Dakota
$750.48$165.97
Texas
$750.28$174.83
Pennsylvania
$749.98$177.44
South Dakota
$749.34$164.82
Vermont
$746.00$167.33
Virginia
$744.99$170.41
Arizona
$738.88$172.48
Georgia
$735.47$177.84
Michigan
$729.55$180.69
Maine
$726.86$168.36
Wisconsin
$723.18$163.21
Utah
$721.82$172.38
North Carolina
$713.30$167.95
New Mexico
$712.71$176.71
South Carolina
$711.24$171.15
Missouri
$709.57$173.18
Louisiana
$707.74$174.08
Indiana
$707.12$165.28
Ohio
$707.10$173.44
Nebraska
$702.91$163.40
Idaho
$702.63$164.87
Iowa
$698.32$163.49
Tennessee
$696.94$165.62
Kansas
$693.34$164.94
Oklahoma
$691.08$169.11
Kentucky
$690.89$171.26
West Virginia
$687.10$179.15
Alabama
$676.61$165.16
Mississippi
$670.88$167.61
Arkansas
$665.99$163.89

Billed by 1 specialties

Commercial rates for 52224

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates