CPT 52234

Cysto W/Removal of Tumors Small

CPT 52234 pays $216.77 in a non-facility setting and $216.77 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $200.85 in Arkansas to $286.46 in Alaska, a 43% spread.

National non-facility rate

$216.77

Office and other outpatient settings

Facility rate
$216.77

Hospital and ASC settings

Highest state
$286.46

Alaska

Lowest state
$200.85

Arkansas · 43% 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 $216.77
CPT 52234 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $216.77, national facility $216.77.
StateRate compared visuallyNon-facilityFacility
Alaska
$286.46$286.46
New York
$236.23$236.23
District of Columbia
$235.48$235.48
Florida
$234.95$234.95
Illinois
$233.04$233.04
New Jersey
$232.06$232.06
Connecticut
$227.43$227.43
Washington
$224.13$224.13
Massachusetts
$223.93$223.93
Maryland
$222.22$222.22
California
$222.14$222.14
Michigan
$221.64$221.64
Rhode Island
$219.14$219.14
West Virginia
$218.76$218.76
Georgia
$218.56$218.56
Pennsylvania
$218.47$218.47
Colorado
$217.44$217.44
Puerto Rico
$217.01$217.01
Virgin Islands
$217.01$217.01
Montana
$216.73$216.73
New Mexico
$216.66$216.66
New Hampshire
$216.34$216.34
Texas
$215.51$215.51
Hawaii
$215.25$215.25
Oregon
$215.25$215.25
Delaware
$215.03$215.03
Nevada
$213.64$213.64
Louisiana
$213.54$213.54
Ohio
$212.80$212.80
Missouri
$212.57$212.57
Arizona
$212.56$212.56
Utah
$211.98$211.98
Wyoming
$211.82$211.82
Virginia
$210.37$210.37
South Carolina
$210.31$210.31
Kentucky
$209.89$209.89
Maine
$207.55$207.55
Oklahoma
$207.45$207.45
Vermont
$206.89$206.89
North Carolina
$206.72$206.72
North Dakota
$205.46$205.46
Mississippi
$205.21$205.21
Minnesota
$204.74$204.74
South Dakota
$204.13$204.13
Tennessee
$203.64$203.64
Indiana
$203.52$203.52
Idaho
$202.94$202.94
Kansas
$202.78$202.78
Alabama
$202.58$202.58
Wisconsin
$201.61$201.61
Nebraska
$201.28$201.28
Iowa
$201.26$201.26
Arkansas
$200.85$200.85

Billed by 1 specialties

Commercial rates for 52234

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

See negotiated rates