CPT 52320

Cystourethroscopy W/Rmvl Ureteral Calculus

CPT 52320 pays $216.44 in a non-facility setting and $216.44 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $200.78 in Arkansas to $286.95 in Alaska, a 43% spread.

National non-facility rate

$216.44

Office and other outpatient settings

Facility rate
$216.44

Hospital and ASC settings

Highest state
$286.95

Alaska

Lowest state
$200.78

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 $216.44
CPT 52320 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $216.44, national facility $216.44.
StateRate compared visuallyNon-facilityFacility
Alaska
$286.95$286.95
New York
$235.77$235.77
Florida
$234.93$234.93
District of Columbia
$234.78$234.78
Illinois
$233.12$233.12
New Jersey
$231.49$231.49
Connecticut
$226.98$226.98
Washington
$223.38$223.38
Massachusetts
$223.24$223.24
Maryland
$221.81$221.81
Michigan
$221.62$221.62
California
$221.18$221.18
West Virginia
$218.97$218.97
Rhode Island
$218.71$218.71
Georgia
$218.43$218.43
Pennsylvania
$218.24$218.24
Colorado
$216.87$216.87
New Mexico
$216.64$216.64
Puerto Rico
$216.64$216.64
Virgin Islands
$216.64$216.64
Montana
$216.40$216.40
New Hampshire
$215.84$215.84
Texas
$215.21$215.21
Delaware
$214.71$214.71
Oregon
$214.68$214.68
Hawaii
$214.37$214.37
Louisiana
$213.48$213.48
Nevada
$213.25$213.25
Ohio
$212.73$212.73
Missouri
$212.48$212.48
Arizona
$212.27$212.27
Utah
$211.80$211.80
Wyoming
$211.40$211.40
South Carolina
$210.16$210.16
Virginia
$209.99$209.99
Kentucky
$209.86$209.86
Oklahoma
$207.36$207.36
Maine
$207.23$207.23
North Carolina
$206.47$206.47
Vermont
$206.42$206.42
Mississippi
$205.21$205.21
North Dakota
$204.93$204.93
Minnesota
$204.09$204.09
South Dakota
$203.57$203.57
Tennessee
$203.43$203.43
Indiana
$203.24$203.24
Idaho
$202.67$202.67
Kansas
$202.56$202.56
Alabama
$202.48$202.48
Wisconsin
$201.17$201.17
Iowa
$200.98$200.98
Nebraska
$200.97$200.97
Arkansas
$200.78$200.78

Billed by 1 specialties

Commercial rates for 52320

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

See negotiated rates