CPT 52325

Cysto Fragmentation Ureteral Stone

CPT 52325 pays $281.57 in a non-facility setting and $281.57 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $261.12 in Nebraska to $373.66 in Alaska, a 43% spread.

National non-facility rate

$281.57

Office and other outpatient settings

Facility rate
$281.57

Hospital and ASC settings

Highest state
$373.66

Alaska

Lowest state
$261.12

Nebraska · 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 $281.57
CPT 52325 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $281.57, national facility $281.57.
StateRate compared visuallyNon-facilityFacility
Alaska
$373.66$373.66
New York
$306.81$306.81
Florida
$306.42$306.42
District of Columbia
$305.15$305.15
Illinois
$304.15$304.15
New Jersey
$300.98$300.98
Connecticut
$295.29$295.29
Washington
$290.10$290.10
Massachusetts
$290.01$290.01
Michigan
$288.82$288.82
Maryland
$288.54$288.54
California
$286.93$286.93
West Virginia
$285.58$285.58
Georgia
$284.45$284.45
Rhode Island
$284.38$284.38
Pennsylvania
$284.04$284.04
New Mexico
$282.23$282.23
Colorado
$281.80$281.80
Puerto Rico
$281.79$281.79
Virgin Islands
$281.79$281.79
Montana
$281.52$281.52
New Hampshire
$280.57$280.57
Texas
$279.96$279.96
Delaware
$279.28$279.28
Oregon
$278.92$278.92
Hawaii
$278.15$278.15
Louisiana
$278.00$278.00
Nevada
$277.27$277.27
Ohio
$276.98$276.98
Missouri
$276.62$276.62
Arizona
$276.11$276.11
Utah
$275.61$275.61
Wyoming
$274.80$274.80
South Carolina
$273.47$273.47
Kentucky
$273.24$273.24
Virginia
$272.97$272.97
Oklahoma
$269.86$269.86
Maine
$269.39$269.39
North Carolina
$268.47$268.47
Vermont
$268.15$268.15
Mississippi
$267.11$267.11
North Dakota
$266.09$266.09
Minnesota
$264.83$264.83
Tennessee
$264.49$264.49
South Dakota
$264.27$264.27
Indiana
$264.16$264.16
Idaho
$263.43$263.43
Alabama
$263.37$263.37
Kansas
$263.36$263.36
Wisconsin
$261.23$261.23
Iowa
$261.18$261.18
Arkansas
$261.16$261.16
Nebraska
$261.12$261.12

Billed by 1 specialties

Commercial rates for 52325

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

See negotiated rates