CPT 52330

Cysto Manj W/O Rmvl Ureteral Stone

CPT 52330 pays $590.19 in a non-facility setting and $231.13 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $522.93 in Arkansas to $689.11 in Alaska, a 32% spread.

National non-facility rate

$590.19

Office and other outpatient settings

Facility rate
$231.13

Hospital and ASC settings

Highest state
$689.11

Alaska

Lowest state
$522.93

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 $590.19
CPT 52330 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $590.19, national facility $231.13.
StateRate compared visuallyNon-facilityFacility
Alaska
$689.11$306.71
District of Columbia
$673.61$250.64
California
$660.96$236.09
New York
$652.31$251.74
New Jersey
$651.46$247.16
Washington
$647.79$238.47
Massachusetts
$641.74$238.33
Hawaii
$637.07$228.82
Connecticut
$629.06$242.36
Colorado
$613.60$231.56
Maryland
$611.17$236.85
Florida
$611.15$250.89
Oregon
$607.49$229.22
Rhode Island
$604.46$233.55
New Hampshire
$604.24$230.46
Illinois
$595.94$248.99
Puerto Rico
$594.35$231.34
Virgin Islands
$594.35$231.34
Montana
$590.15$231.09
Minnesota
$587.38$217.91
Nevada
$587.14$227.72
Wyoming
$584.81$225.75
Pennsylvania
$584.78$233.08
Delaware
$584.05$229.30
Texas
$583.33$229.84
North Dakota
$577.89$218.83
Virginia
$577.21$224.25
South Dakota
$576.44$217.38
Vermont
$575.91$220.44
Georgia
$575.84$233.30
Arizona
$574.63$226.70
Michigan
$573.88$236.72
Maine
$564.40$221.32
Utah
$563.73$226.22
New Mexico
$560.67$231.42
Wisconsin
$558.82$214.84
Missouri
$556.46$226.96
South Carolina
$556.25$224.47
Louisiana
$555.86$228.04
North Carolina
$555.53$220.53
Ohio
$555.05$227.23
Indiana
$549.92$217.08
Idaho
$546.81$216.48
Nebraska
$546.06$214.65
West Virginia
$545.96$233.93
Tennessee
$543.68$217.29
Kentucky
$543.39$224.18
Iowa
$543.21$214.67
Oklahoma
$542.15$221.51
Kansas
$540.96$216.37
Alabama
$530.48$216.30
Mississippi
$528.38$219.23
Arkansas
$522.93$214.50

Billed by 1 specialties

Commercial rates for 52330

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

See negotiated rates