# CPT 52351: Cystourethroscopy with ureteroscopy, diagnostic

Medicare CPT 52351 pays $266.54 in a non-facility setting and $266.54 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $247.22 in Arkansas to $353.18 in Alaska, a 43% spread.

Web page: https://www.med-reveal.com/rates/52351-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Urology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $266.54 |
| National facility | $266.54 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $353.18 | $353.18 |
| New York | $290.36 | $290.36 |
| District of Columbia | $289.21 | $289.21 |
| Florida | $289.17 | $289.17 |
| Illinois | $286.93 | $286.93 |
| New Jersey | $285.14 | $285.14 |
| Connecticut | $279.54 | $279.54 |
| Washington | $275.20 | $275.20 |
| Massachusetts | $275.02 | $275.02 |
| Maryland | $273.17 | $273.17 |
| Michigan | $272.82 | $272.82 |
| California | $272.56 | $272.56 |
| West Virginia | $269.50 | $269.50 |
| Rhode Island | $269.37 | $269.37 |
| Georgia | $268.93 | $268.93 |
| Pennsylvania | $268.73 | $268.73 |
| Colorado | $267.14 | $267.14 |
| Puerto Rico | $266.79 | $266.79 |
| Virgin Islands | $266.79 | $266.79 |
| New Mexico | $266.70 | $266.70 |
| Montana | $266.49 | $266.49 |
| New Hampshire | $265.85 | $265.85 |
| Texas | $265.02 | $265.02 |
| Oregon | $264.45 | $264.45 |
| Delaware | $264.42 | $264.42 |
| Hawaii | $264.15 | $264.15 |
| Louisiana | $262.83 | $262.83 |
| Nevada | $262.63 | $262.63 |
| Ohio | $261.91 | $261.91 |
| Missouri | $261.60 | $261.60 |
| Arizona | $261.41 | $261.41 |
| Utah | $260.79 | $260.79 |
| Wyoming | $260.37 | $260.37 |
| South Carolina | $258.77 | $258.77 |
| Virginia | $258.62 | $258.62 |
| Kentucky | $258.37 | $258.37 |
| Oklahoma | $255.32 | $255.32 |
| Maine | $255.22 | $255.22 |
| Vermont | $254.27 | $254.27 |
| North Carolina | $254.26 | $254.26 |
| Mississippi | $252.64 | $252.64 |
| North Dakota | $252.45 | $252.45 |
| Minnesota | $251.45 | $251.45 |
| South Dakota | $250.79 | $250.79 |
| Tennessee | $250.51 | $250.51 |
| Indiana | $250.30 | $250.30 |
| Idaho | $249.61 | $249.61 |
| Kansas | $249.45 | $249.45 |
| Alabama | $249.32 | $249.32 |
| Wisconsin | $247.80 | $247.80 |
| Iowa | $247.53 | $247.53 |
| Nebraska | $247.52 | $247.52 |
| Arkansas | $247.22 | $247.22 |

## Related codes

- 50010: Renal exploration, not necessitating other specific procedures — https://www.med-reveal.com/rates/50010-cpt-fee-schedule
- 50060: Nephrolithotomy, removal of calculus — https://www.med-reveal.com/rates/50060-cpt-fee-schedule
- 50120: Pyelotomy, with exploration — https://www.med-reveal.com/rates/50120-cpt-fee-schedule
- 50200: Renal biopsy, percutaneous, needle — https://www.med-reveal.com/rates/50200-cpt-fee-schedule
- 50230: Nephrectomy, radical, transperitoneal or retroperitoneal — https://www.med-reveal.com/rates/50230-cpt-fee-schedule
- 50240: Nephrectomy, partial — https://www.med-reveal.com/rates/50240-cpt-fee-schedule
- 50250: Cryosurgical ablation of renal mass, percutaneous — https://www.med-reveal.com/rates/50250-cpt-fee-schedule
- 50320: Donor nephrectomy, open, from living donor — https://www.med-reveal.com/rates/50320-cpt-fee-schedule

Commercial negotiated rates for 52351 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules