CPT 52356

Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt

CPT 52356 pays $365.07 in a non-facility setting and $365.07 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $338.45 in Nebraska to $484.62 in Alaska, a 43% spread.

National non-facility rate

$365.07

Office and other outpatient settings

Facility rate
$365.07

Hospital and ASC settings

Highest state
$484.62

Alaska

Lowest state
$338.45

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 $365.07
CPT 52356 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $365.07, national facility $365.07.
StateRate compared visuallyNon-facilityFacility
Alaska
$484.62$484.62
New York
$397.82$397.82
Florida
$397.56$397.56
District of Columbia
$395.53$395.53
Illinois
$394.64$394.64
New Jersey
$390.18$390.18
Connecticut
$382.86$382.86
Washington
$375.96$375.96
Massachusetts
$375.87$375.87
Michigan
$374.66$374.66
Maryland
$374.09$374.09
California
$371.73$371.73
West Virginia
$370.52$370.52
Georgia
$368.92$368.92
Rhode Island
$368.67$368.67
Pennsylvania
$368.32$368.32
New Mexico
$366.07$366.07
Puerto Rico
$365.34$365.34
Virgin Islands
$365.34$365.34
Colorado
$365.25$365.25
Montana
$365.00$365.00
New Hampshire
$363.70$363.70
Texas
$362.99$362.99
Delaware
$362.09$362.09
Oregon
$361.51$361.51
Louisiana
$360.54$360.54
Hawaii
$360.38$360.38
Nevada
$359.45$359.45
Ohio
$359.21$359.21
Missouri
$358.74$358.74
Arizona
$357.98$357.98
Utah
$357.37$357.37
Wyoming
$356.21$356.21
South Carolina
$354.61$354.61
Kentucky
$354.35$354.35
Virginia
$353.86$353.86
Oklahoma
$349.93$349.93
Maine
$349.21$349.21
North Carolina
$348.05$348.05
Vermont
$347.54$347.54
Mississippi
$346.38$346.38
North Dakota
$344.83$344.83
Minnesota
$343.13$343.13
Tennessee
$342.88$342.88
South Dakota
$342.45$342.45
Indiana
$342.42$342.42
Alabama
$341.48$341.48
Idaho
$341.48$341.48
Kansas
$341.41$341.41
Arkansas
$338.61$338.61
Iowa
$338.54$338.54
Wisconsin
$338.54$338.54
Nebraska
$338.45$338.45

Billed by 1 specialties

Commercial rates for 52356

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

See negotiated rates