# CPT 53000: Urethrotomy/urethrostomy, external

Medicare CPT 53000 pays $138.61 in a non-facility setting and $138.61 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $126.54 in Arkansas to $175.80 in Alaska, a 39% spread.

Web page: https://www.med-reveal.com/rates/53000-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $138.61 |
| National facility | $138.61 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $175.80 | $175.80 |
| District of Columbia | $153.28 | $153.28 |
| New York | $151.75 | $151.75 |
| New Jersey | $150.03 | $150.03 |
| Florida | $147.65 | $147.65 |
| California | $146.84 | $146.84 |
| Washington | $146.51 | $146.51 |
| Connecticut | $146.21 | $146.21 |
| Massachusetts | $145.91 | $145.91 |
| Illinois | $145.60 | $145.60 |
| Maryland | $142.60 | $142.60 |
| Hawaii | $142.00 | $142.00 |
| Colorado | $140.90 | $140.90 |
| Rhode Island | $140.81 | $140.81 |
| New Hampshire | $139.64 | $139.64 |
| Oregon | $139.49 | $139.49 |
| Michigan | $139.17 | $139.17 |
| Puerto Rico | $139.06 | $139.06 |
| Virgin Islands | $139.06 | $139.06 |
| Pennsylvania | $138.85 | $138.85 |
| Montana | $138.60 | $138.60 |
| Georgia | $138.11 | $138.11 |
| Texas | $137.54 | $137.54 |
| Delaware | $137.41 | $137.41 |
| Nevada | $137.11 | $137.11 |
| Wyoming | $136.18 | $136.18 |
| New Mexico | $136.06 | $136.06 |
| West Virginia | $135.64 | $135.64 |
| Arizona | $135.61 | $135.61 |
| Virginia | $134.96 | $134.96 |
| Utah | $134.45 | $134.45 |
| Louisiana | $134.41 | $134.41 |
| Missouri | $134.07 | $134.07 |
| Ohio | $134.04 | $134.04 |
| Minnesota | $133.58 | $133.58 |
| Vermont | $133.46 | $133.46 |
| South Carolina | $133.15 | $133.15 |
| North Dakota | $133.06 | $133.06 |
| Maine | $132.74 | $132.74 |
| South Dakota | $132.40 | $132.40 |
| Kentucky | $131.89 | $131.89 |
| North Carolina | $131.66 | $131.66 |
| Oklahoma | $130.81 | $130.81 |
| Indiana | $129.91 | $129.91 |
| Wisconsin | $129.90 | $129.90 |
| Tennessee | $129.42 | $129.42 |
| Idaho | $129.41 | $129.41 |
| Kansas | $128.84 | $128.84 |
| Mississippi | $128.74 | $128.74 |
| Nebraska | $128.68 | $128.68 |
| Iowa | $128.43 | $128.43 |
| Alabama | $127.87 | $127.87 |
| Arkansas | $126.54 | $126.54 |

## 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 53000 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