# CPT 53240: Marsupialization of urethral diverticulum

Medicare CPT 53240 pays $392.13 in a non-facility setting and $392.13 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $359.11 in Arkansas to $502.59 in Alaska, a 40% spread.

Web page: https://www.med-reveal.com/rates/53240-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $392.13 |
| National facility | $392.13 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $502.59 | $502.59 |
| District of Columbia | $431.42 | $431.42 |
| New York | $428.99 | $428.99 |
| New Jersey | $423.08 | $423.08 |
| Florida | $420.71 | $420.71 |
| Illinois | $415.56 | $415.56 |
| Connecticut | $413.14 | $413.14 |
| Washington | $411.59 | $411.59 |
| California | $410.96 | $410.96 |
| Massachusetts | $410.34 | $410.34 |
| Maryland | $403.04 | $403.04 |
| Hawaii | $397.69 | $397.69 |
| Rhode Island | $397.65 | $397.65 |
| Colorado | $396.83 | $396.83 |
| Michigan | $396.19 | $396.19 |
| New Hampshire | $393.82 | $393.82 |
| Pennsylvania | $393.55 | $393.55 |
| Puerto Rico | $393.13 | $393.13 |
| Virgin Islands | $393.13 | $393.13 |
| Oregon | $392.81 | $392.81 |
| Georgia | $392.25 | $392.25 |
| Montana | $392.07 | $392.07 |
| Texas | $389.23 | $389.23 |
| Delaware | $388.69 | $388.69 |
| West Virginia | $387.66 | $387.66 |
| Nevada | $387.29 | $387.29 |
| New Mexico | $387.15 | $387.15 |
| Wyoming | $384.40 | $384.40 |
| Arizona | $383.76 | $383.76 |
| Louisiana | $382.05 | $382.05 |
| Utah | $381.18 | $381.18 |
| Virginia | $381.14 | $381.14 |
| Ohio | $380.89 | $380.89 |
| Missouri | $380.80 | $380.80 |
| South Carolina | $377.64 | $377.64 |
| Vermont | $376.12 | $376.12 |
| Maine | $375.16 | $375.16 |
| Minnesota | $375.02 | $375.02 |
| Kentucky | $374.96 | $374.96 |
| North Dakota | $374.47 | $374.47 |
| North Carolina | $372.56 | $372.56 |
| South Dakota | $372.39 | $372.39 |
| Oklahoma | $371.38 | $371.38 |
| Indiana | $367.22 | $367.22 |
| Tennessee | $366.36 | $366.36 |
| Mississippi | $366.03 | $366.03 |
| Wisconsin | $366.01 | $366.01 |
| Idaho | $365.91 | $365.91 |
| Kansas | $364.72 | $364.72 |
| Nebraska | $363.48 | $363.48 |
| Iowa | $362.99 | $362.99 |
| Alabama | $362.73 | $362.73 |
| Arkansas | $359.11 | $359.11 |

## 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 53240 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