# CPT 53850: Transurethral destruction of prostate tissue by microwave thermotherapy

Medicare CPT 53850 pays $1,427.22 in a non-facility setting and $331.00 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,243.15 in Arkansas to $1,657.94 in District of Columbia, a 33% spread.

Web page: https://www.med-reveal.com/rates/53850-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $1,427.22 |
| National facility | $331.00 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $1,657.94 | $366.60 |
| California | $1,648.45 | $351.32 |
| Washington | $1,600.04 | $350.36 |
| New Jersey | $1,592.94 | $358.60 |
| Hawaii | $1,586.10 | $339.70 |
| New York | $1,585.64 | $362.70 |
| Alaska | $1,585.20 | $417.73 |
| Massachusetts | $1,580.47 | $348.86 |
| Connecticut | $1,530.04 | $349.41 |
| Colorado | $1,503.06 | $336.68 |
| Oregon | $1,488.17 | $333.30 |
| Maryland | $1,483.46 | $340.65 |
| New Hampshire | $1,474.79 | $333.63 |
| Rhode Island | $1,468.69 | $336.30 |
| Florida | $1,452.50 | $352.63 |
| Minnesota | $1,447.09 | $319.08 |
| Puerto Rico | $1,440.40 | $332.12 |
| Virgin Islands | $1,440.40 | $332.12 |
| Montana | $1,427.18 | $330.96 |
| Nevada | $1,424.71 | $327.40 |
| Wyoming | $1,421.40 | $325.18 |
| North Dakota | $1,413.93 | $317.71 |
| South Dakota | $1,412.36 | $316.14 |
| Delaware | $1,411.10 | $328.04 |
| Texas | $1,407.56 | $328.33 |
| Illinois | $1,406.76 | $347.54 |
| Pennsylvania | $1,405.17 | $331.43 |
| Vermont | $1,403.88 | $318.63 |
| Virginia | $1,399.76 | $322.18 |
| Arizona | $1,385.91 | $323.68 |
| Georgia | $1,375.37 | $329.58 |
| Maine | $1,364.20 | $316.76 |
| Michigan | $1,361.41 | $332.06 |
| Wisconsin | $1,360.14 | $309.96 |
| Utah | $1,351.23 | $320.78 |
| North Carolina | $1,336.83 | $314.06 |
| South Carolina | $1,330.50 | $317.59 |
| New Mexico | $1,329.75 | $324.52 |
| Indiana | $1,326.04 | $309.84 |
| Missouri | $1,325.73 | $319.76 |
| Louisiana | $1,321.39 | $320.55 |
| Ohio | $1,320.52 | $319.67 |
| Nebraska | $1,318.71 | $306.90 |
| Idaho | $1,317.15 | $308.63 |
| Iowa | $1,309.30 | $306.27 |
| Tennessee | $1,305.07 | $308.61 |
| Kansas | $1,298.19 | $307.21 |
| Oklahoma | $1,290.78 | $311.86 |
| Kentucky | $1,288.96 | $314.42 |
| West Virginia | $1,275.93 | $323.32 |
| Alabama | $1,263.95 | $304.76 |
| Mississippi | $1,250.62 | $306.78 |
| Arkansas | $1,243.15 | $301.50 |

## 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 53850 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