CPT code 50431: Antegrade contrast study, new access2026 Medicare rate & RVUs in Redding, CA
Reports a contrast study of the renal collecting system and ureter performed through newly established percutaneous access to assess drainage, patency, or obstruction.
In Redding, CA, Medicare pays $332.45 for 50431 in the office and $59.73 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 50431 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 50431 covers
An antegrade nephrostogram or ureterogram traces contrast from the kidney’s collecting system down the ureter. Code 50431 identifies a diagnostic study reached by creating new percutaneous access, rather than injecting contrast through an already-present nephrostomy catheter. An interventional radiologist or urologist typically uses ultrasound or fluoroscopy to guide access, injects contrast, and interprets the images in an interventional radiology suite or hospital procedure room. The study can help clarify suspected obstruction, a leak, or impaired drainage.
Report 50431 when the new access is used for the contrast examination and a catheter placement service does not account for the work. Nephrostomy or nephroureteral catheter placement codes include the diagnostic contrast study when performed, so do not separately report 50431 for that included imaging. Document the indication, newly obtained access, contrast examination, findings, and laterality. CMS assigns a 0-day global period, including same-day preoperative and postoperative care. For bilateral service, modifier 50 is paid at 150%. In a session with multiple procedures, the highest-valued procedure is paid in full and others at 50%. Assistant-at-surgery payment is barred; co-surgeon and team-surgery billing are not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How Redding, CA compares for 50431
Across 109 of 109 payment localities, the office rate for 50431 runs from $268.19 in Arkansas to $428.58 in San Benito County, CA. Redding, CA pays $332.45. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Redding, CA · this page$332.45
- Bakersfield, CA · California$332.82+$0.37
- Chico, CA · California$332.45
- El Centro, CA · California$332.47+$0.02
- Fresno, CA · California$332.45
- Hanford, CA · California$332.45
- Los Angeles, CA · California$357.16+$24.71
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Madera, CACalifornia | $332.45 | $59.73 |
| Merced, CACalifornia | $332.45 | $59.73 |
| Modesto, CACalifornia | $332.45 | $59.73 |
| Napa, CACalifornia | $393.53 | $65.56 |
| Oxnard, CACalifornia | $356.26 | $62.14 |
| Rest of CaliforniaCalifornia | $332.45 | $59.73 |
| Riverside, CACalifornia | $333.76 | $61.03 |
| Sacramento, CACalifornia | $351.10 | $61.70 |
| Salinas, CACalifornia | $349.85 | $61.45 |
| San Diego, CACalifornia | $359.76 | $62.15 |
| Marin County, CACalifornia | $419.15 | $68.29 |
| San Francisco, CACalifornia | $419.01 | $68.15 |
| San Benito County, CACalifornia | $428.58 | $69.75 |
| Santa Clara County, CACalifornia | $428.02 | $69.20 |
| San Luis Obispo, CACalifornia | $343.99 | $60.56 |
| Santa Cruz, CACalifornia | $364.51 | $62.18 |
| Santa Maria, CACalifornia | $351.62 | $61.48 |
| Santa Rosa, CACalifornia | $368.32 | $62.75 |
| Stockton, CACalifornia | $332.45 | $59.73 |
| Vallejo, CACalifornia | $393.33 | $65.36 |
| Visalia, CACalifornia | $332.45 | $59.73 |
| Yuba City, CACalifornia | $332.45 | $59.73 |
| Washington, DC areaDistrict of Columbia | $358.08 | $64.95 |
| Miami, FLFlorida | $325.08 | $66.04 |
| Chicago, ILIllinois | $314.74 | $64.66 |
| Manhattan, NYNew York | $356.04 | $66.89 |
| AlaskaAlaska | $341.46 | $76.45 |
| AlabamaAlabama | $272.69 | $54.96 |
| ArkansasArkansas | $268.19 | $54.44 |
| ArizonaArizona | $299.06 | $57.94 |
| ColoradoColorado | $324.67 | $59.91 |
| ConnecticutConnecticut | $330.16 | $62.17 |
| DelawareDelaware | $304.51 | $58.66 |
| Fort Lauderdale, FLFlorida | $314.68 | $62.61 |
| Rest of FloridaFlorida | $298.17 | $60.28 |
| Atlanta, GAGeorgia | $313.16 | $60.34 |
| Rest of GeorgiaGeorgia | $279.76 | $57.80 |
| Hawaii, Guam, HIHawaii | $343.01 | $60.09 |
| IowaIowa | $282.74 | $55.06 |
| IdahoIdaho | $284.39 | $55.46 |
| East St. Louis, ILIllinois | $290.56 | $61.63 |
| Rest of IllinoisIllinois | $286.88 | $59.69 |
| Suburban Chicago, ILIllinois | $318.54 | $62.99 |
| IndianaIndiana | $286.32 | $55.65 |
| KansasKansas | $280.22 | $55.27 |
| KentuckyKentucky | $277.84 | $56.63 |
| New Orleans, LALouisiana | $292.68 | $58.52 |
| Rest of LouisianaLouisiana | $276.94 | $56.72 |
| Metropolitan Boston, MAMassachusetts | $361.01 | $63.90 |
| Rest of MassachusettsMassachusetts | $321.93 | $59.90 |
| Baltimore area, MDMaryland | $329.06 | $62.06 |
| Rest of MarylandMaryland | $311.20 | $59.38 |
| Rest of MaineMaine | $284.98 | $56.05 |
| Southern Maine, MEMaine | $304.06 | $57.47 |
| Detroit, MIMichigan | $301.32 | $61.19 |
| Rest of MichiganMichigan | $285.14 | $57.95 |
| MinnesotaMinnesota | $312.91 | $56.86 |
| Metropolitan Kansas City, MOMissouri | $291.50 | $57.85 |
| Metropolitan St. Louis, MOMissouri | $295.09 | $58.20 |
| Rest of MissouriMissouri | $270.84 | $56.34 |
| MississippiMississippi | $269.63 | $55.38 |
| MontanaMontana | $307.95 | $59.11 |
| North CarolinaNorth Carolina | $288.54 | $56.37 |
| North DakotaNorth Dakota | $305.58 | $56.74 |
| NebraskaNebraska | $284.81 | $55.13 |
| New HampshireNew Hampshire | $318.45 | $59.41 |
| Northern New JerseyNew Jersey | $353.39 | $64.74 |
| Rest of New JerseyNew Jersey | $334.45 | $62.72 |
| New MexicoNew Mexico | $286.50 | $58.32 |
| NevadaNevada | $307.56 | $58.47 |
| NYC suburbs and Long Island, NYNew York | $364.37 | $68.50 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $335.89 | $63.41 |
| Queens, NYNew York | $360.83 | $66.70 |
| Rest of New YorkNew York | $293.36 | $56.96 |
| OhioOhio | $284.65 | $57.47 |
| OklahomaOklahoma | $278.36 | $56.15 |
| Portland, OROregon | $337.27 | $60.82 |
| Rest of OregonOregon | $305.69 | $57.85 |
| Metropolitan Philadelphia, PAPennsylvania | $320.37 | $61.33 |
| Rest of PennsylvaniaPennsylvania | $285.74 | $57.31 |
| Puerto RicoPuerto Rico | $310.85 | $59.27 |
| Rhode IslandRhode Island | $317.05 | $60.01 |
| South CarolinaSouth Carolina | $286.97 | $57.05 |
| South DakotaSouth Dakota | $305.29 | $56.46 |
| TennesseeTennessee | $281.69 | $55.50 |
| Austin, TXTexas | $323.13 | $59.86 |
| Beaumont, TXTexas | $283.53 | $57.09 |
| Brazoria, TXTexas | $304.95 | $58.35 |
| Dallas, TXTexas | $306.64 | $58.79 |
| Fort Worth, TXTexas | $304.01 | $58.65 |
| Galveston, TXTexas | $305.68 | $58.58 |
| Houston, TXTexas | $307.87 | $60.78 |
| Rest of TexasTexas | $293.89 | $57.74 |
| UtahUtah | $291.45 | $57.55 |
| VirginiaVirginia | $302.22 | $57.61 |
| Virgin Islands, VIUnited States Virgin Islands | $310.85 | $59.27 |
| VermontVermont | $303.29 | $56.95 |
| Rest of WashingtonWashington | $321.68 | $59.65 |
| King County, WAWashington | $369.89 | $64.57 |
| WisconsinWisconsin | $293.92 | $55.53 |
| West VirginiaWest Virginia | $274.55 | $58.31 |
| WyomingWyoming | $306.91 | $58.08 |
50431 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$268.19
$380.52
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $341.46 | 1 |
| AL | $272.69 | 1 |
| AR | $268.19 | 1 |
| AZ | $299.06 | 1 |
| CA | $332.45–$428.58 | 29 |
| CO | $324.67 | 1 |
| CT | $330.16 | 1 |
| DC | $358.08 | 1 |
| DE | $304.51 | 1 |
| FL | $298.17–$325.08 | 3 |
| GA | $279.76–$313.16 | 2 |
| GU | $343.01 | 1 |
| HI | $343.01 | 1 |
| IA | $282.74 | 1 |
| ID | $284.39 | 1 |
| IL | $286.88–$318.54 | 4 |
| IN | $286.32 | 1 |
| KS | $280.22 | 1 |
| KY | $277.84 | 1 |
| LA | $276.94–$292.68 | 2 |
| MA | $321.93–$361.01 | 2 |
| MD | $311.20–$358.08 | 3 |
| ME | $284.98–$304.06 | 2 |
| MI | $285.14–$301.32 | 2 |
| MN | $312.91 | 1 |
| MO | $270.84–$295.09 | 3 |
| MS | $269.63 | 1 |
| MT | $307.95 | 1 |
| NC | $288.54 | 1 |
| ND | $305.58 | 1 |
| NE | $284.81 | 1 |
| NH | $318.45 | 1 |
| NJ | $334.45–$353.39 | 2 |
| NM | $286.50 | 1 |
| NV | $307.56 | 1 |
| NY | $293.36–$364.37 | 5 |
| OH | $284.65 | 1 |
| OK | $278.36 | 1 |
| OR | $305.69–$337.27 | 2 |
| PA | $285.74–$320.37 | 2 |
| PR | $310.85 | 1 |
| RI | $317.05 | 1 |
| SC | $286.97 | 1 |
| SD | $305.29 | 1 |
| TN | $281.69 | 1 |
| TX | $283.53–$323.13 | 8 |
| UT | $291.45 | 1 |
| VA | $302.22–$358.08 | 2 |
| VI | $310.85 | 1 |
| VT | $303.29 | 1 |
| WA | $321.68–$369.89 | 2 |
| WI | $293.92 | 1 |
| WV | $274.55 | 1 |
| WY | $306.91 | 1 |
How the 50431 rate is calculated
Each of 50431’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 50431
RVUs × geographic indexes × conversion factor
Work1.07
1.07 RVUs× 1.000 GPCI
Practice expense8.03
8.03 RVUs× 1.000 GPCI
Malpractice0.12
0.12 RVUs× 1.000 GPCI
Adjusted RVUs
9.2200
Conversion factor
$33.4009
Medicare rate
$307.96
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Redding, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,918
- Code
- 50431
- Physician work
- 1.07
- Practice expense
- 8.03
- Malpractice
- 0.12
GPCI2026.csv
19
- Locality
- Redding, CA
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.07 | × 1.017 | 1.0882 |
| Practice expense | 8.03 | × 1.096 | 8.8009 |
| Malpractice | 0.12 | × 0.536 | 0.0643 |
| Total RVUs | 9.9534 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Redding, CA$332.45
Office: (1.07 × 1.017 + 8.03 × 1.096 + 0.12 × 0.536) × $33.4009 = $332.45
Facility: (1.07 × 1.017 + 0.58 × 1.096 + 0.12 × 0.536) × $33.4009 = $59.73
Payment rules and modifiers for 50431
The CMS indicators that decide how 50431 is paid alongside other services.
CMS payment indicators · 50431
Antegrade contrast study, new access
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
50431 without 50 · national office
$307.96
Antegrade contrast study, new access
50431-50 · Bilateral: 150%
$461.94
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
How 50431 has changed in Redding, CA
50431 · Office / nonfacility
$332.45
Effective 2026-10-01
The base rate is $9.41 higher than on 2025-10-01, moving from $323.04 to $332.45 (2.9%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$323.04changed to$332.45
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.10 changed to 1.07
- Practice expense RVU 8.05 changed to 8.03
- Malpractice RVU 0.13 changed to 0.12
- Work GPCI 1.014 changed to 1.017
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.560 changed to 0.536
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$341.71changed to$323.04
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 8.31 changed to 8.05
- Malpractice RVU 0.12 changed to 0.13
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$336.13changed to$341.71
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$352.48changed to$336.13
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 8.54 changed to 8.31
- Malpractice RVU 0.11 changed to 0.12
- Work GPCI 1.021 changed to 1.014
- Practice expense GPCI 1.079 changed to 1.093
- Malpractice GPCI 0.579 changed to 0.560
January 1, 2023
RVU23A
$364.75changed to$352.48
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 8.78 changed to 8.54
- Malpractice RVU 0.10 changed to 0.11
- Work GPCI 1.027 changed to 1.021
- Practice expense GPCI 1.065 changed to 1.079
- Malpractice GPCI 0.597 changed to 0.579
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$335.82changed to$364.75
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 7.92 changed to 8.78
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$280.80changed to$335.82
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 6.17 changed to 7.92
- Malpractice RVU 0.09 changed to 0.10
- Work GPCI 1.024 changed to 1.027
- Practice expense GPCI 1.070 changed to 1.065
- Malpractice GPCI 0.580 changed to 0.597
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$229.41changed to$280.80
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 4.83 changed to 6.17
- Malpractice RVU 0.10 changed to 0.09
- Work GPCI 1.020 changed to 1.024
- Practice expense GPCI 1.074 changed to 1.070
- Malpractice GPCI 0.562 changed to 0.580
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$175.42changed to$229.41
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 3.44 changed to 4.83
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$175.44changed to$175.42
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 3.43 changed to 3.44
- Work GPCI 1.024 changed to 1.020
- Practice expense GPCI 1.079 changed to 1.074
- Malpractice GPCI 0.610 changed to 0.562
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$175.44
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
No ratechanged toNo rate
Held through RVU16B, RVU16C, RVU16D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $332.45 | $59.73 | RVU26D |
| 2026-07-01 | $332.45 | $59.73 | RVU26C |
| 2026-04-01 | $332.45 | $59.73 | RVU26B |
| 2026-01-01 | $332.45 | $59.73 | RVU26A |
| 2025-10-01 | $323.04 | $64.95 | RVU25D |
| 2025-07-01 | $323.04 | $64.95 | RVU25C |
| 2025-04-01 | $323.04 | $64.95 | RVU25B |
| 2025-01-01 | $323.04 | $64.95 | RVU25A |
| 2024-10-01 | $341.71 | $65.93 | RVU24D |
| 2024-07-01 | $341.71 | $65.93 | RVU24C |
| 2024-04-01 | $341.71 | $65.93 | RVU24B |
| 2024-03-09 | $341.71 | $65.93 | RVU24AR |
| 2024-01-01 | $336.13 | $64.85 | RVU24A |
| 2023-10-01 | $352.48 | $66.54 | RVU23D |
| 2023-07-01 | $352.48 | $66.54 | RVU23C |
| 2023-04-01 | $352.48 | $66.54 | RVU23B |
| 2023-01-01 | $352.48 | $66.54 | RVU23A |
| 2022-10-01 | $364.75 | $66.59 | RVU22D |
| 2022-07-01 | $364.75 | $66.59 | RVU22C |
| 2022-04-01 | $364.75 | $66.59 | RVU22B |
| 2022-01-01 | $364.75 | $66.59 | RVU22A |
| 2021-10-01 | $335.82 | $67.14 | RVU21D |
| 2021-07-01 | $335.82 | $67.14 | RVU21C |
| 2021-04-01 | $335.82 | $67.14 | RVU21B |
| 2021-01-01 | $335.82 | $67.14 | RVU21A |
| 2020-10-01 | $280.80 | $69.18 | RVU20D |
| 2020-07-01 | $280.80 | $69.18 | RVU20C |
| 2020-04-01 | $280.80 | $69.18 | RVU20B |
| 2020-01-01 | $280.80 | $69.18 | RVU20A |
| 2019-10-01 | $229.41 | $69.56 | RVU19D |
| 2019-07-01 | $229.41 | $69.56 | RVU19C |
| 2019-04-01 | $229.41 | $69.56 | RVU19B |
| 2019-01-01 | $229.41 | $69.56 | RVU19A |
| 2018-10-01 | $175.42 | $69.87 | RVU18D |
| 2018-07-01 | $175.42 | $69.87 | RVU18C |
| 2018-04-01 | $175.42 | $69.87 | RVU18B |
| 2018-01-01 | $175.42 | $69.87 | RVU18AR1 |
| 2017-10-01 | $175.44 | $70.50 | RVU17D |
| 2017-07-01 | $175.44 | $70.50 | RVU17C |
| 2017-04-01 | $175.44 | $70.50 | RVU17B |
| 2017-01-01 | $175.44 | $70.50 | RVU17A |
| 2016-10-01 | Rate data unavailable | Rate data unavailable | RVU16D |
| 2016-07-01 | Rate data unavailable | Rate data unavailable | RVU16C |
| 2016-04-01 | Rate data unavailable | Rate data unavailable | RVU16B |
| 2016-01-01 | Rate data unavailable | Rate data unavailable | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Redding, CA rate applies
Redding, CA is a Medicare payment area, not a city. Our Census mapping connects it to 32 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Redding
- Anderson
- Bella Vista
- Big Bend
- Burney
- Cassel
- Castella
- Centerville
50431 billing questions
How does 50431 differ from 50430?
50431 is for a contrast study reached through newly created percutaneous access. Use 50430 when the study uses existing access, such as an established nephrostomy catheter.
Can 50431 be reported with nephrostomy catheter placement?
The nephrostomy placement code includes the diagnostic nephrostogram or ureterogram when performed. Do not separately report 50431 for that included study.
Is imaging guidance or interpretation separately reported?
The code includes imaging guidance and the associated radiological interpretation for the contrast study.
How is bilateral service reported?
Report modifier 50 for bilateral service. CMS pays the bilateral procedure at 150%.
What documentation supports 50431?
Document why the study was needed, that access was newly obtained, the contrast examination and its findings, and the side or sides examined.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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