CPT code 50957: Ureteroscopy, endoscopic lesion treatment2026 Medicare rate & RVUs in Bakersfield, CA
Reports ureteroscopic treatment directed at a ureteral lesion, such as endoscopic fulguration, rather than diagnostic inspection or biopsy alone.
In Bakersfield, CA, Medicare pays $460.44 for 50957 in the office and $310.35 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 50957 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 50957 covers
A urologist uses a ureteroscope to treat a lesion within the ureter, with the therapeutic work performed endoscopically rather than through an open incision. Fulguration is a typical example of treatment directed at a ureteral lesion. The procedure is generally performed in an operating-room or other procedural facility; the record should identify the lesion and describe the treatment actually carried out.
Select this code when the operative report supports endoscopic treatment, not merely inspection or tissue sampling. Document the treated site, findings, and technique. This is a minor procedure with a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, CMS endoscopy-family pricing applies rather than pricing each as an unrelated procedure. For bilateral reporting, modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery 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 Bakersfield, CA compares for 50957
Across 109 of 109 payment localities, the office rate for 50957 runs from $406.40 in Arkansas to $558.82 in Alaska. Bakersfield, CA pays $460.44. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Bakersfield, CA · this page$460.44
- Chico, CA · California$457.93−$2.51
- El Centro, CA · California$458.07−$2.37
- Fresno, CA · California$457.93−$2.51
- Hanford, CA · California$457.93−$2.51
- Los Angeles, CA · California$484.18+$23.74
- Madera, CA · California$457.93−$2.51
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Merced, CACalifornia | $457.93 | $307.84 |
| Modesto, CACalifornia | $457.93 | $307.84 |
| Napa, CACalifornia | $511.49 | $330.99 |
| Oxnard, CACalifornia | $479.95 | $318.08 |
| Redding, CACalifornia | $457.93 | $307.84 |
| Rest of CaliforniaCalifornia | $457.93 | $307.84 |
| Riverside, CACalifornia | $467.15 | $317.06 |
| Sacramento, CACalifornia | $475.46 | $316.20 |
| Salinas, CACalifornia | $473.56 | $314.85 |
| San Diego, CACalifornia | $480.88 | $317.09 |
| Marin County, CACalifornia | $535.47 | $342.38 |
| San Francisco, CACalifornia | $534.51 | $341.42 |
| San Benito County, CACalifornia | $547.34 | $349.87 |
| Santa Clara County, CACalifornia | $543.39 | $345.92 |
| San Luis Obispo, CACalifornia | $466.49 | $310.51 |
| Santa Cruz, CACalifornia | $482.50 | $316.12 |
| Santa Maria, CACalifornia | $474.29 | $314.62 |
| Santa Rosa, CACalifornia | $487.08 | $318.91 |
| Stockton, CACalifornia | $457.93 | $307.84 |
| Vallejo, CACalifornia | $510.09 | $329.60 |
| Visalia, CACalifornia | $457.93 | $307.84 |
| Yuba City, CACalifornia | $457.93 | $307.84 |
| Washington, DC areaDistrict of Columbia | $498.80 | $337.49 |
| Miami, FLFlorida | $499.81 | $357.25 |
| Chicago, ILIllinois | $487.55 | $349.92 |
| Manhattan, NYNew York | $511.26 | $352.13 |
| AlaskaAlaska | $558.82 | $412.98 |
| AlabamaAlabama | $411.03 | $291.21 |
| ArkansasArkansas | $406.40 | $288.77 |
| ArizonaArizona | $437.98 | $305.28 |
| ColoradoColorado | $457.41 | $311.70 |
| ConnecticutConnecticut | $473.95 | $326.46 |
| DelawareDelaware | $444.09 | $308.79 |
| Fort Lauderdale, FLFlorida | $473.77 | $335.04 |
| Rest of FloridaFlorida | $453.76 | $322.84 |
| Atlanta, GAGeorgia | $457.79 | $318.66 |
| Rest of GeorgiaGeorgia | $432.19 | $310.04 |
| Hawaii, Guam, HIHawaii | $463.56 | $307.86 |
| IowaIowa | $414.20 | $288.90 |
| IdahoIdaho | $417.35 | $291.36 |
| East St. Louis, ILIllinois | $461.10 | $335.11 |
| Rest of IllinoisIllinois | $446.91 | $321.88 |
| Suburban Chicago, ILIllinois | $477.08 | $336.44 |
| IndianaIndiana | $419.12 | $292.17 |
| KansasKansas | $415.05 | $291.25 |
| KentuckyKentucky | $423.73 | $301.99 |
| New Orleans, LALouisiana | $440.36 | $311.49 |
| Rest of LouisianaLouisiana | $424.15 | $302.96 |
| Metropolitan Boston, MAMassachusetts | $492.79 | $329.28 |
| Rest of MassachusettsMassachusetts | $456.56 | $312.36 |
| Baltimore area, MDMaryland | $473.03 | $326.09 |
| Rest of MarylandMaryland | $450.51 | $311.92 |
| Rest of MaineMaine | $421.58 | $295.59 |
| Southern Maine, MEMaine | $435.97 | $300.26 |
| Detroit, MIMichigan | $460.75 | $328.60 |
| Rest of MichiganMichigan | $434.58 | $309.55 |
| MinnesotaMinnesota | $434.03 | $293.11 |
| Metropolitan Kansas City, MOMissouri | $435.44 | $306.85 |
| Metropolitan St. Louis, MOMissouri | $438.74 | $308.37 |
| Rest of MissouriMissouri | $420.03 | $301.98 |
| MississippiMississippi | $413.16 | $295.25 |
| MontanaMontana | $448.18 | $311.24 |
| North CarolinaNorth Carolina | $424.65 | $296.88 |
| North DakotaNorth Dakota | $431.38 | $294.43 |
| NebraskaNebraska | $415.25 | $288.85 |
| New HampshireNew Hampshire | $452.85 | $310.29 |
| Northern New JerseyNew Jersey | $495.93 | $337.08 |
| Rest of New JerseyNew Jersey | $478.14 | $328.60 |
| New MexicoNew Mexico | $437.42 | $311.85 |
| NevadaNevada | $443.70 | $306.62 |
| NYC suburbs and Long Island, NYNew York | $524.32 | $361.50 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $483.05 | $333.10 |
| Queens, NYNew York | $511.15 | $349.28 |
| Rest of New YorkNew York | $429.85 | $299.76 |
| OhioOhio | $431.15 | $306.12 |
| OklahomaOklahoma | $420.61 | $298.32 |
| Portland, OROregon | $466.60 | $314.46 |
| Rest of OregonOregon | $439.01 | $302.62 |
| Metropolitan Philadelphia, PAPennsylvania | $465.86 | $323.30 |
| Rest of PennsylvaniaPennsylvania | $430.35 | $304.64 |
| Puerto RicoPuerto Rico | $450.00 | $311.55 |
| Rhode IslandRhode Island | $455.94 | $314.48 |
| South CarolinaSouth Carolina | $428.85 | $302.32 |
| South DakotaSouth Dakota | $429.39 | $292.44 |
| TennesseeTennessee | $416.98 | $292.50 |
| Austin, TXTexas | $456.99 | $312.10 |
| Beaumont, TXTexas | $428.31 | $303.69 |
| Brazoria, TXTexas | $441.97 | $306.26 |
| Dallas, TXTexas | $445.40 | $309.00 |
| Fort Worth, TXTexas | $443.78 | $308.75 |
| Galveston, TXTexas | $443.73 | $307.74 |
| Houston, TXTexas | $459.29 | $323.30 |
| Rest of TexasTexas | $435.33 | $305.37 |
| UtahUtah | $433.40 | $304.67 |
| VirginiaVirginia | $436.51 | $301.89 |
| Virgin Islands, VIUnited States Virgin Islands | $450.00 | $311.55 |
| VermontVermont | $432.22 | $296.65 |
| Rest of WashingtonWashington | $454.88 | $310.67 |
| King County, WAWashington | $499.27 | $331.24 |
| WisconsinWisconsin | $420.23 | $289.04 |
| West VirginiaWest Virginia | $434.40 | $315.39 |
| WyomingWyoming | $440.86 | $303.91 |
50957 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.
$406.40
$558.82
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 | $558.82 | 1 |
| AL | $411.03 | 1 |
| AR | $406.40 | 1 |
| AZ | $437.98 | 1 |
| CA | $457.93–$547.34 | 29 |
| CO | $457.41 | 1 |
| CT | $473.95 | 1 |
| DC | $498.80 | 1 |
| DE | $444.09 | 1 |
| FL | $453.76–$499.81 | 3 |
| GA | $432.19–$457.79 | 2 |
| GU | $463.56 | 1 |
| HI | $463.56 | 1 |
| IA | $414.20 | 1 |
| ID | $417.35 | 1 |
| IL | $446.91–$487.55 | 4 |
| IN | $419.12 | 1 |
| KS | $415.05 | 1 |
| KY | $423.73 | 1 |
| LA | $424.15–$440.36 | 2 |
| MA | $456.56–$492.79 | 2 |
| MD | $450.51–$498.80 | 3 |
| ME | $421.58–$435.97 | 2 |
| MI | $434.58–$460.75 | 2 |
| MN | $434.03 | 1 |
| MO | $420.03–$438.74 | 3 |
| MS | $413.16 | 1 |
| MT | $448.18 | 1 |
| NC | $424.65 | 1 |
| ND | $431.38 | 1 |
| NE | $415.25 | 1 |
| NH | $452.85 | 1 |
| NJ | $478.14–$495.93 | 2 |
| NM | $437.42 | 1 |
| NV | $443.70 | 1 |
| NY | $429.85–$524.32 | 5 |
| OH | $431.15 | 1 |
| OK | $420.61 | 1 |
| OR | $439.01–$466.60 | 2 |
| PA | $430.35–$465.86 | 2 |
| PR | $450.00 | 1 |
| RI | $455.94 | 1 |
| SC | $428.85 | 1 |
| SD | $429.39 | 1 |
| TN | $416.98 | 1 |
| TX | $428.31–$459.29 | 8 |
| UT | $433.40 | 1 |
| VA | $436.51–$498.80 | 2 |
| VI | $450.00 | 1 |
| VT | $432.22 | 1 |
| WA | $454.88–$499.27 | 2 |
| WI | $420.23 | 1 |
| WV | $434.40 | 1 |
| WY | $440.86 | 1 |
How the 50957 rate is calculated
Each of 50957’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 · 50957
RVUs × geographic indexes × conversion factor
Work6.61
6.61 RVUs× 1.000 GPCI
Practice expense5.96
5.96 RVUs× 1.000 GPCI
Malpractice0.85
0.85 RVUs× 1.000 GPCI
Adjusted RVUs
13.4200
Conversion factor
$33.4009
Medicare rate
$448.24
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Bakersfield, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,008
- Code
- 50957
- Physician work
- 6.61
- Practice expense
- 5.96
- Malpractice
- 0.85
GPCI2026.csv
8
- Locality
- Bakersfield, CA
- Physician work
- 1.019
- Practice expense
- 1.096
- Malpractice
- 0.609
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.61 | × 1.019 | 6.7356 |
| Practice expense | 5.96 | × 1.096 | 6.5322 |
| Malpractice | 0.85 | × 0.609 | 0.5176 |
| Total RVUs | 13.7854 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Bakersfield, CA$460.44
Office: (6.61 × 1.019 + 5.96 × 1.096 + 0.85 × 0.609) × $33.4009 = $460.44
Facility: (6.61 × 1.019 + 1.86 × 1.096 + 0.85 × 0.609) × $33.4009 = $310.35
Payment rules and modifiers for 50957
The CMS indicators that decide how 50957 is paid alongside other services.
CMS payment indicators · 50957
Ureteroscopy, endoscopic lesion treatment
| 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 | 3 | Endoscopy family rules apply. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| 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
50957 without 50 · national office
$448.24
Ureteroscopy, endoscopic lesion treatment
50957-50 · Bilateral: 150%
$672.36
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 50957 has changed in Bakersfield, CA
50957 · Office / nonfacility
$460.44
Effective 2026-10-01
The base rate is $27.87 higher than on 2025-10-01, moving from $432.57 to $460.44 (6.4%).
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
$432.57changed to$460.44
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 6.78 changed to 6.61
- Practice expense RVU 5.43 changed to 5.96
- Malpractice RVU 0.82 changed to 0.85
- Work GPCI 1.017 changed to 1.019
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.662 changed to 0.609
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$440.43changed to$432.57
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 5.30 changed to 5.43
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$433.24changed to$440.43
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$443.08changed to$433.24
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 5.15 changed to 5.30
- Malpractice RVU 0.80 changed to 0.82
- Work GPCI 1.027 changed to 1.017
- Practice expense GPCI 1.079 changed to 1.093
- Malpractice GPCI 0.694 changed to 0.662
January 1, 2023
RVU23A
$449.41changed to$443.08
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 5.06 changed to 5.15
- Malpractice RVU 0.79 changed to 0.80
- Work GPCI 1.036 changed to 1.027
- Practice expense GPCI 1.065 changed to 1.079
- Malpractice GPCI 0.726 changed to 0.694
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$453.29changed to$449.41
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 5.10 changed to 5.06
- Malpractice RVU 0.77 changed to 0.79
- Work GPCI 1.035 changed to 1.036
- Malpractice GPCI 0.704 changed to 0.726
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$458.33changed to$453.29
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 4.83 changed to 5.10
- Malpractice RVU 0.79 changed to 0.77
- Work GPCI 1.032 changed to 1.035
- Practice expense GPCI 1.070 changed to 1.065
- Malpractice GPCI 0.677 changed to 0.704
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$454.82changed to$458.33
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 4.88 changed to 4.83
- Malpractice RVU 0.75 changed to 0.79
- Work GPCI 1.020 changed to 1.032
- Practice expense GPCI 1.074 changed to 1.070
- Malpractice GPCI 0.618 changed to 0.677
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$455.36changed to$454.82
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 4.92 changed to 4.88
- Malpractice GPCI 0.599 changed to 0.618
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$452.62changed to$455.36
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 4.83 changed to 4.92
- Work GPCI 1.024 changed to 1.020
- Practice expense GPCI 1.079 changed to 1.074
- Malpractice GPCI 0.610 changed to 0.599
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$452.62
Held through RVU17B, RVU17C, RVU17D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $460.44 | $310.35 | RVU26D |
| 2026-07-01 | $460.44 | $310.35 | RVU26C |
| 2026-04-01 | $460.44 | $310.35 | RVU26B |
| 2026-01-01 | $460.44 | $310.35 | RVU26A |
| 2025-10-01 | $432.57 | $343.13 | RVU25D |
| 2025-07-01 | $432.57 | $343.13 | RVU25C |
| 2025-04-01 | $432.57 | $343.13 | RVU25B |
| 2025-01-01 | $432.57 | $343.13 | RVU25A |
| 2024-10-01 | $440.43 | $350.56 | RVU24D |
| 2024-07-01 | $440.43 | $350.56 | RVU24C |
| 2024-04-01 | $440.43 | $350.56 | RVU24B |
| 2024-03-09 | $440.43 | $350.56 | RVU24AR |
| 2024-01-01 | $433.24 | $344.84 | RVU24A |
| 2023-10-01 | $443.08 | $355.32 | RVU23D |
| 2023-07-01 | $443.08 | $355.32 | RVU23C |
| 2023-04-01 | $443.08 | $355.32 | RVU23B |
| 2023-01-01 | $443.08 | $355.32 | RVU23A |
| 2022-10-01 | $449.41 | $361.70 | RVU22D |
| 2022-07-01 | $449.41 | $361.70 | RVU22C |
| 2022-04-01 | $449.41 | $361.70 | RVU22B |
| 2022-01-01 | $449.41 | $361.70 | RVU22A |
| 2021-10-01 | $453.29 | $363.73 | RVU21D |
| 2021-07-01 | $453.29 | $363.73 | RVU21C |
| 2021-04-01 | $453.29 | $363.73 | RVU21B |
| 2021-01-01 | $453.29 | $363.73 | RVU21A |
| 2020-10-01 | $458.33 | $374.92 | RVU20D |
| 2020-07-01 | $458.33 | $374.92 | RVU20C |
| 2020-04-01 | $458.33 | $374.92 | RVU20B |
| 2020-01-01 | $458.33 | $374.92 | RVU20A |
| 2019-10-01 | $454.82 | $371.60 | RVU19D |
| 2019-07-01 | $454.82 | $371.60 | RVU19C |
| 2019-04-01 | $454.82 | $371.60 | RVU19B |
| 2019-01-01 | $454.82 | $371.60 | RVU19A |
| 2018-10-01 | $455.36 | $372.23 | RVU18D |
| 2018-07-01 | $455.36 | $372.23 | RVU18C |
| 2018-04-01 | $455.36 | $372.23 | RVU18B |
| 2018-01-01 | $455.36 | $372.23 | RVU18AR1 |
| 2017-10-01 | $452.62 | $372.08 | RVU17D |
| 2017-07-01 | $452.62 | $372.08 | RVU17C |
| 2017-04-01 | $452.62 | $372.08 | RVU17B |
| 2017-01-01 | $452.62 | $372.08 | 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 | Rate data unavailable | Rate data unavailable | RVU15D |
| 2015-07-01 | Rate data unavailable | Rate data unavailable | RVU15C |
| 2015-04-01 | Rate data unavailable | Rate data unavailable | RVU15B |
| 2015-01-01 | Rate data unavailable | Rate data unavailable | RVU15A |
| 2014-10-01 | Rate data unavailable | Rate data unavailable | RVU14D |
| 2014-07-01 | Rate data unavailable | Rate data unavailable | RVU14C |
| 2014-04-01 | Rate data unavailable | Rate data unavailable | RVU14B |
| 2014-01-01 | Rate data unavailable | Rate data unavailable | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Bakersfield, CA rate applies
Bakersfield, CA is a Medicare payment area, not a city. Our Census mapping connects it to 88 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Bakersfield
- Alta Sierra
- Arvin
- Bakersfield Country Club
- Bear Valley Springs
- Benton Park
- Bodfish
- Boron
50957 billing questions
When is 50957 preferable to the biopsy code 50955?
Use 50957 when the documented work treats a ureteral lesion endoscopically. Use 50955 when the service is ureteroscopic biopsy rather than lesion treatment.
Can diagnostic ureteroscopy be reported separately with 50957?
The diagnostic inspection that leads to treatment during the same operative session is part of the therapeutic endoscopy. Related endoscopies performed together are subject to CMS endoscopy-family pricing.
How should bilateral treatment be reported?
Report modifier 50 when the procedure is performed bilaterally; CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are not permitted.
What documentation supports 50957?
The operative report should identify the ureteral lesion and describe the endoscopic treatment performed, such as fulguration. A report describing inspection or biopsy alone does not support this treatment code.
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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