CPT code 50957: Ureteroscopy, endoscopic lesion treatment2026 Medicare rate & RVUs in Vermont

In Vermont, Medicare pays $432.22 for 50957 in the office and $296.65 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.

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 Vermont 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. Vermont pays $432.22. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

50957 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 50957 in every payment locality

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.

Payment rules and modifiers for 50957

The CMS indicators that decide how 50957 is paid alongside other services.

What modifiers do to the payment

When to use modifier 50

Codes related to 50957

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 50957 has changed in Vermont

Price 50957 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

• Albany
• Alburgh
• Algiers
• Arlington
• Ascutney
• Bakersfield
• Barnet
• Barre

Browse all communities in Vermont

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

Open CMS sourceHow we calculate rates