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CPT code 50961: Ureteroscopy, endoscopic treatment2026 Medicare rate & RVUs in Arkansas

Reports endoscopic treatment performed within the ureter using a ureteroscope, rather than diagnostic inspection or biopsy alone.

CMS RVU26DEffective Oct 1, 2026One payment locality29 Medicare services in 2024

In Arkansas, Medicare pays $367.03 for 50961 in the office and $258.87 when it’s performed in a hospital or facility.

$367.03Office (non-facility)
$258.87Hospital or facility
−9.4%vs the national office rate ($405.15)

Check a contract rate as a % of Medicare · 50961 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 50961 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Arkansas
  2. What 50961 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 50961 covers

A urologist advances a ureteroscope through the urinary tract to treat a problem within the ureter. The service is performed endoscopically, commonly in a hospital or ambulatory surgical setting. Code 50961 is distinguished by treatment during ureteral endoscopy; the particular intervention documented must support this code rather than a diagnostic-only or biopsy service.

Report the code when the operative note identifies the ureteroscopic treatment performed and the treated side. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, endoscopy family pricing applies. For bilateral treatment, modifier 50 is paid at 150%. An assistant at surgery is paid only when medical necessity is documented; 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 Arkansas compares for 50961

Across 109 of 109 payment localities, the office rate for 50961 runs from $367.03 in Arkansas to $504.02 in Alaska. Arkansas pays $367.03. The RVUs are the same everywhere; the geographic indexes change the dollars.

50961 in Arkansas vs other payment areas
  1. Arkansas · this page$367.03
  2. Los Angeles, CA · California$438.19+$71.16
  3. Washington, DC area · District of Columbia$451.23+$84.20
  4. Miami, FL · Florida$451.47+$84.44
  5. Chicago, IL · Illinois$440.32+$73.29
  6. Manhattan, NY · New York$462.27+$95.24
  7. Alaska · Alaska$504.02+$136.99

Other areas in Arkansas first, then benchmark localities. Bars start at $0.

Every other payment area

50961 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$371.26$261.08
ArizonaArizona$395.82$273.81
Bakersfield, CACalifornia$416.54$278.53
Chico, CACalifornia$414.29$276.28
El Centro, CACalifornia$414.42$276.41
Fresno, CACalifornia$414.29$276.28
Hanford, CACalifornia$414.29$276.28
Madera, CACalifornia$414.29$276.28

50961 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$367.03

$504.02

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
50961 office rate range by state
State / territoryOffice rate rangeLocalities
AK$504.021
AL$371.261
AR$367.031
AZ$395.821
CA$414.29–$495.9229
CO$413.671
CT$428.511
DC$451.231
DE$401.381
FL$409.87–$451.473
GA$390.26–$413.772
GU$419.541
HI$419.541
IA$374.291
ID$377.131
IL$403.52–$440.324
IN$378.741
KS$374.991
KY$382.681
LA$383.04–$397.812
MA$412.85–$445.942
MD$407.24–$451.233
ME$380.91–$394.142
MI$392.50–$416.162
MN$392.591
MO$379.23–$396.423
MS$373.091
MT$405.101
NC$383.731
ND$390.071
NE$375.271
NH$409.481
NJ$432.32–$448.562
NM$395.061
NV$401.101
NY$388.46–$474.095
OH$389.431
OK$379.911
OR$396.88–$422.122
PA$388.75–$421.102
PR$406.791
RI$412.191
SC$387.431
SD$388.301
TN$376.741
TX$386.88–$414.998
UT$391.581
VA$394.58–$451.232
VI$406.791
VT$390.781
WA$411.34–$451.892
WI$379.901
WV$392.121
WY$398.551

See 50961 in every payment locality

How the 50961 rate is calculated

Each of 50961’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 · 50961

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.89

5.89 RVUs× 1.000 GPCI

Practice expense5.48

5.48 RVUs× 1.000 GPCI

Malpractice0.76

0.76 RVUs× 1.000 GPCI

Adjusted RVUs

12.1300

Conversion factor

$33.4009

Medicare rate

$405.15

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Arkansas inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,009

Code
50961
Physician work
5.89
Practice expense
5.48
Malpractice
0.76

GPCI2026.csv

7

Locality
Arkansas
Physician work
1.000
Practice expense
0.859
Malpractice
0.515
Office calculation for 50961 in Arkansas
ComponentRVULocality factorAdjusted
Physician work5.89× 1.0005.8900
Practice expense5.48× 0.8594.7073
Malpractice0.76× 0.5150.3914
Total RVUs10.9887
Conversion factor× 33.4009

Office rate, Arkansas$367.03

Office: (5.89 × 1 + 5.48 × 0.859 + 0.76 × 0.515) × $33.4009 = $367.03

Facility: (5.89 × 1 + 1.71 × 0.859 + 0.76 × 0.515) × $33.4009 = $258.87

Open 50961 in the RVU calculator

Payment rules and modifiers for 50961

The CMS indicators that decide how 50961 is paid alongside other services.

CMS payment indicators · 50961

Ureteroscopy, endoscopic treatment

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures3Endoscopy family rules apply.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

50961 without 50 · national office

$405.15

Ureteroscopy, endoscopic treatment

50961-50 · Bilateral: 150%

$607.73

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).

When to use modifier 50

Codes related to 50961

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

Codes related to 50961
CodeHow it relatesOffice range, Arkansas
Same family
50951Ureteroscopy, diagnostic examinationUreter endoscopy code for diagnostic service.$356.17
50955Ureteroscopy, with biopsyUreter endoscopy code that includes biopsy.$402.77
50957Ureteroscopy, endoscopic lesion treatmentRelated ureter endoscopy and treatment code.$406.40
50976Ureteroscopy, therapeutic procedureRelated ureter endoscopy and treatment code.No office rate
50980Ureter endoscopy, therapeutic procedureRelated ureter endoscopy and treatment code.No office rate

How 50961 has changed in Arkansas

50961 · Office / nonfacility

$367.03

Effective 2026-10-01

The base rate is $22.90 higher than on 2025-10-01, moving from $344.13 to $367.03 (6.7%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $344.13changed to$367.03

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 6.04 changed to 5.89
    • Practice expense RVU 4.92 changed to 5.48
    • Malpractice RVU 0.71 changed to 0.76
    • Practice expense GPCI 0.860 changed to 0.859
    • Malpractice GPCI 0.518 changed to 0.515

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $353.23changed to$344.13

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.87 changed to 4.92
    • Malpractice RVU 0.74 changed to 0.71

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $347.47changed to$353.23

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $353.70changed to$347.47

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.74 changed to 4.87
    • Malpractice RVU 0.72 changed to 0.74
    • Practice expense GPCI 0.853 changed to 0.860
    • Malpractice GPCI 0.492 changed to 0.518

  5. January 1, 2023

    RVU23A

    $357.36changed to$353.70

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.66 changed to 4.74
    • Malpractice RVU 0.73 changed to 0.72
    • Practice expense GPCI 0.847 changed to 0.853
    • Malpractice GPCI 0.465 changed to 0.492

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $360.72changed to$357.36

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.69 changed to 4.66
    • Malpractice RVU 0.70 changed to 0.73

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $368.41changed to$360.72

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.44 changed to 4.69
    • Malpractice RVU 0.68 changed to 0.70
    • Practice expense GPCI 0.859 changed to 0.847
    • Malpractice GPCI 0.521 changed to 0.465

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $372.48changed to$368.41

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.49 changed to 4.44
    • Malpractice RVU 0.66 changed to 0.68
    • Practice expense GPCI 0.872 changed to 0.859
    • Malpractice GPCI 0.576 changed to 0.521

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $373.22changed to$372.48

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.52 changed to 4.49
    • Malpractice RVU 0.67 changed to 0.66

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $368.32changed to$373.22

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.42 changed to 4.52
    • Malpractice RVU 0.68 changed to 0.67
    • Practice expense GPCI 0.870 changed to 0.872
    • Malpractice GPCI 0.555 changed to 0.576

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $364.41changed to$368.32

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.36 changed to 4.42
    • Malpractice RVU 0.67 changed to 0.68
    • Practice expense GPCI 0.867 changed to 0.870
    • Malpractice GPCI 0.534 changed to 0.555

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $365.30changed to$364.41

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 4.34 changed to 4.36
    • Malpractice RVU 0.68 changed to 0.67

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $363.48changed to$365.30

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $358.40changed to$363.48

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.26 changed to 4.34
    • Malpractice RVU 0.56 changed to 0.68
    • Practice expense GPCI 0.866 changed to 0.867
    • Malpractice GPCI 0.492 changed to 0.534

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $348.14changed to$358.40

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 4.54 changed to 4.26
    • Malpractice RVU 0.59 changed to 0.56
    • Practice expense GPCI 0.865 changed to 0.866
    • Malpractice GPCI 0.450 changed to 0.492

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $348.14

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$367.03$258.87RVU26D
2026-07-01$367.03$258.87RVU26C
2026-04-01$367.03$258.87RVU26B
2026-01-01$367.03$258.87RVU26A
2025-10-01$344.13$279.60RVU25D
2025-07-01$344.13$279.60RVU25C
2025-04-01$344.13$279.60RVU25B
2025-01-01$344.13$279.60RVU25A
2024-10-01$353.23$287.39RVU24D
2024-07-01$353.23$287.39RVU24C
2024-04-01$353.23$287.39RVU24B
2024-03-09$353.23$287.39RVU24AR
2024-01-01$347.47$282.70RVU24A
2023-10-01$353.70$288.66RVU23D
2023-07-01$353.70$288.66RVU23C
2023-04-01$353.70$288.66RVU23B
2023-01-01$353.70$288.66RVU23A
2022-10-01$357.36$292.00RVU22D
2022-07-01$357.36$292.00RVU22C
2022-04-01$357.36$292.00RVU22B
2022-01-01$357.36$292.00RVU22A
2021-10-01$360.72$294.22RVU21D
2021-07-01$360.72$294.22RVU21C
2021-04-01$360.72$294.22RVU21B
2021-01-01$360.72$294.22RVU21A
2020-10-01$368.41$305.79RVU20D
2020-07-01$368.41$305.79RVU20C
2020-04-01$368.41$305.79RVU20B
2020-01-01$368.41$305.79RVU20A
2019-10-01$372.48$309.00RVU19D
2019-07-01$372.48$309.00RVU19C
2019-04-01$372.48$309.00RVU19B
2019-01-01$372.48$309.00RVU19A
2018-10-01$373.22$310.12RVU18D
2018-07-01$373.22$310.12RVU18C
2018-04-01$373.22$310.12RVU18B
2018-01-01$373.22$310.12RVU18AR1
2017-10-01$368.32$307.43RVU17D
2017-07-01$368.32$307.43RVU17C
2017-04-01$368.32$307.43RVU17B
2017-01-01$368.32$307.43RVU17A
2016-10-01$364.41$304.81RVU16D
2016-07-01$364.41$304.81RVU16C
2016-04-01$364.41$304.81RVU16B
2016-01-01$364.41$304.81RVU16A
2015-10-01$365.30$306.10RVU15D
2015-07-01$365.30$306.10RVU15C
2015-04-01$363.48$304.58RVU15B
2015-01-01$363.48$304.58RVU15A
2014-10-01$358.40$301.31RVU14D
2014-07-01$358.40$301.31RVU14C
2014-04-01$358.40$301.31RVU14B
2014-01-01$358.40$301.31RVU14A
2013-10-01$348.14$288.99RVU13D
2013-07-01$348.14$288.99RVU13C
2013-04-01$348.14$288.99RVU13B
2013-01-01$348.14$288.99RVU13AR

Price 50961 for an earlier date of service

Where the Arkansas rate applies

Arkansas is a Medicare payment area, not a city. Our Census mapping connects it to 626 cities and communities in Arkansas. Some span more than one payment area; confirm with the service ZIP.

  • Acorn
  • Adona
  • Alexander
  • Alicia
  • Alix
  • Alleene
  • Allport
  • Alma

Browse all communities in Arkansas

50961 billing questions

How does 50961 differ from diagnostic ureteroscopy?

50961 describes treatment during ureteral endoscopy. Use a diagnostic endoscopy code when the service is inspection rather than treatment.

Is biopsy alone reported with 50961?

No. The nearby biopsy code 50955 identifies ureteral endoscopy with biopsy; documentation should support the service actually performed.

What is included in the global period?

The 0-day global period includes same-day preoperative and postoperative care.

How is bilateral treatment reported?

Modifier 50 applies to a bilateral procedure and is paid at 150%.

Can an assistant or co-surgeon be billed?

Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted.

What happens when related endoscopies are performed together?

CMS endoscopy family pricing applies when related endoscopies are performed together.

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
RVUs for 50961PPRRVU2026_Oct_nonQPP.csv, line 6,009 (RVU26D)
Geographic factors for ArkansasGPCI2026.csv, line 7 (RVU26D)

Open CMS sourceHow we calculate rates

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