CPT code 50974: Ureteroscopy, biopsy during ureteroscopy2026 Medicare rate & RVUs in Nevada
Reports endoscopic inspection of the ureter with tissue sampling, commonly to evaluate a suspicious urothelial lesion or other abnormal ureteral tissue.
In Nevada, Medicare pays $407.17 for 50974 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 50974 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 50974 covers
A urologist passes an endoscope through the bladder into the ureter, inspects the ureteral lining, and obtains tissue for examination. The service is used when imaging or clinical findings raise concern for a ureteral lesion, including possible upper urinary tract malignancy. It is generally performed in an operating or procedure setting, with the sampled site and tissue submitted for pathologic evaluation.
Report this code when ureteroscopy includes biopsy; inspection alone or catheter placement alone describes a different service. The operative note should identify the side, the ureteral site examined, the abnormality sampled, and the biopsy performed. CMS assigns 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 a bilateral procedure, 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 Nevada compares for 50974
Across 109 of 109 payment localities, the facility rate for 50974 runs from $383.70 in Nebraska to $550.39 in Alaska. Nevada pays $407.17. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Nevada · this page$407.17
- Los Angeles, CA · California$426.88+$19.71
- Washington, DC area · District of Columbia$447.62+$40.45
- Miami, FL · Florida$475.38+$68.21
- Chicago, IL · Illinois$465.72+$58.55
- Manhattan, NY · New York$467.55+$60.38
- Alaska · Alaska$550.39+$143.22
Other areas in Nevada first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $387.23 |
| ArkansasArkansas | — | $384.04 |
| ArizonaArizona | — | $405.59 |
| Bakersfield, CACalifornia | — | $411.53 |
| Chico, CACalifornia | — | $408.13 |
| El Centro, CACalifornia | — | $408.32 |
| Fresno, CACalifornia | — | $408.13 |
| Hanford, CACalifornia | — | $408.13 |
| Madera, CACalifornia | — | $408.13 |
| Merced, CACalifornia | — | $408.13 |
| Modesto, CACalifornia | — | $408.13 |
| Napa, CACalifornia | — | $437.83 |
| Oxnard, CACalifornia | — | $421.36 |
| Redding, CACalifornia | — | $408.13 |
| Rest of CaliforniaCalifornia | — | $408.13 |
| Riverside, CACalifornia | — | $420.60 |
| Sacramento, CACalifornia | — | $418.94 |
| Salinas, CACalifornia | — | $417.14 |
| San Diego, CACalifornia | — | $419.92 |
| Marin County, CACalifornia | — | $452.56 |
| San Francisco, CACalifornia | — | $451.25 |
| San Benito County, CACalifornia | — | $462.45 |
| Santa Clara County, CACalifornia | — | $457.11 |
| San Luis Obispo, CACalifornia | — | $411.43 |
| Santa Cruz, CACalifornia | — | $418.46 |
| Santa Maria, CACalifornia | — | $416.78 |
| Santa Rosa, CACalifornia | — | $422.14 |
| Stockton, CACalifornia | — | $408.13 |
| Vallejo, CACalifornia | — | $435.94 |
| Visalia, CACalifornia | — | $408.13 |
| Yuba City, CACalifornia | — | $408.13 |
| ColoradoColorado | — | $413.59 |
| ConnecticutConnecticut | — | $433.45 |
| DelawareDelaware | — | $410.19 |
| Fort Lauderdale, FLFlorida | — | $445.54 |
| Rest of FloridaFlorida | — | $429.44 |
| Atlanta, GAGeorgia | — | $423.35 |
| Rest of GeorgiaGeorgia | — | $412.58 |
| Hawaii, Guam, HIHawaii | — | $407.86 |
| IowaIowa | — | $383.81 |
| IdahoIdaho | — | $387.11 |
| East St. Louis, ILIllinois | — | $446.31 |
| Rest of IllinoisIllinois | — | $428.45 |
| Suburban Chicago, ILIllinois | — | $447.32 |
| IndianaIndiana | — | $388.15 |
| KansasKansas | — | $387.08 |
| KentuckyKentucky | — | $401.71 |
| New Orleans, LALouisiana | — | $414.19 |
| Rest of LouisianaLouisiana | — | $403.06 |
| Metropolitan Boston, MAMassachusetts | — | $436.41 |
| Rest of MassachusettsMassachusetts | — | $414.55 |
| Baltimore area, MDMaryland | — | $432.99 |
| Rest of MarylandMaryland | — | $414.26 |
| Rest of MaineMaine | — | $392.84 |
| Southern Maine, MEMaine | — | $398.64 |
| Detroit, MIMichigan | — | $437.16 |
| Rest of MichiganMichigan | — | $411.77 |
| MinnesotaMinnesota | — | $388.69 |
| Metropolitan Kansas City, MOMissouri | — | $407.93 |
| Metropolitan St. Louis, MOMissouri | — | $409.89 |
| Rest of MissouriMissouri | — | $401.90 |
| MississippiMississippi | — | $392.80 |
| MontanaMontana | — | $413.43 |
| North CarolinaNorth Carolina | — | $394.49 |
| North DakotaNorth Dakota | — | $390.69 |
| NebraskaNebraska | — | $383.70 |
| New HampshireNew Hampshire | — | $411.85 |
| Northern New JerseyNew Jersey | — | $447.20 |
| Rest of New JerseyNew Jersey | — | $436.23 |
| New MexicoNew Mexico | — | $414.85 |
| NYC suburbs and Long Island, NYNew York | — | $480.03 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $442.29 |
| Queens, NYNew York | — | $463.55 |
| Rest of New YorkNew York | — | $398.25 |
| OhioOhio | — | $407.13 |
| OklahomaOklahoma | — | $396.72 |
| Portland, OROregon | — | $416.97 |
| Rest of OregonOregon | — | $401.79 |
| Metropolitan Philadelphia, PAPennsylvania | — | $429.44 |
| Rest of PennsylvaniaPennsylvania | — | $405.09 |
| Puerto RicoPuerto Rico | — | $413.77 |
| Rhode IslandRhode Island | — | $417.56 |
| South CarolinaSouth Carolina | — | $401.90 |
| South DakotaSouth Dakota | — | $388.00 |
| TennesseeTennessee | — | $388.73 |
| Austin, TXTexas | — | $414.18 |
| Beaumont, TXTexas | — | $403.86 |
| Brazoria, TXTexas | — | $406.75 |
| Dallas, TXTexas | — | $410.43 |
| Fort Worth, TXTexas | — | $410.16 |
| Galveston, TXTexas | — | $408.74 |
| Houston, TXTexas | — | $429.79 |
| Rest of TexasTexas | — | $405.86 |
| UtahUtah | — | $404.98 |
| VirginiaVirginia | — | $400.90 |
| Virgin Islands, VIUnited States Virgin Islands | — | $413.77 |
| VermontVermont | — | $393.76 |
| Rest of WashingtonWashington | — | $412.27 |
| King County, WAWashington | — | $438.83 |
| WisconsinWisconsin | — | $383.70 |
| West VirginiaWest Virginia | — | $419.99 |
| WyomingWyoming | — | $403.52 |
50974 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.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 50974 rate is calculated
Each of 50974’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 · 50974
RVUs × geographic indexes × conversion factor
Work8.93
8.93 RVUs× 1.000 GPCI
Practice expense2.30
2.30 RVUs× 1.000 GPCI
Malpractice1.15
1.15 RVUs× 1.000 GPCI
Adjusted RVUs
12.3800
Conversion factor
$33.4009
Medicare rate
$413.50
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Nevada inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,012
- Code
- 50974
- Physician work
- 8.93
- Practice expense
- 2.30
- Malpractice
- 1.15
GPCI2026.csv
73
- Locality
- Nevada
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.93 | × 1.000 | 8.9300 |
| Practice expense | 2.30 | × 1.001 | 2.3023 |
| Malpractice | 1.15 | × 0.833 | 0.9579 |
| Total RVUs | 12.1902 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nevada$407.17
Facility: (8.93 × 1 + 2.3 × 1.001 + 1.15 × 0.833) × $33.4009 = $407.17
Payment rules and modifiers for 50974
The CMS indicators that decide how 50974 is paid alongside other services.
CMS payment indicators · 50974
Ureteroscopy, biopsy during ureteroscopy
| 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
50974 without 50 · national facility
$413.50
Ureteroscopy, biopsy during ureteroscopy
50974-50 · Bilateral: 150%
$620.25
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 50974 has changed in Nevada
50974 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $407.17 | RVU26D |
| 2026-07-01 | Not available in this setting | $407.17 | RVU26C |
| 2026-04-01 | Not available in this setting | $407.17 | RVU26B |
| 2026-01-01 | Not available in this setting | $407.17 | RVU26A |
| 2025-10-01 | Not available in this setting | $447.20 | RVU25D |
| 2025-07-01 | Not available in this setting | $447.20 | RVU25C |
| 2025-04-01 | Not available in this setting | $447.20 | RVU25B |
| 2025-01-01 | Not available in this setting | $447.20 | RVU25A |
| 2024-10-01 | Not available in this setting | $457.49 | RVU24D |
| 2024-07-01 | Not available in this setting | $457.49 | RVU24C |
| 2024-04-01 | Not available in this setting | $457.49 | RVU24B |
| 2024-03-09 | Not available in this setting | $457.49 | RVU24AR |
| 2024-01-01 | Not available in this setting | $450.03 | RVU24A |
| 2023-10-01 | Not available in this setting | $470.62 | RVU23D |
| 2023-07-01 | Not available in this setting | $470.62 | RVU23C |
| 2023-04-01 | Not available in this setting | $470.62 | RVU23B |
| 2023-01-01 | Not available in this setting | $470.62 | RVU23A |
| 2022-10-01 | Not available in this setting | $488.93 | RVU22D |
| 2022-07-01 | Not available in this setting | $488.93 | RVU22C |
| 2022-04-01 | Not available in this setting | $488.93 | RVU22B |
| 2022-01-01 | Not available in this setting | $488.93 | RVU22A |
| 2021-10-01 | Not available in this setting | $491.32 | RVU21D |
| 2021-07-01 | Not available in this setting | $491.32 | RVU21C |
| 2021-04-01 | Not available in this setting | $491.32 | RVU21B |
| 2021-01-01 | Not available in this setting | $491.32 | RVU21A |
| 2020-10-01 | Not available in this setting | $498.46 | RVU20D |
| 2020-07-01 | Not available in this setting | $498.46 | RVU20C |
| 2020-04-01 | Not available in this setting | $498.46 | RVU20B |
| 2020-01-01 | Not available in this setting | $498.46 | RVU20A |
| 2019-10-01 | Not available in this setting | $492.88 | RVU19D |
| 2019-07-01 | Not available in this setting | $492.88 | RVU19C |
| 2019-04-01 | Not available in this setting | $492.88 | RVU19B |
| 2019-01-01 | Not available in this setting | $492.88 | RVU19A |
| 2018-10-01 | Not available in this setting | $494.17 | RVU18D |
| 2018-07-01 | Not available in this setting | $494.17 | RVU18C |
| 2018-04-01 | Not available in this setting | $494.17 | RVU18B |
| 2018-01-01 | Not available in this setting | $494.17 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $495.34 | RVU17D |
| 2017-07-01 | Not available in this setting | $495.34 | RVU17C |
| 2017-04-01 | Not available in this setting | $495.34 | RVU17B |
| 2017-01-01 | Not available in this setting | $495.34 | RVU17A |
| 2016-10-01 | Not available in this setting | $495.67 | RVU16D |
| 2016-07-01 | Not available in this setting | $495.67 | RVU16C |
| 2016-04-01 | Not available in this setting | $495.67 | RVU16B |
| 2016-01-01 | Not available in this setting | $495.67 | RVU16A |
| 2015-10-01 | Not available in this setting | $496.33 | RVU15D |
| 2015-07-01 | Not available in this setting | $496.33 | RVU15C |
| 2015-04-01 | Not available in this setting | $493.86 | RVU15B |
| 2015-01-01 | Not available in this setting | $493.86 | RVU15A |
| 2014-10-01 | Not available in this setting | $492.16 | RVU14D |
| 2014-07-01 | Not available in this setting | $492.16 | RVU14C |
| 2014-04-01 | Not available in this setting | $492.16 | RVU14B |
| 2014-01-01 | Not available in this setting | $492.16 | RVU14A |
| 2013-10-01 | Not available in this setting | $477.76 | RVU13D |
| 2013-07-01 | Not available in this setting | Rate data unavailable | RVU13C |
| 2013-04-01 | Not available in this setting | Rate data unavailable | RVU13B |
| 2013-01-01 | Not available in this setting | Rate data unavailable | RVU13AR |
Where the Nevada rate applies
Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.
- Alamo
- Amargosa Valley
- Austin
- Baker
- Battle Mountain
- Beatty
- Beaverdam
- Bennett Springs
50974 billing questions
When should 50974 be chosen over diagnostic ureteroscopy?
Use 50974 when the ureteroscopic examination includes tissue sampling. Diagnostic ureteroscopy without biopsy is represented by 50970.
Is biopsy included in the procedure?
Yes. The tissue sampling performed during ureteroscopy is part of 50974; do not report the biopsy as a separate procedure.
How should bilateral ureteroscopic biopsies be reported?
For a bilateral procedure, report modifier 50. 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 reporting 50974?
Document the ureteroscopic examination, laterality and site, the abnormal tissue or lesion, and that tissue was obtained for biopsy.
What happens when another related endoscopy is performed in the same session?
CMS applies endoscopy-family pricing when related endoscopies are performed together. The operative documentation should identify each service performed.
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
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