CPT code 52007: Ureteral biopsy, brush biopsy by catheter2026 Medicare rate & RVUs in Cedar Park, Texas
CPT 52007: $413.92–$448.77 office ($144.81–$148.75 facility) across 2 localities in Cedar Park, TX in 2026 Medicare. Compare each area.
Medicare pays $413.92–$448.77 for 52007 in the office in Cedar Park, Texas, from Rest of Texas to Austin, TX. Which amount applies depends on the service address.
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 6 sections
Where 52007 pays more and less in Cedar Park, Texas
Cedar Park, Texas maps to 2 Medicare payment localities in our Census-to-CMS crosswalk. A city name alone doesn’t confirm an address’s payment area.
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | $448.77 | $148.75 |
| Rest of Texas | $413.92 | $144.81 |
How payment areas work in Cedar Park
City limits and Medicare payment areas are different maps. These are the payment areas that cover the city’s counties; the service ZIP decides which one applies.
- Austin · Travis County
- Rest Of State · Williamson County
City boundaries: 2026 Census geography · Census source · CMS county-to-locality definitions
How the 52007 rate is calculated
Each of 52007’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 · 52007
RVUs × geographic indexes × conversion factor
Work2.94
2.94 RVUs× 1.000 GPCI
Practice expense9.58
9.58 RVUs× 1.000 GPCI
Malpractice0.40
0.40 RVUs× 1.000 GPCI
Adjusted RVUs
12.9200
Conversion factor
$33.4009
Medicare rate
$431.54
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 52007
The CMS indicators that decide how 52007 is paid alongside other services.
CMS payment indicators · 52007
Ureteral biopsy, brush biopsy by catheter
| 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) | 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
52007 without 50 · national office
$431.54
Ureteral biopsy, brush biopsy by catheter
52007-50 · Bilateral: 150%
$647.31
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).
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
Fee sheets · Coming soon
Put 52007 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist