CPT code 52214: Cystoscopy treatment, fulguration at specified sites2026 Medicare rate & RVUs in Madera, CA
Reports cystoscopic fulguration or comparable lesion treatment at the trigone, bladder neck, prostatic fossa, urethra, or periurethral glands.
In Madera, CA, Medicare pays $780.27 for 52214 in the office and $149.52 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 52214 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 52214 covers
A urologist passes a cystoscope to visualize and destroy or treat lesions at the trigone, bladder neck, prostatic fossa, urethra, or periurethral glands. Treatment may use electrosurgical fulguration, cryosurgery, or laser. The procedure may be performed in an office or facility setting, depending on the patient and planned treatment. This code is distinguished by the treated anatomic site; it is not the size-based code for resection of a bladder tumor.
Report the service when the operative or procedure note identifies the treated site and the method used. The code has 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. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery for it, and co-surgeon and team-surgery billing 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 Madera, CA compares for 52214
Across 109 of 109 payment localities, the office rate for 52214 runs from $636.02 in Arkansas to $998.19 in San Benito County, CA. Madera, CA pays $780.27. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Madera, CA · this page$780.27
- Bakersfield, CA · California$781.54+$1.27
- Chico, CA · California$780.27
- El Centro, CA · California$780.34+$0.07
- Fresno, CA · California$780.27
- Hanford, CA · California$780.27
- Los Angeles, CA · California$836.97+$56.70
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Merced, CACalifornia | $780.27 | $149.52 |
| Modesto, CACalifornia | $780.27 | $149.52 |
| Napa, CACalifornia | $918.13 | $159.62 |
| Oxnard, CACalifornia | $834.30 | $154.06 |
| Redding, CACalifornia | $780.27 | $149.52 |
| Rest of CaliforniaCalifornia | $780.27 | $149.52 |
| Riverside, CACalifornia | $784.93 | $154.19 |
| Sacramento, CACalifornia | $822.58 | $153.28 |
| Salinas, CACalifornia | $819.61 | $152.61 |
| San Diego, CACalifornia | $841.76 | $153.46 |
| Marin County, CACalifornia | $976.20 | $164.75 |
| San Francisco, CACalifornia | $975.71 | $164.26 |
| San Benito County, CACalifornia | $998.19 | $168.32 |
| Santa Clara County, CACalifornia | $996.19 | $166.32 |
| San Luis Obispo, CACalifornia | $806.03 | $150.54 |
| Santa Cruz, CACalifornia | $852.03 | $152.80 |
| Santa Maria, CACalifornia | $823.47 | $152.44 |
| Santa Rosa, CACalifornia | $860.84 | $154.13 |
| Stockton, CACalifornia | $780.27 | $149.52 |
| Vallejo, CACalifornia | $917.43 | $158.92 |
| Visalia, CACalifornia | $780.27 | $149.52 |
| Yuba City, CACalifornia | $780.27 | $149.52 |
| Washington, DC areaDistrict of Columbia | $841.90 | $163.97 |
| Miami, FLFlorida | $774.00 | $174.91 |
| Chicago, ILIllinois | $749.86 | $171.49 |
| Manhattan, NYNew York | $840.25 | $171.52 |
| AlaskaAlaska | $816.92 | $204.02 |
| AlabamaAlabama | $646.34 | $142.78 |
| ArkansasArkansas | $636.02 | $141.66 |
| ArizonaArizona | $706.83 | $149.17 |
| ColoradoColorado | $764.04 | $151.71 |
| ConnecticutConnecticut | $778.90 | $159.09 |
| DelawareDelaware | $719.40 | $150.81 |
| Fort Lauderdale, FLFlorida | $746.87 | $163.89 |
| Rest of FloridaFlorida | $708.33 | $158.15 |
| Atlanta, GAGeorgia | $740.29 | $155.58 |
| Rest of GeorgiaGeorgia | $665.51 | $152.17 |
| Hawaii, Guam, HIHawaii | $803.52 | $149.18 |
| IowaIowa | $667.88 | $141.30 |
| IdahoIdaho | $671.97 | $142.51 |
| East St. Louis, ILIllinois | $694.10 | $164.64 |
| Rest of IllinoisIllinois | $683.43 | $158.00 |
| Suburban Chicago, ILIllinois | $755.54 | $164.50 |
| IndianaIndiana | $676.35 | $142.86 |
| KansasKansas | $662.82 | $142.57 |
| KentuckyKentucky | $659.74 | $148.12 |
| New Orleans, LALouisiana | $694.07 | $152.53 |
| Rest of LouisianaLouisiana | $657.96 | $148.64 |
| Metropolitan Boston, MAMassachusetts | $846.81 | $159.66 |
| Rest of MassachusettsMassachusetts | $758.14 | $152.14 |
| Baltimore area, MDMaryland | $776.44 | $158.93 |
| Rest of MarylandMaryland | $734.62 | $152.22 |
| Rest of MaineMaine | $674.11 | $144.65 |
| Southern Maine, MEMaine | $716.78 | $146.46 |
| Detroit, MIMichigan | $716.35 | $161.00 |
| Rest of MichiganMichigan | $677.19 | $151.76 |
| MinnesotaMinnesota | $734.74 | $142.55 |
| Metropolitan Kansas City, MOMissouri | $690.59 | $150.20 |
| Metropolitan St. Louis, MOMissouri | $698.74 | $150.86 |
| Rest of MissouriMissouri | $644.41 | $148.33 |
| MississippiMississippi | $640.43 | $144.93 |
| MontanaMontana | $727.44 | $151.95 |
| North CarolinaNorth Carolina | $682.14 | $145.20 |
| North DakotaNorth Dakota | $718.94 | $143.44 |
| NebraskaNebraska | $672.40 | $141.21 |
| New HampshireNew Hampshire | $750.24 | $151.15 |
| Northern New JerseyNew Jersey | $831.50 | $163.92 |
| Rest of New JerseyNew Jersey | $788.55 | $160.10 |
| New MexicoNew Mexico | $680.62 | $152.89 |
| NevadaNevada | $725.67 | $149.60 |
| NYC suburbs and Long Island, NYNew York | $860.32 | $176.05 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $792.54 | $162.37 |
| Queens, NYNew York | $850.17 | $169.93 |
| Rest of New YorkNew York | $693.25 | $146.52 |
| OhioOhio | $675.46 | $150.03 |
| OklahomaOklahoma | $660.15 | $146.23 |
| Portland, OROregon | $792.13 | $152.75 |
| Rest of OregonOregon | $720.81 | $147.61 |
| Metropolitan Philadelphia, PAPennsylvania | $756.86 | $157.77 |
| Rest of PennsylvaniaPennsylvania | $677.55 | $149.24 |
| Puerto RicoPuerto Rico | $733.85 | $152.02 |
| Rhode IslandRhode Island | $747.86 | $153.37 |
| South CarolinaSouth Carolina | $679.78 | $148.02 |
| South DakotaSouth Dakota | $717.93 | $142.44 |
| TennesseeTennessee | $666.29 | $143.17 |
| Austin, TXTexas | $760.82 | $151.94 |
| Beaumont, TXTexas | $672.52 | $148.82 |
| Brazoria, TXTexas | $719.83 | $149.51 |
| Dallas, TXTexas | $724.06 | $150.86 |
| Fort Worth, TXTexas | $718.25 | $150.81 |
| Galveston, TXTexas | $721.72 | $150.25 |
| Houston, TXTexas | $729.59 | $158.12 |
| Rest of TexasTexas | $695.52 | $149.37 |
| UtahUtah | $690.05 | $149.09 |
| VirginiaVirginia | $713.06 | $147.35 |
| Virgin Islands, VIUnited States Virgin Islands | $733.85 | $152.02 |
| VermontVermont | $714.38 | $144.64 |
| Rest of WashingtonWashington | $757.28 | $151.28 |
| King County, WAWashington | $866.56 | $160.42 |
| WisconsinWisconsin | $692.37 | $141.04 |
| West VirginiaWest Virginia | $655.16 | $155.06 |
| WyomingWyoming | $723.74 | $148.24 |
52214 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.
$636.02
$889.23
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 | $816.92 | 1 |
| AL | $646.34 | 1 |
| AR | $636.02 | 1 |
| AZ | $706.83 | 1 |
| CA | $780.27–$998.19 | 29 |
| CO | $764.04 | 1 |
| CT | $778.90 | 1 |
| DC | $841.90 | 1 |
| DE | $719.40 | 1 |
| FL | $708.33–$774.00 | 3 |
| GA | $665.51–$740.29 | 2 |
| GU | $803.52 | 1 |
| HI | $803.52 | 1 |
| IA | $667.88 | 1 |
| ID | $671.97 | 1 |
| IL | $683.43–$755.54 | 4 |
| IN | $676.35 | 1 |
| KS | $662.82 | 1 |
| KY | $659.74 | 1 |
| LA | $657.96–$694.07 | 2 |
| MA | $758.14–$846.81 | 2 |
| MD | $734.62–$841.90 | 3 |
| ME | $674.11–$716.78 | 2 |
| MI | $677.19–$716.35 | 2 |
| MN | $734.74 | 1 |
| MO | $644.41–$698.74 | 3 |
| MS | $640.43 | 1 |
| MT | $727.44 | 1 |
| NC | $682.14 | 1 |
| ND | $718.94 | 1 |
| NE | $672.40 | 1 |
| NH | $750.24 | 1 |
| NJ | $788.55–$831.50 | 2 |
| NM | $680.62 | 1 |
| NV | $725.67 | 1 |
| NY | $693.25–$860.32 | 5 |
| OH | $675.46 | 1 |
| OK | $660.15 | 1 |
| OR | $720.81–$792.13 | 2 |
| PA | $677.55–$756.86 | 2 |
| PR | $733.85 | 1 |
| RI | $747.86 | 1 |
| SC | $679.78 | 1 |
| SD | $717.93 | 1 |
| TN | $666.29 | 1 |
| TX | $672.52–$760.82 | 8 |
| UT | $690.05 | 1 |
| VA | $713.06–$841.90 | 2 |
| VI | $733.85 | 1 |
| VT | $714.38 | 1 |
| WA | $757.28–$866.56 | 2 |
| WI | $692.37 | 1 |
| WV | $655.16 | 1 |
| WY | $723.74 | 1 |
How the 52214 rate is calculated
Each of 52214’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 · 52214
RVUs × geographic indexes × conversion factor
Work3.41
3.41 RVUs× 1.000 GPCI
Practice expense17.94
17.94 RVUs× 1.000 GPCI
Malpractice0.43
0.43 RVUs× 1.000 GPCI
Adjusted RVUs
21.7800
Conversion factor
$33.4009
Medicare rate
$727.47
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Madera, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,112
- Code
- 52214
- Physician work
- 3.41
- Practice expense
- 17.94
- Malpractice
- 0.43
GPCI2026.csv
14
- Locality
- Madera, CA
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.41 | × 1.017 | 3.4680 |
| Practice expense | 17.94 | × 1.096 | 19.6622 |
| Malpractice | 0.43 | × 0.536 | 0.2305 |
| Total RVUs | 23.3607 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Madera, CA$780.27
Office: (3.41 × 1.017 + 17.94 × 1.096 + 0.43 × 0.536) × $33.4009 = $780.27
Facility: (3.41 × 1.017 + 0.71 × 1.096 + 0.43 × 0.536) × $33.4009 = $149.52
Payment rules and modifiers for 52214
The CMS indicators that decide how 52214 is paid alongside other services.
CMS payment indicators · 52214
Cystoscopy treatment, fulguration at specified sites
| 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) | 0 | The 150% bilateral adjustment doesn’t apply. |
| 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 51 · payment effect
With and without the modifier
52214 without 51 · national office
$727.47
Cystoscopy treatment, fulguration at specified sites
52214-51 · Second procedure: 50%
$363.74
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 52214 has changed in Madera, CA
52214 · Office / nonfacility
$780.27
Effective 2026-10-01
The base rate is $46.75 higher than on 2025-10-01, moving from $733.52 to $780.27 (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
$733.52changed to$780.27
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 3.50 changed to 3.41
- Practice expense RVU 17.28 changed to 17.94
- Work GPCI 1.014 changed to 1.017
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.560 changed to 0.536
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$795.05changed to$733.52
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 18.39 changed to 17.28
- Malpractice RVU 0.42 changed to 0.43
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$782.08changed to$795.05
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$809.43changed to$782.08
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 18.60 changed to 18.39
- Work GPCI 1.021 changed to 1.014
- Practice expense GPCI 1.079 changed to 1.093
- Malpractice GPCI 0.579 changed to 0.560
January 1, 2023
RVU23A
$836.80changed to$809.43
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 19.10 changed to 18.60
- Malpractice RVU 0.41 changed to 0.42
- Work GPCI 1.027 changed to 1.021
- Practice expense GPCI 1.065 changed to 1.079
- Malpractice GPCI 0.597 changed to 0.579
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$842.46changed to$836.80
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 19.06 changed to 19.10
- Malpractice RVU 0.42 changed to 0.41
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$790.54changed to$842.46
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 16.90 changed to 19.06
- Malpractice RVU 0.41 changed to 0.42
- Work GPCI 1.024 changed to 1.027
- Practice expense GPCI 1.070 changed to 1.065
- Malpractice GPCI 0.580 changed to 0.597
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$760.11changed to$790.54
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 16.11 changed to 16.90
- Malpractice RVU 0.39 changed to 0.41
- Work GPCI 1.020 changed to 1.024
- Practice expense GPCI 1.074 changed to 1.070
- Malpractice GPCI 0.562 changed to 0.580
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$725.44changed to$760.11
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 15.24 changed to 16.11
- Malpractice RVU 0.38 changed to 0.39
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$713.37changed to$725.44
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 14.88 changed to 15.24
- Malpractice RVU 0.39 changed to 0.38
- Work GPCI 1.024 changed to 1.020
- Practice expense GPCI 1.079 changed to 1.074
- Malpractice GPCI 0.610 changed to 0.562
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$713.37
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 | $780.27 | $149.52 | RVU26D |
| 2026-07-01 | $780.27 | $149.52 | RVU26C |
| 2026-04-01 | $780.27 | $149.52 | RVU26B |
| 2026-01-01 | $780.27 | $149.52 | RVU26A |
| 2025-10-01 | $733.52 | $167.49 | RVU25D |
| 2025-07-01 | $733.52 | $167.49 | RVU25C |
| 2025-04-01 | $733.52 | $167.49 | RVU25B |
| 2025-01-01 | $733.52 | $167.49 | RVU25A |
| 2024-10-01 | $795.05 | $170.72 | RVU24D |
| 2024-07-01 | $795.05 | $170.72 | RVU24C |
| 2024-04-01 | $795.05 | $170.72 | RVU24B |
| 2024-03-09 | $795.05 | $170.72 | RVU24AR |
| 2024-01-01 | $782.08 | $167.93 | RVU24A |
| 2023-10-01 | $809.43 | $173.21 | RVU23D |
| 2023-07-01 | $809.43 | $173.21 | RVU23C |
| 2023-04-01 | $809.43 | $173.21 | RVU23B |
| 2023-01-01 | $809.43 | $173.21 | RVU23A |
| 2022-10-01 | $836.80 | $176.72 | RVU22D |
| 2022-07-01 | $836.80 | $176.72 | RVU22C |
| 2022-04-01 | $836.80 | $176.72 | RVU22B |
| 2022-01-01 | $836.80 | $176.72 | RVU22A |
| 2021-10-01 | $842.46 | $178.77 | RVU21D |
| 2021-07-01 | $842.46 | $178.77 | RVU21C |
| 2021-04-01 | $842.46 | $178.77 | RVU21B |
| 2021-01-01 | $842.46 | $178.77 | RVU21A |
| 2020-10-01 | $790.54 | $183.49 | RVU20D |
| 2020-07-01 | $790.54 | $183.49 | RVU20C |
| 2020-04-01 | $790.54 | $183.49 | RVU20B |
| 2020-01-01 | $790.54 | $183.49 | RVU20A |
| 2019-10-01 | $760.11 | $183.39 | RVU19D |
| 2019-07-01 | $760.11 | $183.39 | RVU19C |
| 2019-04-01 | $760.11 | $183.39 | RVU19B |
| 2019-01-01 | $760.11 | $183.39 | RVU19A |
| 2018-10-01 | $725.44 | $183.76 | RVU18D |
| 2018-07-01 | $725.44 | $183.76 | RVU18C |
| 2018-04-01 | $725.44 | $183.76 | RVU18B |
| 2018-01-01 | $725.44 | $183.76 | RVU18AR1 |
| 2017-10-01 | $713.37 | $184.41 | RVU17D |
| 2017-07-01 | $713.37 | $184.41 | RVU17C |
| 2017-04-01 | $713.37 | $184.41 | RVU17B |
| 2017-01-01 | $713.37 | $184.41 | 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 Madera, CA rate applies
Madera, CA is a Medicare payment area, not a city. Our Census mapping connects it to 17 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Madera
- Ahwahnee
- Bass Lake
- Bonadelle Ranchos
- Chowchilla
- Coarsegold
- Fairmead
- La Vina
52214 billing questions
How does 52214 differ from 52224?
52214 covers treatment at the specified sites, such as the urethra or bladder neck. 52224 is used for treatment of minor bladder lesion(s); choose by the documented site and procedure.
When is a bladder tumor code a better fit?
For cystoscopic treatment of a bladder tumor, compare the size-based codes such as 52234 and 52235. 52214 is for the named sites in its descriptor, not a tumor-size level.
Can a biopsy be reported with 52214?
The procedure note should distinguish tissue sampling from lesion destruction. If a separate biopsy is performed, review applicable coding edits and documentation before reporting 52204 with 52214.
Can modifier 50 be used for treatment on both sides?
No. CMS identifies bilateral adjustment as inappropriate for 52214, so do not append modifier 50.
How does payment work when another endoscopy is performed in the same session?
CMS endoscopy-family pricing applies when related endoscopies are performed together. Same-day preoperative and postoperative care is included in this code's 0-day global period.
Can an assistant or co-surgeon be billed?
Medicare does not pay an assistant at surgery for 52214. Co-surgeons and team surgery are not permitted.
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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