CPT code 52281: Urethral dilation, cystoscopic stricture treatment2026 Medicare rate & RVUs in North Dakota

Cystoscopic dilation widens a urethral narrowing, with or without meatotomy, when a urologist treats obstructive symptoms from stricture or stenosis.

CMS RVU26DEffective Oct 1, 2026One payment locality47.9K Medicare services in 2024

In North Dakota, Medicare pays $303.15 for 52281 in the office and $129.47 when it’s performed in a hospital or facility.

$303.15Office (non-facility)
$129.47Hospital or facility
−2.3%vs the national office rate ($310.29)

Check a contract rate as a % of Medicare · 52281 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 52281 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Dakota
  2. What 52281 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 52281 covers

A urologist uses a cystoscope to evaluate a narrowed urethral segment and calibrate or widen it with suitable dilators. The procedure may also include a meatotomy when the narrowing involves the urethral opening. It is performed for urethral stricture or stenosis associated with symptoms such as impaired urinary flow, in an office or facility setting depending on the clinical circumstances and resources.

Report this code when the documented treatment is cystoscopic calibration or dilation of a urethral narrowing, whether or not meatotomy is performed. The record should identify the stricture or stenosis, its location when known, the treatment performed, and any meatotomy. The 0-day global period includes same-day preoperative and postoperative care. When related endoscopies are performed together, CMS applies endoscopy-family pricing. Report a single procedure rather than modifier 50; the descriptor and anatomy do not support bilateral reporting. Medicare does not pay an assistant at surgery for this service, 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 North Dakota compares for 52281

Across 109 of 109 payment localities, the office rate for 52281 runs from $275.03 in Arkansas to $406.83 in San Benito County, CA. North Dakota pays $303.15. The RVUs are the same everywhere; the geographic indexes change the dollars.

52281 in North Dakota vs other payment areas
  1. North Dakota · this page$303.15
  2. Los Angeles, CA · California$348.13+$44.98
  3. Washington, DC area · District of Columbia$353.65+$50.50
  4. Miami, FL · Florida$337.24+$34.09
  5. Chicago, IL · Illinois$327.54+$24.39
  6. Manhattan, NY · New York$356.89+$53.74
  7. Alaska · Alaska$363.22+$60.07

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

Every other payment area

52281 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$278.98$127.01
ArkansasArkansas$275.03$125.83
ArizonaArizona$302.09$133.79
Bakersfield, CACalifornia$327.33$136.98
Chico, CACalifornia$326.28$135.92
El Centro, CACalifornia$326.34$135.98
Fresno, CACalifornia$326.28$135.92
Hanford, CACalifornia$326.28$135.92

52281 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.

$275.03

$366.55

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

View every state and territory as a table
52281 office rate range by state
State / territoryOffice rate rangeLocalities
AK$363.221
AL$278.981
AR$275.031
AZ$302.091
CA$326.28–$406.8329
CO$322.101
CT$330.681
DC$353.651
DE$307.021
FL$307.16–$337.243
GA$290.06–$316.322
GU$333.831
HI$333.831
IA$285.301
ID$287.261
IL$298.90–$327.544
IN$288.871
KS$284.291
KY$286.101
LA$285.78–$299.612
MA$320.35–$353.142
MD$312.71–$353.653
ME$289.05–$303.982
MI$293.68–$311.242
MN$307.881
MO$281.17–$300.303
MS$278.141
MT$310.271
NC$291.971
ND$303.151
NE$286.741
NH$317.351
NJ$334.25–$350.152
NM$295.381
NV$308.501
NY$296.29–$365.785
OH$292.231
OK$285.281
OR$305.89–$331.822
PA$292.52–$322.792
PR$312.411
RI$317.591
SC$292.631
SD$302.311
TN$285.731
TX$290.65–$321.218
UT$296.541
VA$303.21–$353.652
VI$312.411
VT$302.271
WA$319.65–$359.962
WI$293.211
WV$288.131
WY$307.171

See 52281 in every payment locality

How the 52281 rate is calculated

Each of 52281’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 · 52281

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.68

2.68 RVUs× 1.000 GPCI

Practice expense6.25

6.25 RVUs× 1.000 GPCI

Malpractice0.36

0.36 RVUs× 1.000 GPCI

Adjusted RVUs

9.2900

Conversion factor

$33.4009

Medicare rate

$310.29

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

The exact North Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,124

Code
52281
Physician work
2.68
Practice expense
6.25
Malpractice
0.36

GPCI2026.csv

84

Locality
North Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.406
Office calculation for 52281 in North Dakota
ComponentRVULocality factorAdjusted
Physician work2.68× 1.0002.6800
Practice expense6.25× 1.0006.2500
Malpractice0.36× 0.4060.1462
Total RVUs9.0762
Conversion factor× 33.4009

Office rate, North Dakota$303.15

Office: (2.68 × 1 + 6.25 × 1 + 0.36 × 0.406) × $33.4009 = $303.15

Facility: (2.68 × 1 + 1.05 × 1 + 0.36 × 0.406) × $33.4009 = $129.47

Open 52281 in the RVU calculator

Payment rules and modifiers for 52281

The CMS indicators that decide how 52281 is paid alongside other services.

CMS payment indicators · 52281

Urethral dilation, cystoscopic stricture 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)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

52281 without 51 · national office

$310.29

Urethral dilation, cystoscopic stricture treatment

52281-51 · Second procedure: 50%

$155.15

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%).

When to use modifier 51

How 52281 has changed in North Dakota

52281 · Office / nonfacility

$303.15

Effective 2026-10-01

The base rate is $11.52 higher than on 2025-10-01, moving from $291.63 to $303.15 (4.0%).

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

    $291.63changed to$303.15

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.75 changed to 2.68
    • Practice expense RVU 6.09 changed to 6.25
    • Malpractice RVU 0.34 changed to 0.36
    • Malpractice GPCI 0.517 changed to 0.406

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $320.42changed to$291.63

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 6.70 changed to 6.09

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $315.19changed to$320.42

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $325.70changed to$315.19

    • Conversion factor 33.8872 changed to 32.7442
    • Malpractice GPCI 0.474 changed to 0.517
  5. January 1, 2023

    RVU23A

    $335.76changed to$325.70

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 6.81 changed to 6.70
    • Malpractice RVU 0.33 changed to 0.34
    • Malpractice GPCI 0.431 changed to 0.474

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $337.69changed to$335.76

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 6.79 changed to 6.81
    • Malpractice RVU 0.32 changed to 0.33

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $324.63changed to$337.69

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 6.09 changed to 6.79
    • Malpractice GPCI 0.485 changed to 0.431

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $302.27changed to$324.63

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 5.47 changed to 6.09
    • Malpractice RVU 0.31 changed to 0.32
    • Malpractice GPCI 0.540 changed to 0.485

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $277.99changed to$302.27

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.81 changed to 5.47
    • Malpractice RVU 0.30 changed to 0.31

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $274.17changed to$277.99

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.72 changed to 4.81
    • Malpractice RVU 0.31 changed to 0.30
    • Malpractice GPCI 0.547 changed to 0.540

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $271.46changed to$274.17

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.66 changed to 4.72
    • Malpractice GPCI 0.554 changed to 0.547

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $271.72changed to$271.46

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 4.64 changed to 4.66

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $270.37changed to$271.72

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $266.52changed to$270.37

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.54 changed to 4.64
    • Malpractice RVU 0.28 changed to 0.31
    • Malpractice GPCI 0.536 changed to 0.554

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $266.06changed to$266.52

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 4.92 changed to 4.54
    • Malpractice RVU 0.29 changed to 0.28
    • Malpractice GPCI 0.517 changed to 0.536

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $266.06

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$303.15$129.47RVU26D
2026-07-01$303.15$129.47RVU26C
2026-04-01$303.15$129.47RVU26B
2026-01-01$303.15$129.47RVU26A
2025-10-01$291.63$141.54RVU25D
2025-07-01$291.63$141.54RVU25C
2025-04-01$291.63$141.54RVU25B
2025-01-01$291.63$141.54RVU25A
2024-10-01$320.42$144.33RVU24D
2024-07-01$320.42$144.33RVU24C
2024-04-01$320.42$144.33RVU24B
2024-03-09$320.42$144.33RVU24AR
2024-01-01$315.19$141.97RVU24A
2023-10-01$325.70$144.74RVU23D
2023-07-01$325.70$144.74RVU23C
2023-04-01$325.70$144.74RVU23B
2023-01-01$325.70$144.74RVU23A
2022-10-01$335.76$146.12RVU22D
2022-07-01$335.76$146.12RVU22C
2022-04-01$335.76$146.12RVU22B
2022-01-01$335.76$146.12RVU22A
2021-10-01$337.69$147.18RVU21D
2021-07-01$337.69$147.18RVU21C
2021-04-01$337.69$147.18RVU21B
2021-01-01$337.69$147.18RVU21A
2020-10-01$324.63$151.76RVU20D
2020-07-01$324.63$151.76RVU20C
2020-04-01$324.63$151.76RVU20B
2020-01-01$324.63$151.76RVU20A
2019-10-01$302.27$153.43RVU19D
2019-07-01$302.27$153.43RVU19C
2019-04-01$302.27$153.43RVU19B
2019-01-01$302.27$153.43RVU19A
2018-10-01$277.99$153.79RVU18D
2018-07-01$277.99$153.79RVU18C
2018-04-01$277.99$153.79RVU18B
2018-01-01$277.99$153.79RVU18AR1
2017-10-01$274.17$153.23RVU17D
2017-07-01$274.17$153.23RVU17C
2017-04-01$274.17$153.23RVU17B
2017-01-01$274.17$153.23RVU17A
2016-10-01$271.46$151.87RVU16D
2016-07-01$271.46$151.87RVU16C
2016-04-01$271.46$151.87RVU16B
2016-01-01$271.46$151.87RVU16A
2015-10-01$271.72$152.42RVU15D
2015-07-01$271.72$152.42RVU15C
2015-04-01$270.37$151.66RVU15B
2015-01-01$270.37$151.66RVU15A
2014-10-01$266.52$151.18RVU14D
2014-07-01$266.52$151.18RVU14C
2014-04-01$266.52$151.18RVU14B
2014-01-01$266.52$151.18RVU14A
2013-10-01$266.06$145.62RVU13D
2013-07-01$266.06$145.62RVU13C
2013-04-01$266.06$145.62RVU13B
2013-01-01$266.06$145.62RVU13AR

Price 52281 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Abercrombie
  • Adams
  • Alamo
  • Alexander
  • Alice
  • Almont
  • Alsen
  • Ambrose

Browse all communities in North Dakota

52281 billing questions

When should 52281 be chosen over direct vision internal urethrotomy?

Use 52281 for cystoscopic calibration or dilation of a urethral narrowing, with or without meatotomy. Direct vision internal urethrotomy uses an incision to treat the stricture and is reported with 52276.

Can meatotomy be included in 52281?

Yes. The service may include meatotomy when performed with the cystoscopic calibration or dilation; document the narrowing and the work performed.

How does CMS price 52281 with another endoscopy?

When related endoscopies are performed together, CMS applies endoscopy-family pricing. The record should support each reported procedure.

Should modifier 50 be appended for a narrowing described on both sides?

No. The descriptor and urethral anatomy do not support bilateral reporting for 52281.

Is an assistant surgeon payable for 52281?

Medicare does not pay an assistant at surgery for this code. Co-surgeon and team-surgery billing are also 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
RVUs for 52281PPRRVU2026_Oct_nonQPP.csv, line 6,124 (RVU26D)
Geographic factors for North DakotaGPCI2026.csv, line 84 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 52281 pays in North Dakota?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 52281 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Build my fee sheet