CPT code 54250: Nocturnal erection testing, tumescence and rigidity2026 Medicare rate & RVUs in South Carolina
Reports overnight measurement of penile tumescence and rigidity to evaluate erectile dysfunction and help distinguish sleep-related erectile responses.
In South Carolina, Medicare pays $119.16 for 54250 in the office.
Check a contract rate as a % of Medicare · 54250 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 54250 covers
This test monitors changes in penile size and rigidity during sleep, typically overnight, as part of an evaluation for erectile dysfunction. A urology practice may arrange the study, with staff applying or setting up monitoring equipment and a qualified clinician interpreting the recorded results. The findings can help assess whether normal sleep-related erections occur; they are considered alongside the patient’s history and other evaluation findings.
Report the study when nocturnal tumescence and rigidity are measured and interpreted, rather than for penile plethysmography or an invasive vascular study. Documentation should identify the erectile dysfunction evaluation, describe the study performed, and include the recorded findings and interpretation. Modifier 26 identifies the professional interpretation, TC identifies the technical service, and an unmodified claim represents the global service. The 0-day global includes same-day preoperative and postoperative care. Modifier 50 is inappropriate. 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 South Carolina compares for 54250
Across 109 of 109 payment localities, the office rate for 54250 runs from $113.92 in Arkansas to $159.39 in Alaska. South Carolina pays $119.16. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Carolina · this page$119.16
- Los Angeles, CA · California$132.31+$13.15
- Washington, DC area · District of Columbia$136.18+$17.02
- Miami, FL · Florida$136.13+$16.97
- Chicago, IL · Illinois$133.39+$14.23
- Manhattan, NY · New York$139.51+$20.35
- Alaska · Alaska$159.39+$40.23
Other areas in South Carolina first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $114.99 | — |
| ArkansasArkansas | $113.92 | — |
| ArizonaArizona | $121.20 | — |
| Bakersfield, CACalifornia | $126.48 | — |
| Chico, CACalifornia | $125.82 | — |
| El Centro, CACalifornia | $125.85 | — |
| Fresno, CACalifornia | $125.82 | — |
| Hanford, CACalifornia | $125.82 | — |
| Madera, CACalifornia | $125.82 | — |
| Merced, CACalifornia | $125.82 | — |
| Modesto, CACalifornia | $125.82 | — |
| Napa, CACalifornia | $138.80 | — |
| Oxnard, CACalifornia | $131.04 | — |
| Redding, CACalifornia | $125.82 | — |
| Rest of CaliforniaCalifornia | $125.82 | — |
| Riverside, CACalifornia | $128.12 | — |
| Sacramento, CACalifornia | $130.17 | — |
| Salinas, CACalifornia | $129.63 | — |
| San Diego, CACalifornia | $131.24 | — |
| Marin County, CACalifornia | $144.86 | — |
| San Francisco, CACalifornia | $144.62 | — |
| San Benito County, CACalifornia | $147.90 | — |
| Santa Clara County, CACalifornia | $146.92 | — |
| San Luis Obispo, CACalifornia | $127.73 | — |
| Santa Cruz, CACalifornia | $131.39 | — |
| Santa Maria, CACalifornia | $129.72 | — |
| Santa Rosa, CACalifornia | $132.62 | — |
| Stockton, CACalifornia | $125.82 | — |
| Vallejo, CACalifornia | $138.46 | — |
| Visalia, CACalifornia | $125.82 | — |
| Yuba City, CACalifornia | $125.82 | — |
| ColoradoColorado | $125.76 | — |
| ConnecticutConnecticut | $129.92 | — |
| DelawareDelaware | $122.70 | — |
| Fort Lauderdale, FLFlorida | $129.83 | — |
| Rest of FloridaFlorida | $125.16 | — |
| Atlanta, GAGeorgia | $125.92 | — |
| Rest of GeorgiaGeorgia | $120.13 | — |
| Hawaii, Guam, HIHawaii | $126.72 | — |
| IowaIowa | $115.58 | — |
| IdahoIdaho | $116.33 | — |
| East St. Louis, ILIllinois | $127.14 | — |
| Rest of IllinoisIllinois | $123.67 | — |
| Suburban Chicago, ILIllinois | $130.70 | — |
| IndianaIndiana | $116.74 | — |
| KansasKansas | $115.84 | — |
| KentuckyKentucky | $118.06 | — |
| New Orleans, LALouisiana | $121.92 | — |
| Rest of LouisianaLouisiana | $118.18 | — |
| Metropolitan Boston, MAMassachusetts | $134.39 | — |
| Rest of MassachusettsMassachusetts | $125.67 | — |
| Baltimore area, MDMaryland | $129.64 | — |
| Rest of MarylandMaryland | $124.26 | — |
| Rest of MaineMaine | $117.38 | — |
| Southern Maine, MEMaine | $120.60 | — |
| Detroit, MIMichigan | $126.84 | — |
| Rest of MichiganMichigan | $120.62 | — |
| MinnesotaMinnesota | $119.93 | — |
| Metropolitan Kansas City, MOMissouri | $120.71 | — |
| Metropolitan St. Louis, MOMissouri | $121.47 | — |
| Rest of MissouriMissouri | $117.27 | — |
| MississippiMississippi | $115.58 | — |
| MontanaMontana | $123.57 | — |
| North CarolinaNorth Carolina | $118.07 | — |
| North DakotaNorth Dakota | $119.42 | — |
| NebraskaNebraska | $115.80 | — |
| New HampshireNew Hampshire | $124.53 | — |
| Northern New JerseyNew Jersey | $135.71 | — |
| Rest of New JerseyNew Jersey | $131.24 | — |
| New MexicoNew Mexico | $121.31 | — |
| NevadaNevada | $122.46 | — |
| NYC suburbs and Long Island, NYNew York | $142.61 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $132.52 | — |
| Queens, NYNew York | $139.39 | — |
| Rest of New YorkNew York | $119.28 | — |
| OhioOhio | $119.77 | — |
| OklahomaOklahoma | $117.27 | — |
| Portland, OROregon | $127.87 | — |
| Rest of OregonOregon | $121.32 | — |
| Metropolitan Philadelphia, PAPennsylvania | $128.06 | — |
| Rest of PennsylvaniaPennsylvania | $119.55 | — |
| Puerto RicoPuerto Rico | $123.97 | — |
| Rhode IslandRhode Island | $125.66 | — |
| South DakotaSouth Dakota | $118.93 | — |
| TennesseeTennessee | $116.29 | — |
| Austin, TXTexas | $125.50 | — |
| Beaumont, TXTexas | $119.09 | — |
| Brazoria, TXTexas | $122.22 | — |
| Dallas, TXTexas | $123.06 | — |
| Fort Worth, TXTexas | $122.71 | — |
| Galveston, TXTexas | $122.64 | — |
| Houston, TXTexas | $126.49 | — |
| Rest of TexasTexas | $120.64 | — |
| UtahUtah | $120.20 | — |
| VirginiaVirginia | $120.77 | — |
| Virgin Islands, VIUnited States Virgin Islands | $123.97 | — |
| VermontVermont | $119.67 | — |
| Rest of WashingtonWashington | $125.20 | — |
| King County, WAWashington | $135.99 | — |
| WisconsinWisconsin | $116.86 | — |
| West VirginiaWest Virginia | $120.79 | — |
| WyomingWyoming | $121.76 | — |
54250 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.
$113.92
$159.39
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 | $159.39 | 1 |
| AL | $114.99 | 1 |
| AR | $113.92 | 1 |
| AZ | $121.20 | 1 |
| CA | $125.82–$147.90 | 29 |
| CO | $125.76 | 1 |
| CT | $129.92 | 1 |
| DC | $136.18 | 1 |
| DE | $122.70 | 1 |
| FL | $125.16–$136.13 | 3 |
| GA | $120.13–$125.92 | 2 |
| GU | $126.72 | 1 |
| HI | $126.72 | 1 |
| IA | $115.58 | 1 |
| ID | $116.33 | 1 |
| IL | $123.67–$133.39 | 4 |
| IN | $116.74 | 1 |
| KS | $115.84 | 1 |
| KY | $118.06 | 1 |
| LA | $118.18–$121.92 | 2 |
| MA | $125.67–$134.39 | 2 |
| MD | $124.26–$136.18 | 3 |
| ME | $117.38–$120.60 | 2 |
| MI | $120.62–$126.84 | 2 |
| MN | $119.93 | 1 |
| MO | $117.27–$121.47 | 3 |
| MS | $115.58 | 1 |
| MT | $123.57 | 1 |
| NC | $118.07 | 1 |
| ND | $119.42 | 1 |
| NE | $115.80 | 1 |
| NH | $124.53 | 1 |
| NJ | $131.24–$135.71 | 2 |
| NM | $121.31 | 1 |
| NV | $122.46 | 1 |
| NY | $119.28–$142.61 | 5 |
| OH | $119.77 | 1 |
| OK | $117.27 | 1 |
| OR | $121.32–$127.87 | 2 |
| PA | $119.55–$128.06 | 2 |
| PR | $123.97 | 1 |
| RI | $125.66 | 1 |
| SC | $119.16 | 1 |
| SD | $118.93 | 1 |
| TN | $116.29 | 1 |
| TX | $119.09–$126.49 | 8 |
| UT | $120.20 | 1 |
| VA | $120.77–$136.18 | 2 |
| VI | $123.97 | 1 |
| VT | $119.67 | 1 |
| WA | $125.20–$135.99 | 2 |
| WI | $116.86 | 1 |
| WV | $120.79 | 1 |
| WY | $121.76 | 1 |
How the 54250 rate is calculated
Each of 54250’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 · 54250
RVUs × geographic indexes × conversion factor
Work2.16
2.16 RVUs× 1.000 GPCI
Practice expense1.33
1.33 RVUs× 1.000 GPCI
Malpractice0.21
0.21 RVUs× 1.000 GPCI
Adjusted RVUs
3.7000
Conversion factor
$33.4009
Medicare rate
$123.58
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact South Carolina inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,269
- Code
- 54250
- Physician work
- 2.16
- Practice expense
- 1.33
- Malpractice
- 0.21
GPCI2026.csv
93
- Locality
- South Carolina
- Physician work
- 1.000
- Practice expense
- 0.924
- Malpractice
- 0.850
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.16 | × 1.000 | 2.1600 |
| Practice expense | 1.33 | × 0.924 | 1.2289 |
| Malpractice | 0.21 | × 0.850 | 0.1785 |
| Total RVUs | 3.5674 | ||
| Conversion factor | × 33.4009 | ||
Office rate, South Carolina$119.16
Office: (2.16 × 1 + 1.33 × 0.924 + 0.21 × 0.85) × $33.4009 = $119.16
Payment rules and modifiers for 54250
The CMS indicators that decide how 54250 is paid alongside other services.
CMS payment indicators · 54250
Nocturnal erection testing, tumescence and rigidity
| 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 | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| 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 | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
54250 without 26 · national office
$123.58
Nocturnal erection testing, tumescence and rigidity
54250-26 · Professional component
$108.89
Pays only the interpretation and report.
How 54250 has changed in South Carolina
54250 · Office / nonfacility
$119.16
Effective 2026-10-01
The base rate is $6.00 higher than on 2025-10-01, moving from $113.16 to $119.16 (5.3%).
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
$113.16changed to$119.16
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 2.22 changed to 2.16
- Practice expense RVU 1.23 changed to 1.33
- Malpractice RVU 0.19 changed to 0.21
- Practice expense GPCI 0.913 changed to 0.924
- Malpractice GPCI 0.817 changed to 0.850
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$116.11changed to$113.16
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.21 changed to 1.23
- Malpractice RVU 0.20 changed to 0.19
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$114.22changed to$116.11
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$116.97changed to$114.22
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.19 changed to 1.21
- Practice expense GPCI 0.908 changed to 0.913
- Malpractice GPCI 0.756 changed to 0.817
January 1, 2023
RVU23A
$117.89changed to$116.97
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.16 changed to 1.19
- Practice expense GPCI 0.903 changed to 0.908
- Malpractice GPCI 0.695 changed to 0.756
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$117.75changed to$117.89
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.14 changed to 1.16
- Malpractice RVU 0.18 changed to 0.20
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$120.40changed to$117.75
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.10 changed to 1.14
- Malpractice RVU 0.19 changed to 0.18
- Practice expense GPCI 0.907 changed to 0.903
- Malpractice GPCI 0.624 changed to 0.695
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$119.62changed to$120.40
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 1.09 changed to 1.10
- Practice expense GPCI 0.912 changed to 0.907
- Malpractice GPCI 0.553 changed to 0.624
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$119.16changed to$119.62
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.08 changed to 1.09
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$119.02changed to$119.16
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 1.07 changed to 1.08
- Malpractice GPCI 0.634 changed to 0.553
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$118.64changed to$119.02
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 1.05 changed to 1.07
- Malpractice GPCI 0.715 changed to 0.634
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$119.06changed to$118.64
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$118.47changed to$119.06
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$116.57changed to$118.47
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 1.04 changed to 1.05
- Malpractice RVU 0.14 changed to 0.19
- Practice expense GPCI 0.911 changed to 0.912
- Malpractice GPCI 0.618 changed to 0.715
Held through RVU15B.
January 1, 2014
RVU14A
$112.20changed to$116.57
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 1.10 changed to 1.04
- Malpractice RVU 0.15 changed to 0.14
- Practice expense GPCI 0.909 changed to 0.911
- Malpractice GPCI 0.520 changed to 0.618
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $112.20
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $119.16 | Not available in this setting | RVU26D |
| 2026-07-01 | $119.16 | Not available in this setting | RVU26C |
| 2026-04-01 | $119.16 | Not available in this setting | RVU26B |
| 2026-01-01 | $119.16 | Not available in this setting | RVU26A |
| 2025-10-01 | $113.16 | Not available in this setting | RVU25D |
| 2025-07-01 | $113.16 | Not available in this setting | RVU25C |
| 2025-04-01 | $113.16 | Not available in this setting | RVU25B |
| 2025-01-01 | $113.16 | Not available in this setting | RVU25A |
| 2024-10-01 | $116.11 | Not available in this setting | RVU24D |
| 2024-07-01 | $116.11 | Not available in this setting | RVU24C |
| 2024-04-01 | $116.11 | Not available in this setting | RVU24B |
| 2024-03-09 | $116.11 | Not available in this setting | RVU24AR |
| 2024-01-01 | $114.22 | Not available in this setting | RVU24A |
| 2023-10-01 | $116.97 | Not available in this setting | RVU23D |
| 2023-07-01 | $116.97 | Not available in this setting | RVU23C |
| 2023-04-01 | $116.97 | Not available in this setting | RVU23B |
| 2023-01-01 | $116.97 | Not available in this setting | RVU23A |
| 2022-10-01 | $117.89 | Not available in this setting | RVU22D |
| 2022-07-01 | $117.89 | Not available in this setting | RVU22C |
| 2022-04-01 | $117.89 | Not available in this setting | RVU22B |
| 2022-01-01 | $117.89 | Not available in this setting | RVU22A |
| 2021-10-01 | $117.75 | Not available in this setting | RVU21D |
| 2021-07-01 | $117.75 | Not available in this setting | RVU21C |
| 2021-04-01 | $117.75 | Not available in this setting | RVU21B |
| 2021-01-01 | $117.75 | Not available in this setting | RVU21A |
| 2020-10-01 | $120.40 | Not available in this setting | RVU20D |
| 2020-07-01 | $120.40 | Not available in this setting | RVU20C |
| 2020-04-01 | $120.40 | Not available in this setting | RVU20B |
| 2020-01-01 | $120.40 | Not available in this setting | RVU20A |
| 2019-10-01 | $119.62 | Not available in this setting | RVU19D |
| 2019-07-01 | $119.62 | Not available in this setting | RVU19C |
| 2019-04-01 | $119.62 | Not available in this setting | RVU19B |
| 2019-01-01 | $119.62 | Not available in this setting | RVU19A |
| 2018-10-01 | $119.16 | Not available in this setting | RVU18D |
| 2018-07-01 | $119.16 | Not available in this setting | RVU18C |
| 2018-04-01 | $119.16 | Not available in this setting | RVU18B |
| 2018-01-01 | $119.16 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $119.02 | Not available in this setting | RVU17D |
| 2017-07-01 | $119.02 | Not available in this setting | RVU17C |
| 2017-04-01 | $119.02 | Not available in this setting | RVU17B |
| 2017-01-01 | $119.02 | Not available in this setting | RVU17A |
| 2016-10-01 | $118.64 | Not available in this setting | RVU16D |
| 2016-07-01 | $118.64 | Not available in this setting | RVU16C |
| 2016-04-01 | $118.64 | Not available in this setting | RVU16B |
| 2016-01-01 | $118.64 | Not available in this setting | RVU16A |
| 2015-10-01 | $119.06 | Not available in this setting | RVU15D |
| 2015-07-01 | $119.06 | Not available in this setting | RVU15C |
| 2015-04-01 | $118.47 | Not available in this setting | RVU15B |
| 2015-01-01 | $118.47 | Not available in this setting | RVU15A |
| 2014-10-01 | $116.57 | Not available in this setting | RVU14D |
| 2014-07-01 | $116.57 | Not available in this setting | RVU14C |
| 2014-04-01 | $116.57 | Not available in this setting | RVU14B |
| 2014-01-01 | $116.57 | Not available in this setting | RVU14A |
| 2013-10-01 | $112.20 | Not available in this setting | RVU13D |
| 2013-07-01 | $112.20 | Not available in this setting | RVU13C |
| 2013-04-01 | $112.20 | Not available in this setting | RVU13B |
| 2013-01-01 | $112.20 | Not available in this setting | RVU13AR |
Where the South Carolina rate applies
South Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 475 cities and communities in South Carolina. Some span more than one payment area; confirm with the service ZIP.
- Abbeville
- Abney Crossroads
- Adams Run
- Aiken
- Alcolu
- Allendale
- Anderson
- Andrews
54250 billing questions
How does this differ from penile plethysmography, code 54240?
Code 54250 reports measurement of nocturnal penile tumescence and rigidity during sleep. Code 54240 is penile plethysmography, a different testing method.
Can the professional and technical portions be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the equipment and staff portion. Billing without either modifier represents the global service.
Should modifier 50 be appended?
No. The test is not billed as a bilateral service, and modifier 50 is inappropriate.
What documentation supports reporting this test?
Document the erectile dysfunction evaluation, the nocturnal monitoring performed, the recorded tumescence and rigidity findings, and the clinician’s interpretation.
How does this test differ from cavernosometry or cavernosography?
This code reports sleep-related erection monitoring. Codes 54231 and 54230 describe invasive vascular assessment methods rather than an overnight study.
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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