$68.94–$101.56
Both concern skilled female urethral dilation. Check the code definitions and documentation to distinguish the particular service represented by 53660 from its related code.
On this page
CMS RVU26D · Effective 2026-10-01
53660 Urethral dilation Medicare reimbursement rates
Reports physician-performed dilation of the female urethra when skilled treatment is needed to widen the urethral passage. Compare 53660 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 53660?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
$70.04–$103.59
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $33.55 per service.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 53660 pays more and less
109 payment localities
$70.04 to $103.59
Urology
About 53660: Female urethral dilation requiring physician skill
Reports physician-performed dilation of the female urethra when skilled treatment is needed to widen the urethral passage.
A urologist or other qualified physician uses an instrument to widen the female urethral passage when a clinical problem calls for skilled dilation. The service may be performed in an office or facility. It is distinct from routine catheter placement: the record should show why dilation was needed and the treatment performed, rather than only documenting passage of a catheter for drainage or specimen collection.
Select this code for the skilled female urethral dilation described by the service, not simply because a catheter was passed. When the documented condition is a urethral stricture, compare the stricture-specific codes, including the code family for female stricture dilation. This procedure has a 0-day global period, so same-day preoperative and postoperative care is included. If other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.
CMS billing rules for 53660
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU0.69 · 29%
- Practice expense (office) RVU1.59 · 67%
- Malpractice RVU0.08 · 3%
2.5K
Medicare services in 2024 · #2307 by national volume
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.
53660 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
This is the related skilled urethral-dilation code for male anatomy; 53660 is for female anatomy.
$154.34–$226.88
Choose the stricture-specific code when the record supports dilation of a female urethral stricture; 53660 describes skilled female urethral dilation outside that selection.
See how rates vary across the country
53660 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$70.04
$93.34
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $92.60 | 1 |
| AL | $71.03 | 1 |
| AR | $70.04 | 1 |
| AZ | $76.80 | 1 |
| CA | $83.08–$103.59 | 29 |
| CO | $81.92 | 1 |
| CT | $83.94 | 1 |
| DC | $89.83 | 1 |
| DE | $78.03 | 1 |
| FL | $77.83–$85.09 | 3 |
| GA | $73.60–$80.28 | 2 |
| GU | $84.98 | 1 |
| HI | $84.98 | 1 |
| IA | $72.70 | 1 |
| ID | $73.17 | 1 |
| IL | $75.71–$82.71 | 4 |
| IN | $73.58 | 1 |
| KS | $72.40 | 1 |
| KY | $72.70 | 1 |
| LA | $72.61–$76.06 | 2 |
| MA | $81.47–$89.78 | 2 |
| MD | $79.47–$89.83 | 3 |
| ME | $73.57–$77.36 | 2 |
| MI | $74.55–$78.80 | 2 |
| MN | $78.49 | 1 |
| MO | $71.43–$76.28 | 3 |
| MS | $70.75 | 1 |
| MT | $78.82 | 1 |
| NC | $74.30 | 1 |
| ND | $77.24 | 1 |
| NE | $73.07 | 1 |
| NH | $80.67 | 1 |
| NJ | $84.89–$88.96 | 2 |
| NM | $74.96 | 1 |
| NV | $78.43 | 1 |
| NY | $75.38–$92.63 | 5 |
| OH | $74.23 | 1 |
| OK | $72.55 | 1 |
| OR | $77.82–$84.41 | 2 |
| PA | $74.32–$81.93 | 2 |
| PR | $79.37 | 1 |
| RI | $80.73 | 1 |
| SC | $74.39 | 1 |
| SD | $77.05 | 1 |
| TN | $72.76 | 1 |
| TX | $73.86–$81.65 | 8 |
| UT | $75.37 | 1 |
| VA | $77.14–$89.83 | 2 |
| VI | $79.37 | 1 |
| VT | $76.98 | 1 |
| WA | $81.30–$91.54 | 2 |
| WI | $74.75 | 1 |
| WV | $73.02 | 1 |
| WY | $78.13 | 1 |
Compare 53660 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office $71.03 | Facility $34.79 |
| Alaska* | Office $92.60 | Facility $48.49 |
| Arizona | Office $76.80 | Facility $36.66 |
| Arkansas | Office $70.04 | Facility $34.46 |
| Atlanta | Office $80.28 | Facility $38.20 |
| Austin | Office $81.65 | Facility $37.83 |
| Bakersfield | Office $83.32 | Facility $37.92 |
| Baltimore/Surr. Cntys | Office $83.70 | Facility $39.26 |
| Beaumont | Office $73.86 | Facility $36.17 |
| Brazoria | Office $77.94 | Facility $36.90 |
| Chicago | Office $82.71 | Facility $41.09 |
| Chico | Office $83.08 | Facility $37.68 |
| Colorado | Office $81.92 | Facility $37.85 |
| Connecticut | Office $83.94 | Facility $39.33 |
| Dallas | Office $78.44 | Facility $37.19 |
| Dc + Md/Va Suburbs | Office $89.83 | Facility $41.04 |
| Delaware | Office $78.03 | Facility $37.11 |
| Detroit | Office $78.80 | Facility $38.83 |
| East St. Louis | Office $77.29 | Facility $39.18 |
| El Centro | Office $83.09 | Facility $37.70 |
| Fort Lauderdale | Office $81.68 | Facility $39.72 |
| Fort Worth | Office $77.95 | Facility $37.11 |
| Fresno | Office $83.08 | Facility $37.68 |
| Galveston | Office $78.18 | Facility $37.05 |
| Hanford-Corcoran | Office $83.08 | Facility $37.68 |
| Hawaii, Guam | Office $84.98 | Facility $37.89 |
| Houston | Office $79.64 | Facility $38.52 |
| Idaho | Office $73.17 | Facility $35.07 |
| Indiana | Office $73.58 | Facility $35.18 |
| Iowa | Office $72.70 | Facility $34.80 |
| Kansas | Office $72.40 | Facility $34.96 |
| Kentucky | Office $72.70 | Facility $35.88 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $88.59 | Facility $39.60 |
| Madera | Office $83.08 | Facility $37.68 |
| Manhattan | Office $90.47 | Facility $42.34 |
| Merced | Office $83.08 | Facility $37.68 |
| Metropolitan Boston | Office $89.78 | Facility $40.33 |
| Metropolitan Kansas City | Office $75.53 | Facility $36.63 |
| Metropolitan Philadelphia | Office $81.93 | Facility $38.82 |
| Metropolitan St. Louis | Office $76.28 | Facility $36.85 |
| Miami | Office $85.09 | Facility $41.97 |
| Minnesota | Office $78.49 | Facility $35.87 |
| Mississippi | Office $70.75 | Facility $35.09 |
| Modesto | Office $83.08 | Facility $37.68 |
| Montana** | Office $78.82 | Facility $37.40 |
| Napa | Office $95.85 | Facility $41.26 |
| Nebraska | Office $73.07 | Facility $34.85 |
| Nevada** | Office $78.43 | Facility $36.97 |
| New Hampshire | Office $80.67 | Facility $37.55 |
| New Mexico | Office $74.96 | Facility $36.98 |
| New Orleans | Office $76.06 | Facility $37.08 |
| North Carolina | Office $74.30 | Facility $35.66 |
| North Dakota** | Office $77.24 | Facility $35.82 |
| Northern Nj | Office $88.96 | Facility $40.91 |
| Nyc Suburbs/Long Island | Office $92.63 | Facility $43.38 |
| Ohio | Office $74.23 | Facility $36.41 |
| Oklahoma | Office $72.55 | Facility $35.56 |
| Oxnard-Thousand Oaks-Ventura | Office $88.13 | Facility $39.17 |
| Portland | Office $84.41 | Facility $38.39 |
| Poughkpsie/N Nyc Suburbs | Office $85.47 | Facility $40.12 |
| Puerto Rico | Office $79.37 | Facility $37.50 |
| Queens | Office $91.15 | Facility $42.19 |
| Redding | Office $83.08 | Facility $37.68 |
| Rest Of California | Office $83.08 | Facility $37.68 |
| Rest Of Florida | Office $77.83 | Facility $38.24 |
| Rest Of Georgia | Office $73.60 | Facility $36.66 |
| Rest Of Illinois | Office $75.71 | Facility $37.90 |
| Rest Of Louisiana | Office $72.61 | Facility $35.95 |
| Rest Of Maine | Office $73.57 | Facility $35.46 |
| Rest Of Maryland | Office $79.47 | Facility $37.56 |
| Rest Of Massachusetts | Office $81.47 | Facility $37.85 |
| Rest Of Michigan | Office $74.55 | Facility $36.74 |
| Rest Of Missouri | Office $71.43 | Facility $35.73 |
| Rest Of New Jersey | Office $84.89 | Facility $39.67 |
| Rest Of New York | Office $75.38 | Facility $36.03 |
| Rest Of Oregon | Office $77.82 | Facility $36.57 |
| Rest Of Pennsylvania | Office $74.32 | Facility $36.30 |
| Rest Of Texas | Office $75.86 | Facility $36.55 |
| Rest Of Washington | Office $81.30 | Facility $37.69 |
| Rhode Island | Office $80.73 | Facility $37.94 |
| Riverside-San Bernardino-Ontario | Office $83.95 | Facility $38.55 |
| Sacramento-Roseville-Folsom | Office $87.07 | Facility $38.90 |
| Salinas | Office $86.74 | Facility $38.74 |
| San Diego-Chula Vista-Carlsbad | Office $88.70 | Facility $39.17 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $101.34 | Facility $42.95 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $101.25 | Facility $42.86 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $103.59 | Facility $43.87 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $103.22 | Facility $43.50 |
| San Luis Obispo-Paso Robles | Office $85.36 | Facility $38.19 |
| Santa Cruz-Watsonville | Office $89.49 | Facility $39.17 |
| Santa Maria-Santa Barbara | Office $87.05 | Facility $38.76 |
| Santa Rosa-Petaluma | Office $90.39 | Facility $39.53 |
| Seattle (King Cnty) | Office $91.54 | Facility $40.73 |
| South Carolina | Office $74.39 | Facility $36.12 |
| South Dakota** | Office $77.05 | Facility $35.63 |
| Southern Maine | Office $77.36 | Facility $36.32 |
| Stockton | Office $83.08 | Facility $37.68 |
| Suburban Chicago | Office $82.48 | Facility $39.95 |
| Tennessee | Office $72.76 | Facility $35.11 |
| Utah | Office $75.37 | Facility $36.44 |
| Vallejo | Office $95.72 | Facility $41.13 |
| Vermont | Office $76.98 | Facility $35.97 |
| Virgin Islands | Office $79.37 | Facility $37.50 |
| Virginia | Office $77.14 | Facility $36.42 |
| Visalia | Office $83.08 | Facility $37.68 |
| West Virginia | Office $73.02 | Facility $37.03 |
| Wisconsin | Office $74.75 | Facility $35.07 |
| Wyoming** | Office $78.13 | Facility $36.71 |
| Yuba City | Office $83.08 | Facility $37.68 |
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53660 billing questions
How does 53660 differ from female stricture-dilation codes?
Use the stricture-specific family when the record identifies and treats a urethral stricture. Code 53660 describes skilled dilation of the female urethra outside that stricture-specific selection.
Is routine catheterization reported as 53660?
No. The record must support skilled urethral dilation; passage of a catheter solely for drainage or specimen collection does not establish this service.
Should modifier 50 be appended for dilation of both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code.
Is same-day care included in the payment?
Yes. The 0-day global period includes same-day preoperative and postoperative care.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this service. 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,22153605,,Dilate urethra stricture,A,,1.25,0.26,NA,0.26,,0.16,1.67,1.67,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,22253620,,Dilate urethra stricture,A,,1.58,3.42,,0.53,,0.20,5.20,2.31,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,22353621,,Dilate urethra stricture,A,,1.32,3.51,,0.42,,0.17,5.00,1.91,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,22453660,,Dilation of urethra,A,,0.69,1.59,,0.35,,0.08,2.36,1.12,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,22553661,,Dilation of urethra,A,,0.70,1.54,,0.30,,0.08,2.32,1.08,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,22653665,,Dilation of urethra,A,,0.74,0.16,NA,0.16,,0.09,0.99,0.99,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,22753850,,Prostatic microwave thermotx,A,,5.28,36.78,,3.96,,0.67,42.73,9.91,0,090,0.08,0.83,0.09,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00