No office rate
50130 includes removal of a calculus through open pyelotomy. Choose 50120 when the service is pyelotomy with exploration and the operative report does not document stone removal.
On this page
CMS RVU26D · Effective 2026-10-01
50130 in Modesto
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$922.56
Base rate per service
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.
Urologic surgery
About 50130: Open renal pelvis stone removal
Reports open surgical access to the renal pelvis to remove a calculus, typically when the operative plan calls for direct pyelotomy.
A urologist opens the renal pelvis surgically and removes a calculus. The service is performed in an operating room, generally in a hospital facility, when the planned treatment requires direct open access to the collecting system. The operative report should establish the pyelotomy approach and removal of the stone; exploration alone or drainage without stone removal describes a different service.
Report this code for the open stone-removal procedure, with documentation identifying the treated side, operative approach, and calculus removal. It has a 90-day global period that includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral surgery, modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 50130
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are 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 procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU18.35 · 66%
- Practice expense (office) RVU7.02 · 25%
- Malpractice RVU2.36 · 9%
33
Medicare services in 2024 · #5601 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.
50130 compared with similar codes
Office rates for Modesto, from the same CMS release.
No office rate
50125 describes pyelotomy with creation of drainage through a pyelostomy. This code identifies open pyelotomy with calculus removal.
No office rate
50080 uses a percutaneous approach for stone removal. This code is for direct open access to the renal pelvis.
$785.03
50590 describes extracorporeal shock-wave treatment of a kidney stone. This code represents open surgical removal through pyelotomy.
The same code, a different location
How does Modesto compare?
50130 across payment areas
Same release and payment basis · bars start at $0
Modesto · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Madera
California · 50130
Office
Unavailable
Facility
$922.56
No comparable office rate is available.
Merced
California · 50130
Office
Unavailable
Facility
$922.56
No comparable office rate is available.
Napa
California · 50130
Office
Unavailable
Facility
$1000.60
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 50130
Office
Unavailable
Facility
$956.33
No comparable office rate is available.
Redding
California · 50130
Office
Unavailable
Facility
$922.56
No comparable office rate is available.
Rest Of California
California · 50130
Office
Unavailable
Facility
$922.56
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 50130
Office
Unavailable
Facility
$948.16
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 50130
Office
Unavailable
Facility
$949.92
No comparable office rate is available.
Salinas
California · 50130
Office
Unavailable
Facility
$945.91
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 50130
Office
Unavailable
Facility
$954.45
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 50130
Office
Unavailable
Facility
$1037.92
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 50130
Office
Unavailable
Facility
$1035.24
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 50130
Office
Unavailable
Facility
$1060.69
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 50130
Office
Unavailable
Facility
$1049.73
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 50130
Office
Unavailable
Facility
$932.64
No comparable office rate is available.
Santa Cruz-Watsonville
California · 50130
Office
Unavailable
Facility
$952.91
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 50130
Office
Unavailable
Facility
$945.72
No comparable office rate is available.
Santa Rosa-Petaluma
California · 50130
Office
Unavailable
Facility
$961.48
No comparable office rate is available.
Stockton
California · 50130
Office
Unavailable
Facility
$922.56
No comparable office rate is available.
Vallejo
California · 50130
Office
Unavailable
Facility
$996.74
No comparable office rate is available.
Visalia
California · 50130
Office
Unavailable
Facility
$922.56
No comparable office rate is available.
Yuba City
California · 50130
Office
Unavailable
Facility
$922.56
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 50130
Office
Unavailable
Facility
$1009.95
No comparable office rate is available.
Miami
Florida · 50130
Office
Unavailable
Facility
$1056.35
No comparable office rate is available.
Chicago
Illinois · 50130
Office
Unavailable
Facility
$1033.75
No comparable office rate is available.
Manhattan
New York · 50130
Office
Unavailable
Facility
$1049.61
No comparable office rate is available.
Alaska*
Alaska · 50130
Office
Unavailable
Facility
$1212.51
No comparable office rate is available.
Alabama
Alabama · 50130
Office
Unavailable
Facility
$862.69
No comparable office rate is available.
Arkansas
Arkansas · 50130
Office
Unavailable
Facility
$854.92
No comparable office rate is available.
Arizona
Arizona · 50130
Office
Unavailable
Facility
$907.59
No comparable office rate is available.
Colorado
Colorado · 50130
Office
Unavailable
Facility
$931.31
No comparable office rate is available.
Connecticut
Connecticut · 50130
Office
Unavailable
Facility
$973.07
No comparable office rate is available.
Delaware
Delaware · 50130
Office
Unavailable
Facility
$918.50
No comparable office rate is available.
Fort Lauderdale
Florida · 50130
Office
Unavailable
Facility
$992.95
No comparable office rate is available.
Rest Of Florida
Florida · 50130
Office
Unavailable
Facility
$955.54
No comparable office rate is available.
Atlanta
Georgia · 50130
Office
Unavailable
Facility
$947.64
No comparable office rate is available.
Rest Of Georgia
Georgia · 50130
Office
Unavailable
Facility
$916.02
No comparable office rate is available.
Hawaii, Guam
Hawaii · 50130
Office
Unavailable
Facility
$925.14
No comparable office rate is available.
Iowa
Iowa · 50130
Office
Unavailable
Facility
$858.74
No comparable office rate is available.
Idaho
Idaho · 50130
Office
Unavailable
Facility
$865.91
No comparable office rate is available.
East St. Louis
Illinois · 50130
Office
Unavailable
Facility
$987.38
No comparable office rate is available.
Rest Of Illinois
Illinois · 50130
Office
Unavailable
Facility
$950.19
No comparable office rate is available.
Suburban Chicago
Illinois · 50130
Office
Unavailable
Facility
$997.68
No comparable office rate is available.
Indiana
Indiana · 50130
Office
Unavailable
Facility
$868.57
No comparable office rate is available.
Kansas
Kansas · 50130
Office
Unavailable
Facility
$864.60
No comparable office rate is available.
Kentucky
Kentucky · 50130
Office
Unavailable
Facility
$893.48
No comparable office rate is available.
New Orleans
Louisiana · 50130
Office
Unavailable
Facility
$923.09
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 50130
Office
Unavailable
Facility
$895.93
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 50130
Office
Unavailable
Facility
$988.15
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 50130
Office
Unavailable
Facility
$932.44
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 50130
Office
Unavailable
Facility
$971.81
No comparable office rate is available.
Rest Of Maryland
Maryland · 50130
Office
Unavailable
Facility
$928.69
No comparable office rate is available.
Rest Of Maine
Maine · 50130
Office
Unavailable
Facility
$877.65
No comparable office rate is available.
Southern Maine
Maine · 50130
Office
Unavailable
Facility
$895.01
No comparable office rate is available.
Detroit
Michigan · 50130
Office
Unavailable
Facility
$972.08
No comparable office rate is available.
Rest Of Michigan
Michigan · 50130
Office
Unavailable
Facility
$915.98
No comparable office rate is available.
Minnesota
Minnesota · 50130
Office
Unavailable
Facility
$877.51
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 50130
Office
Unavailable
Facility
$910.09
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 50130
Office
Unavailable
Facility
$915.11
No comparable office rate is available.
Rest Of Missouri
Missouri · 50130
Office
Unavailable
Facility
$891.80
No comparable office rate is available.
Mississippi
Mississippi · 50130
Office
Unavailable
Facility
$873.04
No comparable office rate is available.
Montana**
Montana · 50130
Office
Unavailable
Facility
$926.05
No comparable office rate is available.
North Carolina
North Carolina · 50130
Office
Unavailable
Facility
$882.04
No comparable office rate is available.
North Dakota**
North Dakota · 50130
Office
Unavailable
Facility
$879.38
No comparable office rate is available.
Nebraska
Nebraska · 50130
Office
Unavailable
Facility
$859.12
No comparable office rate is available.
New Hampshire
New Hampshire · 50130
Office
Unavailable
Facility
$925.97
No comparable office rate is available.
Northern Nj
New Jersey · 50130
Office
Unavailable
Facility
$1007.70
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 50130
Office
Unavailable
Facility
$979.94
No comparable office rate is available.
New Mexico
New Mexico · 50130
Office
Unavailable
Facility
$922.59
No comparable office rate is available.
Nevada**
Nevada · 50130
Office
Unavailable
Facility
$913.28
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 50130
Office
Unavailable
Facility
$1077.30
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 50130
Office
Unavailable
Facility
$992.62
No comparable office rate is available.
Queens
New York · 50130
Office
Unavailable
Facility
$1042.95
No comparable office rate is available.
Rest Of New York
New York · 50130
Office
Unavailable
Facility
$891.07
No comparable office rate is available.
Ohio
Ohio · 50130
Office
Unavailable
Facility
$906.44
No comparable office rate is available.
Oklahoma
Oklahoma · 50130
Office
Unavailable
Facility
$883.54
No comparable office rate is available.
Portland
Oregon · 50130
Office
Unavailable
Facility
$941.86
No comparable office rate is available.
Rest Of Oregon
Oregon · 50130
Office
Unavailable
Facility
$901.86
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 50130
Office
Unavailable
Facility
$962.07
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 50130
Office
Unavailable
Facility
$902.64
No comparable office rate is available.
Puerto Rico
Puerto Rico · 50130
Office
Unavailable
Facility
$927.60
No comparable office rate is available.
Rhode Island
Rhode Island · 50130
Office
Unavailable
Facility
$937.08
No comparable office rate is available.
South Carolina
South Carolina · 50130
Office
Unavailable
Facility
$896.56
No comparable office rate is available.
South Dakota**
South Dakota · 50130
Office
Unavailable
Facility
$873.87
No comparable office rate is available.
Tennessee
Tennessee · 50130
Office
Unavailable
Facility
$868.37
No comparable office rate is available.
Austin
Texas · 50130
Office
Unavailable
Facility
$932.05
No comparable office rate is available.
Beaumont
Texas · 50130
Office
Unavailable
Facility
$899.51
No comparable office rate is available.
Brazoria
Texas · 50130
Office
Unavailable
Facility
$911.66
No comparable office rate is available.
Dallas
Texas · 50130
Office
Unavailable
Facility
$919.59
No comparable office rate is available.
Fort Worth
Texas · 50130
Office
Unavailable
Facility
$918.27
No comparable office rate is available.
Galveston
Texas · 50130
Office
Unavailable
Facility
$915.91
No comparable office rate is available.
Houston
Texas · 50130
Office
Unavailable
Facility
$959.11
No comparable office rate is available.
Rest Of Texas
Texas · 50130
Office
Unavailable
Facility
$906.60
No comparable office rate is available.
Utah
Utah · 50130
Office
Unavailable
Facility
$904.10
No comparable office rate is available.
Virginia
Virginia · 50130
Office
Unavailable
Facility
$899.05
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 50130
Office
Unavailable
Facility
$927.60
No comparable office rate is available.
Vermont
Vermont · 50130
Office
Unavailable
Facility
$884.92
No comparable office rate is available.
Rest Of Washington
Washington · 50130
Office
Unavailable
Facility
$927.76
No comparable office rate is available.
Seattle (King Cnty)
Washington · 50130
Office
Unavailable
Facility
$995.65
No comparable office rate is available.
Wisconsin
Wisconsin · 50130
Office
Unavailable
Facility
$861.81
No comparable office rate is available.
West Virginia
West Virginia · 50130
Office
Unavailable
Facility
$929.46
No comparable office rate is available.
Wyoming**
Wyoming · 50130
Office
Unavailable
Facility
$905.71
No comparable office rate is available.
See how rates vary across the country
50130 · 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.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Modesto is a Medicare payment area. Our Census mapping connects it to 33 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 50130 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1014.82
$922.56 × 110% = $1014.82
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 50130 in Modesto.
PPRRVU2026_Oct_nonQPP.csv
5,880
- Code
- 50130
- Physician work
- 18.35
- Practice expense
- 7.02
- Malpractice
- 2.36
GPCI2026.csv
16
- Locality
- Modesto
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 18.35 | × 1.017 | 18.6620 |
| Practice expense | 7.02 | × 1.096 | 7.6939 |
| Malpractice | 2.36 | × 0.536 | 1.2650 |
| Total RVUs | 27.6208 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Modesto$922.56
Open 50130 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 18.35 | 1.017 |
| Practice expense | 7.02 | 1.096 |
| Malpractice | 2.36 | 0.536 |
(18.35 × 1.017 + 7.02 × 1.096 + 2.36 × 0.536) × $33.4009 = $922.56
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
50130 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $922.56 | RVU26D |
| 2026-07-01 | Not available in this setting | $922.56 | RVU26C |
| 2026-04-01 | Not available in this setting | $922.56 | RVU26B |
| 2026-01-01 | Not available in this setting | $922.56 | RVU26A |
| 2025-10-01 | Not available in this setting | $1006.65 | RVU25D |
| 2025-07-01 | Not available in this setting | $1006.65 | RVU25C |
| 2025-04-01 | Not available in this setting | $1006.65 | RVU25B |
| 2025-01-01 | Not available in this setting | $1006.65 | RVU25A |
50130 billing questions
How is this distinguished from 50120?
Use 50130 when the open pyelotomy includes removal of a calculus. Code 50120 describes pyelotomy with exploration rather than the documented stone-removal service.
Can stone removal and pyelostomy drainage be reported together?
Code 50125 describes pyelotomy with drainage by pyelostomy. Select the code that matches the documented operative service; do not report drainage as a substitute for documented calculus removal.
How is bilateral stone removal reported?
For a bilateral procedure, modifier 50 is paid at 150% under the CMS facts for this code. The operative documentation should establish treatment of both sides.
Does the global period include routine postoperative care?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What happens when other procedures are performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction of 50%.
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.
5,8775010F,,Macul result phy/qhp mng dm,M,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
5,87850120,,Pyelotomy w/exploration,A,,16.78,6.61,NA,6.61,,2.16,25.55,25.55,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,87950125,,Pyelotomy w/drg pyelostomy,A,,17.37,6.82,NA,6.82,,2.22,26.41,26.41,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,88050130,,Pyelotomy w/removal calculus,A,,18.35,7.02,NA,7.02,,2.36,27.73,27.73,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,8815015F,,Doc fx & test/txmnt for op,M,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
5,88250200,,Renal biopsy perq,A,,2.32,12.17,,0.74,,0.24,14.73,3.30,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,88350205,,Renal bx surg exposure kdn,A,,11.98,6.39,NA,6.39,,2.98,21.35,21.35,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623
1901112,CA,61,REDDING,1.017,1.096,0.536