51715 injects bulking material into urethral or bladder-neck tissue to improve outlet closure. 52287 injects the bladder for chemodenervation, rather than treating urethral sphincter weakness.
On this page
CMS RVU26D · Effective 2026-10-01
51715 in Redding
Office / nonfacility
$360.10
Base rate per service
Facility setting
$173.77
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.
Urology procedure
About 51715: Endoscopic urethral bulking injection
Endoscopic injection of bulking material into urethral or bladder-neck tissue to improve closure in patients with stress urinary incontinence.
A urologist or urogynecologist uses a cystoscope to place bulking material beneath the lining of the urethra and/or bladder neck. The added volume helps the outlet close more effectively. The procedure is used for stress urinary incontinence associated with inadequate urethral sphincter closure, including cases in which a patient and clinician select an injection approach rather than a sling operation. It is commonly performed in an ambulatory or office-based setting, depending on the technique and clinical circumstances.
Report one unit for the endoscopic injection service, not a separate unit for each deposit of material. The record should identify the incontinence indication, injection site, material, and endoscopic procedure performed. Cystoscopic access and visualization are part of the injection service; do not separately report routine diagnostic cystoscopy for that same work. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others are reduced to 50%. Bilateral adjustment is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 51715
- 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
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU3.64 · 35%
- Practice expense (office) RVU6.20 · 60%
- Malpractice RVU0.53 · 5%
16.9K
Medicare services in 2024 · #1210 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.
51715 compared with similar codes
Office rates for Redding, from the same CMS release.
52327 treats vesicoureteral reflux by injection at the ureteral orifice. 51715 targets urethral or bladder-neck tissue for stress urinary incontinence.
57288 is a sling operation for stress urinary incontinence. Use 51715 for endoscopic injection of bulking material, not sling placement.
The same code, a different location
How does Redding compare?
In Bakersfield, the office rate for 51715 is $361.64—$1.54 higher than the $360.10 rate in Redding. Both use the same code, release and participation basis.
51715 across payment areas
Same release and payment basis · bars start at $0
Redding · This locality
$360.10
$361.64
$1.54 higher than Redding
$360.10
The same base rate than Redding
$360.19
$0.09 higher than Redding
$360.10
The same base rate than Redding
$360.10
The same base rate than Redding
$23.20 higher than Redding
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
Across 109 of 109 CMS payment localities with a supported office rate, 51715 ranges from $308.58 in Arkansas to $443.06 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.
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 · 51715
Office
$360.10
Facility
$173.77
The same base rate than Redding for the office setting.
Merced
California · 51715
Office
$360.10
Facility
$173.77
The same base rate than Redding for the office setting.
Modesto
California · 51715
Office
$360.10
Facility
$173.77
The same base rate than Redding for the office setting.
Napa
California · 51715
Office
$411.17
Facility
$187.10
$51.07 higher than Redding for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 51715
Office
$380.79
Facility
$179.83
$20.69 higher than Redding for the office setting.
Rest Of California
California · 51715
Office
$360.10
Facility
$173.77
The same base rate than Redding for the office setting.
Riverside-San Bernardino-Ontario
California · 51715
Office
$365.83
Facility
$179.50
$5.73 higher than Redding for the office setting.
Sacramento-Roseville-Folsom
California · 51715
Office
$376.29
Facility
$178.56
$16.19 higher than Redding for the office setting.
Salinas
California · 51715
Office
$374.85
Facility
$177.81
$14.75 higher than Redding for the office setting.
San Diego-Chula Vista-Carlsbad
California · 51715
Office
$382.50
Facility
$179.16
$22.40 higher than Redding for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 51715
Office
$433.25
Facility
$193.53
$73.15 higher than Redding for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 51715
Office
$432.64
Facility
$192.93
$72.54 higher than Redding for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 51715
Office
$443.06
Facility
$197.90
$82.96 higher than Redding for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 51715
Office
$440.60
Facility
$195.44
$80.50 higher than Redding for the office setting.
San Luis Obispo-Paso Robles
California · 51715
Office
$369.01
Facility
$175.36
$8.91 higher than Redding for the office setting.
Santa Cruz-Watsonville
California · 51715
Office
$385.23
Facility
$178.67
$25.13 higher than Redding for the office setting.
Santa Maria-Santa Barbara
California · 51715
Office
$375.93
Facility
$177.70
$15.83 higher than Redding for the office setting.
Santa Rosa-Petaluma
California · 51715
Office
$389.02
Facility
$180.24
$28.92 higher than Redding for the office setting.
Stockton
California · 51715
Office
$360.10
Facility
$173.77
The same base rate than Redding for the office setting.
Vallejo
California · 51715
Office
$410.30
Facility
$186.23
$50.20 higher than Redding for the office setting.
Visalia
California · 51715
Office
$360.10
Facility
$173.77
The same base rate than Redding for the office setting.
Yuba City
California · 51715
Office
$360.10
Facility
$173.77
The same base rate than Redding for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 51715
Office
$391.79
Facility
$191.52
$31.69 higher than Redding for the office setting.
Miami
Florida · 51715
Office
$381.92
Facility
$204.94
$21.82 higher than Redding for the office setting.
Chicago
Illinois · 51715
Office
$371.18
Facility
$200.32
$11.08 higher than Redding for the office setting.
Manhattan
New York · 51715
Office
$398.07
Facility
$200.52
$37.97 higher than Redding for the office setting.
Alaska*
Alaska · 51715
Office
$412.67
Facility
$231.61
$52.57 higher than Redding for the office setting.
Alabama
Alabama · 51715
Office
$312.80
Facility
$164.04
$47.30 lower than Redding for the office setting.
Arkansas
Arkansas · 51715
Office
$308.58
Facility
$162.54
$51.52 lower than Redding for the office setting.
Arizona
Arizona · 51715
Office
$337.40
Facility
$172.66
$22.70 lower than Redding for the office setting.
Colorado
Colorado · 51715
Office
$357.20
Facility
$176.31
$2.90 lower than Redding for the office setting.
Connecticut
Connecticut · 51715
Office
$368.46
Facility
$185.36
$8.36 higher than Redding for the office setting.
Delaware
Delaware · 51715
Office
$342.70
Facility
$174.73
$17.40 lower than Redding for the office setting.
Fort Lauderdale
Florida · 51715
Office
$363.36
Facility
$191.14
$3.26 higher than Redding for the office setting.
Rest Of Florida
Florida · 51715
Office
$346.16
Facility
$183.63
$13.94 lower than Redding for the office setting.
Atlanta
Georgia · 51715
Office
$353.60
Facility
$180.87
$6.50 lower than Redding for the office setting.
Rest Of Georgia
Georgia · 51715
Office
$327.40
Facility
$175.75
$32.70 lower than Redding for the office setting.
Hawaii, Guam
Hawaii · 51715
Office
$367.29
Facility
$173.98
$7.19 higher than Redding for the office setting.
Iowa
Iowa · 51715
Office
$318.09
Facility
$162.53
$42.01 lower than Redding for the office setting.
Idaho
Idaho · 51715
Office
$320.47
Facility
$164.06
$39.63 lower than Redding for the office setting.
East St. Louis
Illinois · 51715
Office
$347.75
Facility
$191.34
$12.35 lower than Redding for the office setting.
Rest Of Illinois
Illinois · 51715
Office
$338.32
Facility
$183.10
$21.78 lower than Redding for the office setting.
Suburban Chicago
Illinois · 51715
Office
$366.48
Facility
$191.88
$6.38 higher than Redding for the office setting.
Indiana
Indiana · 51715
Office
$322.15
Facility
$164.55
$37.95 lower than Redding for the office setting.
Kansas
Kansas · 51715
Office
$317.71
Facility
$164.02
$42.39 lower than Redding for the office setting.
Kentucky
Kentucky · 51715
Office
$321.88
Facility
$170.74
$38.22 lower than Redding for the office setting.
New Orleans
Louisiana · 51715
Office
$336.56
Facility
$176.58
$23.54 lower than Redding for the office setting.
Rest Of Louisiana
Louisiana · 51715
Office
$321.81
Facility
$171.35
$38.29 lower than Redding for the office setting.
Metropolitan Boston
Massachusetts · 51715
Office
$389.58
Facility
$186.59
$29.48 higher than Redding for the office setting.
Rest Of Massachusetts
Massachusetts · 51715
Office
$355.69
Facility
$176.67
$4.41 lower than Redding for the office setting.
Baltimore/Surr. Cntys
Maryland · 51715
Office
$367.63
Facility
$185.20
$7.53 higher than Redding for the office setting.
Rest Of Maryland
Maryland · 51715
Office
$348.62
Facility
$176.57
$11.48 lower than Redding for the office setting.
Rest Of Maine
Maine · 51715
Office
$323.11
Facility
$166.70
$36.99 lower than Redding for the office setting.
Southern Maine
Maine · 51715
Office
$337.97
Facility
$169.49
$22.13 lower than Redding for the office setting.
Detroit
Michigan · 51715
Office
$351.26
Facility
$187.20
$8.84 lower than Redding for the office setting.
Rest Of Michigan
Michigan · 51715
Office
$330.63
Facility
$175.41
$29.47 lower than Redding for the office setting.
Minnesota
Minnesota · 51715
Office
$339.91
Facility
$164.97
$20.19 lower than Redding for the office setting.
Metropolitan Kansas City
Missouri · 51715
Office
$333.33
Facility
$173.69
$26.77 lower than Redding for the office setting.
Metropolitan St. Louis
Missouri · 51715
Office
$336.46
Facility
$174.61
$23.64 lower than Redding for the office setting.
Rest Of Missouri
Missouri · 51715
Office
$317.33
Facility
$170.78
$42.77 lower than Redding for the office setting.
Mississippi
Mississippi · 51715
Office
$312.96
Facility
$166.58
$47.14 lower than Redding for the office setting.
Montana**
Montana · 51715
Office
$346.33
Facility
$176.32
$13.77 lower than Redding for the office setting.
North Carolina
North Carolina · 51715
Office
$326.10
Facility
$167.48
$34.00 lower than Redding for the office setting.
North Dakota**
North Dakota · 51715
Office
$335.85
Facility
$165.84
$24.25 lower than Redding for the office setting.
Nebraska
Nebraska · 51715
Office
$319.41
Facility
$162.49
$40.69 lower than Redding for the office setting.
New Hampshire
New Hampshire · 51715
Office
$352.65
Facility
$175.66
$7.45 lower than Redding for the office setting.
Northern Nj
New Jersey · 51715
Office
$388.36
Facility
$191.15
$28.26 higher than Redding for the office setting.
Rest Of New Jersey
New Jersey · 51715
Office
$372.00
Facility
$186.35
$11.90 higher than Redding for the office setting.
New Mexico
New Mexico · 51715
Office
$332.74
Facility
$176.84
$27.36 lower than Redding for the office setting.
Nevada**
Nevada · 51715
Office
$343.62
Facility
$173.44
$16.48 lower than Redding for the office setting.
Nyc Suburbs/Long Island
New York · 51715
Office
$408.46
Facility
$206.32
$48.36 higher than Redding for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 51715
Office
$375.23
Facility
$189.07
$15.13 higher than Redding for the office setting.
Queens
New York · 51715
Office
$399.66
Facility
$198.71
$39.56 higher than Redding for the office setting.
Rest Of New York
New York · 51715
Office
$330.76
Facility
$169.25
$29.34 lower than Redding for the office setting.
Ohio
Ohio · 51715
Office
$328.49
Facility
$173.27
$31.61 lower than Redding for the office setting.
Oklahoma
Oklahoma · 51715
Office
$320.26
Facility
$168.44
$39.84 lower than Redding for the office setting.
Portland
Oregon · 51715
Office
$366.77
Facility
$177.89
$6.67 higher than Redding for the office setting.
Rest Of Oregon
Oregon · 51715
Office
$340.28
Facility
$170.95
$19.82 lower than Redding for the office setting.
Metropolitan Philadelphia
Pennsylvania · 51715
Office
$360.46
Facility
$183.48
$0.36 higher than Redding for the office setting.
Rest Of Pennsylvania
Pennsylvania · 51715
Office
$328.41
Facility
$172.34
$31.69 lower than Redding for the office setting.
Puerto Rico
Puerto Rico · 51715
Office
$348.38
Facility
$176.50
$11.72 lower than Redding for the office setting.
Rhode Island
Rhode Island · 51715
Office
$353.60
Facility
$177.98
$6.50 lower than Redding for the office setting.
South Carolina
South Carolina · 51715
Office
$327.97
Facility
$170.88
$32.13 lower than Redding for the office setting.
South Dakota**
South Dakota · 51715
Office
$334.61
Facility
$164.60
$25.49 lower than Redding for the office setting.
Tennessee
Tennessee · 51715
Office
$319.33
Facility
$164.79
$40.77 lower than Redding for the office setting.
Austin
Texas · 51715
Office
$356.60
Facility
$176.73
$3.50 lower than Redding for the office setting.
Beaumont
Texas · 51715
Office
$326.47
Facility
$171.76
$33.63 lower than Redding for the office setting.
Brazoria
Texas · 51715
Office
$341.58
Facility
$173.10
$18.52 lower than Redding for the office setting.
Dallas
Texas · 51715
Office
$344.12
Facility
$174.79
$15.98 lower than Redding for the office setting.
Fort Worth
Texas · 51715
Office
$342.28
Facility
$174.65
$17.82 lower than Redding for the office setting.
Galveston
Texas · 51715
Office
$342.85
Facility
$174.03
$17.25 lower than Redding for the office setting.
Houston
Texas · 51715
Office
$352.55
Facility
$183.73
$7.55 lower than Redding for the office setting.
Rest Of Texas
Texas · 51715
Office
$334.09
Facility
$172.75
$26.01 lower than Redding for the office setting.
Utah
Utah · 51715
Office
$332.14
Facility
$172.33
$27.96 lower than Redding for the office setting.
Virginia
Virginia · 51715
Office
$337.64
Facility
$170.52
$22.46 lower than Redding for the office setting.
Virgin Islands
United States Virgin Islands · 51715
Office
$348.38
Facility
$176.50
$11.72 lower than Redding for the office setting.
Vermont
Vermont · 51715
Office
$335.55
Facility
$167.24
$24.55 lower than Redding for the office setting.
Rest Of Washington
Washington · 51715
Office
$354.69
Facility
$175.67
$5.41 lower than Redding for the office setting.
Seattle (King Cnty)
Washington · 51715
Office
$396.22
Facility
$187.61
$36.12 higher than Redding for the office setting.
Wisconsin
Wisconsin · 51715
Office
$325.42
Facility
$162.55
$34.68 lower than Redding for the office setting.
West Virginia
West Virginia · 51715
Office
$326.87
Facility
$179.13
$33.23 lower than Redding for the office setting.
Wyoming**
Wyoming · 51715
Office
$341.76
Facility
$171.75
$18.34 lower than Redding for the office setting.
See how rates vary across the country
51715 · 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.
$308.58
$412.67
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 | $412.67 | 1 |
| AL | $312.80 | 1 |
| AR | $308.58 | 1 |
| AZ | $337.40 | 1 |
| CA | $360.10–$443.06 | 29 |
| CO | $357.20 | 1 |
| CT | $368.46 | 1 |
| DC | $391.79 | 1 |
| DE | $342.70 | 1 |
| FL | $346.16–$381.92 | 3 |
| GA | $327.40–$353.60 | 2 |
| GU | $367.29 | 1 |
| HI | $367.29 | 1 |
| IA | $318.09 | 1 |
| ID | $320.47 | 1 |
| IL | $338.32–$371.18 | 4 |
| IN | $322.15 | 1 |
| KS | $317.71 | 1 |
| KY | $321.88 | 1 |
| LA | $321.81–$336.56 | 2 |
| MA | $355.69–$389.58 | 2 |
| MD | $348.62–$391.79 | 3 |
| ME | $323.11–$337.97 | 2 |
| MI | $330.63–$351.26 | 2 |
| MN | $339.91 | 1 |
| MO | $317.33–$336.46 | 3 |
| MS | $312.96 | 1 |
| MT | $346.33 | 1 |
| NC | $326.10 | 1 |
| ND | $335.85 | 1 |
| NE | $319.41 | 1 |
| NH | $352.65 | 1 |
| NJ | $372.00–$388.36 | 2 |
| NM | $332.74 | 1 |
| NV | $343.62 | 1 |
| NY | $330.76–$408.46 | 5 |
| OH | $328.49 | 1 |
| OK | $320.26 | 1 |
| OR | $340.28–$366.77 | 2 |
| PA | $328.41–$360.46 | 2 |
| PR | $348.38 | 1 |
| RI | $353.60 | 1 |
| SC | $327.97 | 1 |
| SD | $334.61 | 1 |
| TN | $319.33 | 1 |
| TX | $326.47–$356.60 | 8 |
| UT | $332.14 | 1 |
| VA | $337.64–$391.79 | 2 |
| VI | $348.38 | 1 |
| VT | $335.55 | 1 |
| WA | $354.69–$396.22 | 2 |
| WI | $325.42 | 1 |
| WV | $326.87 | 1 |
| WY | $341.76 | 1 |
Where does this rate apply?
Redding is a Medicare payment area. Our Census mapping connects it to 32 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.
Why are the office and facility amounts different?
For 51715 in Redding, the physician’s office rate is $360.10 and the facility-setting rate is $173.77: a difference of $186.33.
The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 51715 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$396.11
$360.10 × 110% = $396.11
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 51715 in Redding.
PPRRVU2026_Oct_nonQPP.csv
6,051
- Code
- 51715
- Physician work
- 3.64
- Practice expense
- 6.20
- Malpractice
- 0.53
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.64 | × 1.017 | 3.7019 |
| Practice expense | 6.20 | × 1.096 | 6.7952 |
| Malpractice | 0.53 | × 0.536 | 0.2841 |
| Total RVUs | 10.7812 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Redding$360.10
Open 51715 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.64 | 1.017 |
| Practice expense | 6.2 | 1.096 |
| Malpractice | 0.53 | 0.536 |
(3.64 × 1.017 + 6.2 × 1.096 + 0.53 × 0.536) × $33.4009 = $360.10
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.64 | 1.017 |
| Practice expense | 1.11 | 1.096 |
| Malpractice | 0.53 | 0.536 |
(3.64 × 1.017 + 1.11 × 1.096 + 0.53 × 0.536) × $33.4009 = $173.77
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
51715 · Office / nonfacility
$360.10
Effective 2026-10-01
The base rate is $6.49 higher than on 2025-10-01, moving from $353.61 to $360.10 (1.8%).
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
$353.61changed to$360.10
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 3.73 changed to 3.64
- Practice expense RVU 6.28 changed to 6.20
- Malpractice RVU 0.51 changed to 0.53
- 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
Earliest loaded release: $353.61
Held through RVU25B, RVU25C, RVU25D.
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
51715 billing questions
How is 51715 different from a bladder Botox injection?
51715 places bulking material in urethral or bladder-neck tissue to improve outlet closure. CPT 52287 describes bladder chemodenervation, commonly used for overactive bladder.
Can diagnostic cystoscopy be billed separately on the same date?
Routine cystoscopic access and visualization are integral to the endoscopic injection. Do not separately report diagnostic cystoscopy for that same work.
Should the code be billed once for each injection deposit?
No. Report one unit for the procedure, rather than counting individual deposits of bulking material as separate units.
Is modifier 50 appropriate when treatment involves both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code. Report the endoscopic injection service without a bilateral modifier.
What documentation supports reporting 51715?
Document the stress-incontinence indication, the urethral or bladder-neck injection site, the bulking material used, and the endoscopic service performed.
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.
