$613.96
Choose 50431 when the contrast study requires new percutaneous access. Choose 50430 when contrast is injected through existing access.
On this page
CMS RVU26D · Effective 2026-10-01
50431 in Wyoming**
Office / nonfacility
$306.91
Base rate per service
Facility setting
$58.08
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.
Interventional radiology
About 50431: Antegrade urinary contrast study, new access
Reports a contrast study of the renal collecting system and ureter performed through newly established percutaneous access to assess drainage, patency, or obstruction.
An antegrade nephrostogram or ureterogram traces contrast from the kidney’s collecting system down the ureter. Code 50431 identifies a diagnostic study reached by creating new percutaneous access, rather than injecting contrast through an already-present nephrostomy catheter. An interventional radiologist or urologist typically uses ultrasound or fluoroscopy to guide access, injects contrast, and interprets the images in an interventional radiology suite or hospital procedure room. The study can help clarify suspected obstruction, a leak, or impaired drainage.
Report 50431 when the new access is used for the contrast examination and a catheter placement service does not account for the work. Nephrostomy or nephroureteral catheter placement codes include the diagnostic contrast study when performed, so do not separately report 50431 for that included imaging. Document the indication, newly obtained access, contrast examination, findings, and laterality. CMS assigns a 0-day global period, including same-day preoperative and postoperative care. For bilateral service, modifier 50 is paid at 150%. In a session with multiple procedures, the highest-valued procedure is paid in full and others at 50%. Assistant-at-surgery payment is barred; co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 50431
- 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 procedure with modifier 50 is paid at 150%.
- 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 RVU1.07 · 12%
- Practice expense (office) RVU8.03 · 87%
- Malpractice RVU0.12 · 1%
5.1K
Medicare services in 2024 · #1852 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.
50431 compared with similar codes
Office rates for Wyoming**, from the same CMS release.
$860.35
50432 covers percutaneous nephrostomy catheter placement, including the diagnostic contrast study when performed. 50431 is for the contrast study through new access when catheter placement is not the service reported.
$1,070.24
50433 covers nephroureteral catheter placement, including the diagnostic contrast study when performed. 50431 describes the new-access contrast study without that catheter placement service.
The same code, a different location
How does Wyoming** compare?
50431 across payment areas
Same release and payment basis · bars start at $0
Wyoming** · This locality
$306.91
$50.25 higher than Wyoming**
$358.08
$51.17 higher than Wyoming**
$325.08
$18.17 higher than Wyoming**
$314.74
$7.83 higher than Wyoming**
$356.04
$49.13 higher than Wyoming**
$341.46
$34.55 higher than Wyoming**
Other payment areas listed in Wyoming 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, 50431 ranges from $268.19 in Arkansas to $428.58 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
Alabama
Alabama · 50431
Office
$272.69
Facility
$54.96
$34.22 lower than Wyoming** for the office setting.
Arkansas
Arkansas · 50431
Office
$268.19
Facility
$54.44
$38.72 lower than Wyoming** for the office setting.
Arizona
Arizona · 50431
Office
$299.06
Facility
$57.94
$7.85 lower than Wyoming** for the office setting.
Bakersfield
California · 50431
Office
$332.82
Facility
$60.09
$25.91 higher than Wyoming** for the office setting.
Chico
California · 50431
Office
$332.45
Facility
$59.73
$25.54 higher than Wyoming** for the office setting.
El Centro
California · 50431
Office
$332.47
Facility
$59.75
$25.56 higher than Wyoming** for the office setting.
Fresno
California · 50431
Office
$332.45
Facility
$59.73
$25.54 higher than Wyoming** for the office setting.
Hanford-Corcoran
California · 50431
Office
$332.45
Facility
$59.73
$25.54 higher than Wyoming** for the office setting.
Madera
California · 50431
Office
$332.45
Facility
$59.73
$25.54 higher than Wyoming** for the office setting.
Merced
California · 50431
Office
$332.45
Facility
$59.73
$25.54 higher than Wyoming** for the office setting.
Modesto
California · 50431
Office
$332.45
Facility
$59.73
$25.54 higher than Wyoming** for the office setting.
Napa
California · 50431
Office
$393.53
Facility
$65.56
$86.62 higher than Wyoming** for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 50431
Office
$356.26
Facility
$62.14
$49.35 higher than Wyoming** for the office setting.
Redding
California · 50431
Office
$332.45
Facility
$59.73
$25.54 higher than Wyoming** for the office setting.
Rest Of California
California · 50431
Office
$332.45
Facility
$59.73
$25.54 higher than Wyoming** for the office setting.
Riverside-San Bernardino-Ontario
California · 50431
Office
$333.76
Facility
$61.03
$26.85 higher than Wyoming** for the office setting.
Sacramento-Roseville-Folsom
California · 50431
Office
$351.10
Facility
$61.70
$44.19 higher than Wyoming** for the office setting.
Salinas
California · 50431
Office
$349.85
Facility
$61.45
$42.94 higher than Wyoming** for the office setting.
San Diego-Chula Vista-Carlsbad
California · 50431
Office
$359.76
Facility
$62.15
$52.85 higher than Wyoming** for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 50431
Office
$419.15
Facility
$68.29
$112.24 higher than Wyoming** for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 50431
Office
$419.01
Facility
$68.15
$112.10 higher than Wyoming** for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 50431
Office
$428.58
Facility
$69.75
$121.67 higher than Wyoming** for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 50431
Office
$428.02
Facility
$69.20
$121.11 higher than Wyoming** for the office setting.
San Luis Obispo-Paso Robles
California · 50431
Office
$343.99
Facility
$60.56
$37.08 higher than Wyoming** for the office setting.
Santa Cruz-Watsonville
California · 50431
Office
$364.51
Facility
$62.18
$57.60 higher than Wyoming** for the office setting.
Santa Maria-Santa Barbara
California · 50431
Office
$351.62
Facility
$61.48
$44.71 higher than Wyoming** for the office setting.
Santa Rosa-Petaluma
California · 50431
Office
$368.32
Facility
$62.75
$61.41 higher than Wyoming** for the office setting.
Stockton
California · 50431
Office
$332.45
Facility
$59.73
$25.54 higher than Wyoming** for the office setting.
Vallejo
California · 50431
Office
$393.33
Facility
$65.36
$86.42 higher than Wyoming** for the office setting.
Visalia
California · 50431
Office
$332.45
Facility
$59.73
$25.54 higher than Wyoming** for the office setting.
Yuba City
California · 50431
Office
$332.45
Facility
$59.73
$25.54 higher than Wyoming** for the office setting.
Colorado
Colorado · 50431
Office
$324.67
Facility
$59.91
$17.76 higher than Wyoming** for the office setting.
Connecticut
Connecticut · 50431
Office
$330.16
Facility
$62.17
$23.25 higher than Wyoming** for the office setting.
Delaware
Delaware · 50431
Office
$304.51
Facility
$58.66
$2.40 lower than Wyoming** for the office setting.
Fort Lauderdale
Florida · 50431
Office
$314.68
Facility
$62.61
$7.77 higher than Wyoming** for the office setting.
Rest Of Florida
Florida · 50431
Office
$298.17
Facility
$60.28
$8.74 lower than Wyoming** for the office setting.
Atlanta
Georgia · 50431
Office
$313.16
Facility
$60.34
$6.25 higher than Wyoming** for the office setting.
Rest Of Georgia
Georgia · 50431
Office
$279.76
Facility
$57.80
$27.15 lower than Wyoming** for the office setting.
Hawaii, Guam
Hawaii · 50431
Office
$343.01
Facility
$60.09
$36.10 higher than Wyoming** for the office setting.
Iowa
Iowa · 50431
Office
$282.74
Facility
$55.06
$24.17 lower than Wyoming** for the office setting.
Idaho
Idaho · 50431
Office
$284.39
Facility
$55.46
$22.52 lower than Wyoming** for the office setting.
East St. Louis
Illinois · 50431
Office
$290.56
Facility
$61.63
$16.35 lower than Wyoming** for the office setting.
Rest Of Illinois
Illinois · 50431
Office
$286.88
Facility
$59.69
$20.03 lower than Wyoming** for the office setting.
Suburban Chicago
Illinois · 50431
Office
$318.54
Facility
$62.99
$11.63 higher than Wyoming** for the office setting.
Indiana
Indiana · 50431
Office
$286.32
Facility
$55.65
$20.59 lower than Wyoming** for the office setting.
Kansas
Kansas · 50431
Office
$280.22
Facility
$55.27
$26.69 lower than Wyoming** for the office setting.
Kentucky
Kentucky · 50431
Office
$277.84
Facility
$56.63
$29.07 lower than Wyoming** for the office setting.
New Orleans
Louisiana · 50431
Office
$292.68
Facility
$58.52
$14.23 lower than Wyoming** for the office setting.
Rest Of Louisiana
Louisiana · 50431
Office
$276.94
Facility
$56.72
$29.97 lower than Wyoming** for the office setting.
Metropolitan Boston
Massachusetts · 50431
Office
$361.01
Facility
$63.90
$54.10 higher than Wyoming** for the office setting.
Rest Of Massachusetts
Massachusetts · 50431
Office
$321.93
Facility
$59.90
$15.02 higher than Wyoming** for the office setting.
Baltimore/Surr. Cntys
Maryland · 50431
Office
$329.06
Facility
$62.06
$22.15 higher than Wyoming** for the office setting.
Rest Of Maryland
Maryland · 50431
Office
$311.20
Facility
$59.38
$4.29 higher than Wyoming** for the office setting.
Rest Of Maine
Maine · 50431
Office
$284.98
Facility
$56.05
$21.93 lower than Wyoming** for the office setting.
Southern Maine
Maine · 50431
Office
$304.06
Facility
$57.47
$2.85 lower than Wyoming** for the office setting.
Detroit
Michigan · 50431
Office
$301.32
Facility
$61.19
$5.59 lower than Wyoming** for the office setting.
Rest Of Michigan
Michigan · 50431
Office
$285.14
Facility
$57.95
$21.77 lower than Wyoming** for the office setting.
Minnesota
Minnesota · 50431
Office
$312.91
Facility
$56.86
$6.00 higher than Wyoming** for the office setting.
Metropolitan Kansas City
Missouri · 50431
Office
$291.50
Facility
$57.85
$15.41 lower than Wyoming** for the office setting.
Metropolitan St. Louis
Missouri · 50431
Office
$295.09
Facility
$58.20
$11.82 lower than Wyoming** for the office setting.
Rest Of Missouri
Missouri · 50431
Office
$270.84
Facility
$56.34
$36.07 lower than Wyoming** for the office setting.
Mississippi
Mississippi · 50431
Office
$269.63
Facility
$55.38
$37.28 lower than Wyoming** for the office setting.
Montana**
Montana · 50431
Office
$307.95
Facility
$59.11
$1.04 higher than Wyoming** for the office setting.
North Carolina
North Carolina · 50431
Office
$288.54
Facility
$56.37
$18.37 lower than Wyoming** for the office setting.
North Dakota**
North Dakota · 50431
Office
$305.58
Facility
$56.74
$1.33 lower than Wyoming** for the office setting.
Nebraska
Nebraska · 50431
Office
$284.81
Facility
$55.13
$22.10 lower than Wyoming** for the office setting.
New Hampshire
New Hampshire · 50431
Office
$318.45
Facility
$59.41
$11.54 higher than Wyoming** for the office setting.
Northern Nj
New Jersey · 50431
Office
$353.39
Facility
$64.74
$46.48 higher than Wyoming** for the office setting.
Rest Of New Jersey
New Jersey · 50431
Office
$334.45
Facility
$62.72
$27.54 higher than Wyoming** for the office setting.
New Mexico
New Mexico · 50431
Office
$286.50
Facility
$58.32
$20.41 lower than Wyoming** for the office setting.
Nevada**
Nevada · 50431
Office
$307.56
Facility
$58.47
$0.65 higher than Wyoming** for the office setting.
Nyc Suburbs/Long Island
New York · 50431
Office
$364.37
Facility
$68.50
$57.46 higher than Wyoming** for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 50431
Office
$335.89
Facility
$63.41
$28.98 higher than Wyoming** for the office setting.
Queens
New York · 50431
Office
$360.83
Facility
$66.70
$53.92 higher than Wyoming** for the office setting.
Rest Of New York
New York · 50431
Office
$293.36
Facility
$56.96
$13.55 lower than Wyoming** for the office setting.
Ohio
Ohio · 50431
Office
$284.65
Facility
$57.47
$22.26 lower than Wyoming** for the office setting.
Oklahoma
Oklahoma · 50431
Office
$278.36
Facility
$56.15
$28.55 lower than Wyoming** for the office setting.
Portland
Oregon · 50431
Office
$337.27
Facility
$60.82
$30.36 higher than Wyoming** for the office setting.
Rest Of Oregon
Oregon · 50431
Office
$305.69
Facility
$57.85
$1.22 lower than Wyoming** for the office setting.
Metropolitan Philadelphia
Pennsylvania · 50431
Office
$320.37
Facility
$61.33
$13.46 higher than Wyoming** for the office setting.
Rest Of Pennsylvania
Pennsylvania · 50431
Office
$285.74
Facility
$57.31
$21.17 lower than Wyoming** for the office setting.
Puerto Rico
Puerto Rico · 50431
Office
$310.85
Facility
$59.27
$3.94 higher than Wyoming** for the office setting.
Rhode Island
Rhode Island · 50431
Office
$317.05
Facility
$60.01
$10.14 higher than Wyoming** for the office setting.
South Carolina
South Carolina · 50431
Office
$286.97
Facility
$57.05
$19.94 lower than Wyoming** for the office setting.
South Dakota**
South Dakota · 50431
Office
$305.29
Facility
$56.46
$1.62 lower than Wyoming** for the office setting.
Tennessee
Tennessee · 50431
Office
$281.69
Facility
$55.50
$25.22 lower than Wyoming** for the office setting.
Austin
Texas · 50431
Office
$323.13
Facility
$59.86
$16.22 higher than Wyoming** for the office setting.
Beaumont
Texas · 50431
Office
$283.53
Facility
$57.09
$23.38 lower than Wyoming** for the office setting.
Brazoria
Texas · 50431
Office
$304.95
Facility
$58.35
$1.96 lower than Wyoming** for the office setting.
Dallas
Texas · 50431
Office
$306.64
Facility
$58.79
$0.27 lower than Wyoming** for the office setting.
Fort Worth
Texas · 50431
Office
$304.01
Facility
$58.65
$2.90 lower than Wyoming** for the office setting.
Galveston
Texas · 50431
Office
$305.68
Facility
$58.58
$1.23 lower than Wyoming** for the office setting.
Houston
Texas · 50431
Office
$307.87
Facility
$60.78
$0.96 higher than Wyoming** for the office setting.
Rest Of Texas
Texas · 50431
Office
$293.89
Facility
$57.74
$13.02 lower than Wyoming** for the office setting.
Utah
Utah · 50431
Office
$291.45
Facility
$57.55
$15.46 lower than Wyoming** for the office setting.
Virginia
Virginia · 50431
Office
$302.22
Facility
$57.61
$4.69 lower than Wyoming** for the office setting.
Virgin Islands
United States Virgin Islands · 50431
Office
$310.85
Facility
$59.27
$3.94 higher than Wyoming** for the office setting.
Vermont
Vermont · 50431
Office
$303.29
Facility
$56.95
$3.62 lower than Wyoming** for the office setting.
Rest Of Washington
Washington · 50431
Office
$321.68
Facility
$59.65
$14.77 higher than Wyoming** for the office setting.
Seattle (King Cnty)
Washington · 50431
Office
$369.89
Facility
$64.57
$62.98 higher than Wyoming** for the office setting.
Wisconsin
Wisconsin · 50431
Office
$293.92
Facility
$55.53
$12.99 lower than Wyoming** for the office setting.
West Virginia
West Virginia · 50431
Office
$274.55
Facility
$58.31
$32.36 lower than Wyoming** for the office setting.
See how rates vary across the country
50431 · 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.
$268.19
$380.52
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 | $341.46 | 1 |
| AL | $272.69 | 1 |
| AR | $268.19 | 1 |
| AZ | $299.06 | 1 |
| CA | $332.45–$428.58 | 29 |
| CO | $324.67 | 1 |
| CT | $330.16 | 1 |
| DC | $358.08 | 1 |
| DE | $304.51 | 1 |
| FL | $298.17–$325.08 | 3 |
| GA | $279.76–$313.16 | 2 |
| GU | $343.01 | 1 |
| HI | $343.01 | 1 |
| IA | $282.74 | 1 |
| ID | $284.39 | 1 |
| IL | $286.88–$318.54 | 4 |
| IN | $286.32 | 1 |
| KS | $280.22 | 1 |
| KY | $277.84 | 1 |
| LA | $276.94–$292.68 | 2 |
| MA | $321.93–$361.01 | 2 |
| MD | $311.20–$358.08 | 3 |
| ME | $284.98–$304.06 | 2 |
| MI | $285.14–$301.32 | 2 |
| MN | $312.91 | 1 |
| MO | $270.84–$295.09 | 3 |
| MS | $269.63 | 1 |
| MT | $307.95 | 1 |
| NC | $288.54 | 1 |
| ND | $305.58 | 1 |
| NE | $284.81 | 1 |
| NH | $318.45 | 1 |
| NJ | $334.45–$353.39 | 2 |
| NM | $286.50 | 1 |
| NV | $307.56 | 1 |
| NY | $293.36–$364.37 | 5 |
| OH | $284.65 | 1 |
| OK | $278.36 | 1 |
| OR | $305.69–$337.27 | 2 |
| PA | $285.74–$320.37 | 2 |
| PR | $310.85 | 1 |
| RI | $317.05 | 1 |
| SC | $286.97 | 1 |
| SD | $305.29 | 1 |
| TN | $281.69 | 1 |
| TX | $283.53–$323.13 | 8 |
| UT | $291.45 | 1 |
| VA | $302.22–$358.08 | 2 |
| VI | $310.85 | 1 |
| VT | $303.29 | 1 |
| WA | $321.68–$369.89 | 2 |
| WI | $293.92 | 1 |
| WV | $274.55 | 1 |
| WY | $306.91 | 1 |
Where does this rate apply?
Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 50431 in Wyoming**, the physician’s office rate is $306.91 and the facility-setting rate is $58.08: a difference of $248.83.
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 50431 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$337.60
$306.91 × 110% = $337.60
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 50431 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
5,918
- Code
- 50431
- Physician work
- 1.07
- Practice expense
- 8.03
- Malpractice
- 0.12
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.07 | × 1.000 | 1.0700 |
| Practice expense | 8.03 | × 1.000 | 8.0300 |
| Malpractice | 0.12 | × 0.740 | 0.0888 |
| Total RVUs | 9.1888 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$306.91
Open 50431 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.07 | 1 |
| Practice expense | 8.03 | 1 |
| Malpractice | 0.12 | 0.74 |
(1.07 × 1 + 8.03 × 1 + 0.12 × 0.74) × $33.4009 = $306.91
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.07 | 1 |
| Practice expense | 0.58 | 1 |
| Malpractice | 0.12 | 0.74 |
(1.07 × 1 + 0.58 × 1 + 0.12 × 0.74) × $33.4009 = $58.08
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
50431 · Office / nonfacility
$306.91
Effective 2026-10-01
The base rate is $7.83 higher than on 2025-10-01, moving from $299.08 to $306.91 (2.6%).
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
$299.08changed to$306.91
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.10 changed to 1.07
- Practice expense RVU 8.05 changed to 8.03
- Malpractice RVU 0.13 changed to 0.12
- Malpractice GPCI 0.739 changed to 0.740
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: $299.08
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
50431 billing questions
How does 50431 differ from 50430?
50431 is for a contrast study reached through newly created percutaneous access. Use 50430 when the study uses existing access, such as an established nephrostomy catheter.
Can 50431 be reported with nephrostomy catheter placement?
The nephrostomy placement code includes the diagnostic nephrostogram or ureterogram when performed. Do not separately report 50431 for that included study.
Is imaging guidance or interpretation separately reported?
The code includes imaging guidance and the associated radiological interpretation for the contrast study.
How is bilateral service reported?
Report modifier 50 for bilateral service. CMS pays the bilateral procedure at 150%.
What documentation supports 50431?
Document why the study was needed, that access was newly obtained, the contrast examination and its findings, and the side or sides examined.
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.
5,91550400,,Revision of kidney/ureter,A,,20.74,7.52,NA,7.52,,2.67,30.93,30.93,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,91650405,,Revision of kidney/ureter,A,,25.21,8.78,NA,8.78,,3.24,37.23,37.23,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,91750430,,Njx px nfrosgrm &/urtrgrm,A,,2.83,15.30,,0.89,,0.34,18.47,4.06,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,91850431,,Njx px nfrosgrm &/urtrgrm,A,,1.07,8.03,,0.58,,0.12,9.22,1.77,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,91950432,,Plmt nephrostomy catheter,A,,3.90,21.54,,0.99,,0.43,25.87,5.32,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,92050433,,Plmt nephroureteral catheter,A,,4.92,26.73,,1.12,,0.53,32.18,6.57,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,92150434,,Convert nephrostomy catheter,A,,3.66,21.83,,0.92,,0.41,25.90,4.99,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,