Specialty rate rollup
Urology
Cystoscopy, prostate biopsy, and stone management — the common urology procedure mix.
Current national rates
Q1 2026 releaseNon-facility amounts, GPCI 1.000, before sequestration. Change is versus the prior release.
| Code | Status | National amount | Change |
|---|---|---|---|
| 99213 Established Patient Office Visit, Level 3 | Active | $95.19 | +7.0% |
| 99214 Established Patient Office Visit, Level 4 | Active | $135.61 | +8.3% |
| 52000 Diagnostic Cystoscopy | Active | $215.77 | +1.2% |
| 52351 Diagnostic Cystoscopy with Ureteroscopy | Active | $266.54 | -8.3% |
| 51798 Post-Void Residual Urine, Ultrasound | Active | $12.69 | +12.1% |
| 50590 Extracorporeal Shock Wave Lithotripsy | Active | $760.20 | +6.1% |
Need a locality-adjusted rate or a specific setting? Use the rate calculator. Every code above also has its own page with a contracted-rate (% of Medicare) table and a full RVU breakdown.
These amounts shift with where you practice — local GPCIs move most of them a few percent either way. Browse Medicare payment localities or look up yours by ZIP code.
Model Urology's blended payer mix
Blended-rate modeling across a specialty's payer mix isn't built yet — it's on the roadmap, and how loudly urology asks for it is part of what decides when.
Get notified when Urology rates change
Medicare updates the fee schedule every quarter. We'll email you when a release moves rates, tagged to Urology.
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Source & method
National amounts computed from the CMS Medicare Physician Fee Schedule Q1 2026 release, GPCI 1.000, before the ~2% sequestration cut. This code list is our own clean-room grouping by common clinical scenario, not the AMA's code-family taxonomy. A code with no amount shown is either not separately payable under the PFS or was not in this release — never a fake $0.