Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 50205 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Kidney Biopsy, A Procedure To Remove A Sample Of Tissue For Testing (Biopsy) From A Kidney. The Sample May Be Taken In A Surgery Or By Inserting A Needle.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 51 - Multiple procedures GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 50205 |
| Medicaid Fee Schedule | View Medicaid rates for 50205 |
National average reimbursement for CPT 50205 by major payers:
$974.02
$994.21
$1,065.09
$1,203.54
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 50205.
CPT 50205
5 of 25 sample ratesHigher to lower in this preview
Burlington County Endoscopy Center LLC
$4,300.00Published rateAdventhealth Surgery Center Wellswood LLC, Adventhealth Surgery Center Wellswood
Adventhealth Surgery Center Wellswood LLC
$983.00Published ratePueblo Co Ophthalmology Asc LLC, Rocky Mountain Laser & Surgery Center
$570.00Published ratePottstown Ambulatory Center, LLC
Pottstown Ambulatory Center Ll
$450.00Published rateGlennville Eye Surgery Center LLC
$61.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 50205 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 50205 code is part of the Surgery services used for Surgical Procedures on the Urinary System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 50205 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 50200-CPT | Moderate | Kidney Biopsy, A Procedure To Remove A Sample Of Tissue For Testing (Biopsy) From A Kidney. The Sample May Be Taken In A Surgery Or By Inserting A Needle. |
| 50205-CPT | Moderate | Kidney Biopsy, A Procedure To Remove A Sample Of Tissue For Testing (Biopsy) From A Kidney. The Sample May Be Taken In A Surgery Or By Inserting A Needle. |
| 50220-CPT | High | Kidney Urinary Tract Surgery, Surgery To Remove An Entire Kidney The Part Of The Urinary Tract Connected To It Associated Lymph Nodes And Other Related Structures. Includes Necessary Reconstruction. |
| 50225-CPT | High | Kidney Urinary Tract Surgery, Surgery To Remove An Entire Kidney The Part Of The Urinary Tract Connected To It Associated Lymph Nodes And Other Related Structures. Includes Necessary Reconstruction. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 50205. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 50205 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 50205) and we'll show you how you compare in 15 minutes or less.