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 50437 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.
Dilat Xst Trc New Access Rcs, Dilation Of Existing Tract Percutaneous For An Endourologic Procedure Including Imaging Guidance Eg Ultrasound And Or Fluoroscopy And All Associated Radiological Supervision And Interpretation With Postprocedure Tube Placement When Performed Including New Access Into The Renal Collecting System
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | 59 - Distinct Procedural Service LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 50437 |
| Medicaid Fee Schedule | View Medicaid rates for 50437 |
National average reimbursement for CPT 50437 by major payers:
$330.42
$345.32
$350.08
$415.01
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 50437.
CPT 50437
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Northwest, LLP, Memorial Hermann Surgery Center Greater Heights
Memorial Hermann Surgery Center Northwest LLP
$7,838.00Published rateGastroenterology Diagnostics Of Northern New Jersey, PA
Gastroenterology Diagnostics Of Northern New Jersey, P.A.
$2,795.00Published rateWnc Eye Surgery Centers Inc
$1,947.00Published rateSmart Pain Surgery Center At Germantown, LLC, Clearway Surgery Center Of Germantown
Smart Pain Surgery Center At Germantown LLC
$1,334.00Published rateDiscover Vision Surgery & Laser Center LLC, Discover Vision Surgery & Laser Center
Discover Vision Surgery Laser Center LLC
$717.00Published 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 50437 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 50437 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 50437 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 |
|---|---|---|
| 50430-CPT | Moderate | Inje Proc For Antegrad Nphrostogrm/Ureterogrmcomplnew Access, Injection Procedure For Antegrade Nephrostogram And/Or Ureterogramcomplete Diagnostic Procedure Including Imaging Guidance (Egultrasound And/Or Floouroscopy) And All Associated Radiological Supervision And Interpretation; New Access |
| 50431-CPT | Moderate | Inje Proc For Antegrad Nphrostogrm/Ureterogrmcompl Exist Access, Injection Procedure For Antegrade Nephrostogram And/Or Ureterogramcomplete Diagnostic Procedure Including Imaging Guidance (Egultrasound And/Or Floouroscopy) And All Associated Radiological Supervision And Interpretation; Existing Access |
| 50432-CPT | Moderate | Plmt Nephrostomy Catheter, Placement Of Nephrostomy Catheter Percutaneous Including Diagnostic Nephrostogram And Or Ureterogram When Performed Imaging Guidance Eg Ultrasound And Or Fluoroscopy And All Associated Radiological Supervision And Interpretation |
| 50437-CPT | Moderate | Dilat Xst Trc New Access Rcs, Dilation Of Existing Tract Percutaneous For An Endourologic Procedure Including Imaging Guidance Eg Ultrasound And Or Fluoroscopy And All Associated Radiological Supervision And Interpretation With Postprocedure Tube Placement When Performed Including New Access Into The Renal Collecting System |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 50437. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 50437 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 50437) and we'll show you how you compare in 15 minutes or less.