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See a sample rate comparisonCPT 50557 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 Endoscopy Treatment, Renal Endoscopy Through Established Nephrostomy Or Pyelostomy With Or Without Irrigation Instillation Or Ureteropyelography Exclusive Of Radiologic Service With Fulguration And Or Incision With Or Without Biopsy
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 19 - Off Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 50557 |
| Medicaid Fee Schedule | View Medicaid rates for 50557 |
National average reimbursement for CPT 50557 by major payers:
$591.27
$584.28
$588.33
$582.11
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CPT 50557
5 of 25 sample ratesHigher to lower in this preview
Mckinney Surgery Center, Lp, The Surgery Centre At Craig Ranch
$4,141.00Published rateYork County Outpatient Endoscopy Center LLC
$2,621.00Published rateAdvanced Surgery Center Of Tampa, LLC
$2,206.00Published rateBeckley Surgery Center, Inc
Beckley Surgery Center Inc
$1,450.00Published rateAdvanced Surgery Center LLC
$1,088.00Published rate
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See a sample payer proposalCPT 50557 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 50557 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 50557 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 |
|---|---|---|
| 50551-CPT | Moderate | Renal Endoscopy Through Establ, Renal Endoscopy Through Established Nephrostomy Orpyelostomy With Or Without Irrigation Instillation Or Ureteropyelography Exclusive Of Radiologic Service |
| 50553-CPT | Moderate | Kidney Endoscopy, Renal Endoscopy Through Established Nephrostomy Or Pyelostomy With Or Without Irrigation Instillation Or Ureteropyelography Exclusive Of Radiologic Service With Ureteral Catheterization With Or Without Dilation Of Ureter |
| 50555-CPT | Moderate | Kidney Endoscopy Biopsy, Renal Endoscopy Through Established Nephrostomy Or Pyelostomy With Or Without Irrigation Instillation Or Ureteropyelography Exclusive Of Radiologic Service With Biopsy |
| 50557-CPT | Moderate | Kidney Endoscopy Treatment, Renal Endoscopy Through Established Nephrostomy Or Pyelostomy With Or Without Irrigation Instillation Or Ureteropyelography Exclusive Of Radiologic Service With Fulguration And Or Incision With Or Without Biopsy |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 50557. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 50557 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.
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