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See a sample rate comparisonCPT 50957 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.
Ureter Endoscopy Treatment, Ureteral Endoscopy Through Established Ureterostomy 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 24 - Ambulatory Surgical Center 21 - Inpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 50957 |
| Medicaid Fee Schedule | View Medicaid rates for 50957 |
National average reimbursement for CPT 50957 by major payers:
$578.96
$595.21
$602.80
$593.44
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CPT 50957
5 of 25 sample ratesHigher to lower in this preview
Surgery Affiliate Of El Paso, LLC, Foundation Surgery Affiliate Of El Paso, LLC
Surgery Affiliate Of El Paso LLC
$9,514.00Published rateDelray Beach Asc, LLC, Delray Beach Surgery Center
$2,307.00Published rateSalem Or Ophthalmology Asc LLC, Salem Laser & Surgery Center
Salem Or Ophthalmology Asc LLC
$1,707.00Published rateMacon Pain Center, P.C.
Macon Pain Center, PC
$900.00Published rateAkdhc Surgery Center, LLC
$519.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 50957 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 50957 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 50957 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 |
|---|---|---|
| 50951-CPT | Moderate | Urinary Tract Scope Exam, An Exam Of The Upper Portion Of The Urinary Tract. The Procedure Uses A Scope (Endoscope) Inserted Into An Existing Surgical Opening For Draining Urine (Ureterostomy). |
| 50953-CPT | Moderate | Endoscopy Of Ureter, Ureteral Endoscopy Through Established Ureterostomy With Or Without Irrigation Instillation Or Ureteropyelography Exclusive Of Radiologic Service With Ureteral Catheterization With Or Without Dilation Of Ureter |
| 50955-CPT | Moderate | Urinary Tract Scope Exam, An Exam Of The Upper Portion Of The Urinary Tract. The Procedure Uses A Scope (Endoscope) Inserted Into An Existing Surgical Opening For Draining Urine (Ureterostomy). |
| 50957-CPT | Moderate | Ureter Endoscopy Treatment, Ureteral Endoscopy Through Established Ureterostomy 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 50957. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 50957 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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