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 52287 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.
Treatment To Relax Bladder, An Examination Of The Bladder Using A Scope (Cystourethroscopy). The Procedure Includes One Or More Injections Of Botulinum Toxin A Drug That Relaxes Spasms Of The Bladder.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 11 - Office 24 - Ambulatory Surgical Center |
| Common Modifiers | None SG - Scene to Hospital ESRD facility 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 52287 |
| Medicaid Fee Schedule | View Medicaid rates for 52287 |
National average reimbursement for CPT 52287 by major payers:
$426.53
$456.68
$520.66
$585.89
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 52287.
CPT 52287
5 of 25 sample ratesHigher to lower in this preview
Endoscopy Center Of Hackensack, LLC, Hackensack Endoscopy Center
$2,974.00Published rateAnne Arundel-Sca Surgicenter, LLC
Anne Arundelsca Surgicenter LLC
$923.00Published rateWestern Washington Endoscopy Centers LLC, Waldron Endoscopy Center
Western Washington Endoscopy Centers LLC
$749.00Published rateCoral Desert Surgery Center LLC
$571.00Published rateNorthwest Florida Surgical Center, LLC, North Florida Surgery Center
Northwest Florida Surgical Center
$372.00Published 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 52287 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 52287 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 52287 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 |
|---|---|---|
| 52282-CPT | Moderate | Insert Urinary Tract Support, A Bladder Exam Using A Scope (Cystourethroscope). The Procedure Inserts A Support Device (Stent) Into The Urinary Tract. |
| 52283-CPT | Moderate | Cystourethroscopy With Steroi, Cystourethroscopy With Steroid Injection Into Stricturecystourethroscopy With Steroid Injection Into Stricture |
| 52285-CPT | Moderate | Cystoscopy And Treatment, Cystourethroscopy For Treatment Of The Female Urethral Syndrome With Any Or All Of The Following Urethral Meatotomy Urethral Dilation Internal Urethrotomy Lysis Of Urethrovaginal Septal Fibrosis Lateral Incisions Of The Bladder Neck And Fulguration Of Polyp S Of Urethra Bladder Neck And Or Trigone |
| 52287-CPT | Moderate | Treatment To Relax Bladder, An Examination Of The Bladder Using A Scope (Cystourethroscopy). The Procedure Includes One Or More Injections Of Botulinum Toxin A Drug That Relaxes Spasms Of The Bladder. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 52287. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 52287 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 52287) and we'll show you how you compare in 15 minutes or less.