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 52353 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.
Remove Urinary Stones, An Exam Of The Urinary Tract And Bladder Using A Scope (Cystourethroscopy). The Procedure Removes Calcium Deposits (Stones).
| 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 | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 52353 |
| Medicaid Fee Schedule | View Medicaid rates for 52353 |
National average reimbursement for CPT 52353 by major payers:
$556.06
$545.86
$593.29
$649.08
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 52353.
CPT 52353
5 of 25 sample ratesHigher to lower in this preview
Texas Health Harris Methodist Hospital Cleburne
$16,929.00Published rateJoliet Surgery Center Limited Partnership, Amsurg Surgery Center
Joliet Surgery Center Limited Partnership
$3,150.00Published rateSurgical Care Center, Inc.
Surgical Care Center Inc
$2,000.00Published rateFindlay Surgery Center Ltd
Findlay Surgery Center, Ltd
$1,025.00Published rateJulie Webster
Musc Community Physicians
$508.98Published 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 52353 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 52353 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 52353 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 |
|---|---|---|
| 52351-CPT | Moderate | Cystouretero & Or Pyeloscope, Diagnostic Examination Of The Bladder Bladder Canal (Urethra) And Urinary Duct (Ureter) Or Kidney Using An Endoscope |
| 52352-CPT | Moderate | Cystourethroscopy With Uretero, Cystourethroscopy With Ureteroscopy Andor Pyeloscopy With Removal Or Manipulation Or Calculus (Ureteral Catheterization Is Included) |
| 52353-CPT | Moderate | Remove Urinary Stones, An Exam Of The Urinary Tract And Bladder Using A Scope (Cystourethroscopy). The Procedure Removes Calcium Deposits (Stones). |
| 52354-CPT | Moderate | Kidney Urinary Tract Biopsy, An Exam Of The Kidneys And Upper Urinary Tract Using A Scope (Cystourethroscopy). The Procedure Includes Removing A Sample Of Tissue For Testing (Biopsy). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 52353. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 52353 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 52353) and we'll show you how you compare in 15 minutes or less.