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Medicare rate data current as of December 23, 2024 (CMS Physician Fee Schedule RVU25A). Next scheduled CMS update: January 2026. About our data

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Reimbursement rates sourced from CMS Medicare Physician Fee Schedule RVU25A. Data accurate as of release date. For informational purposes only — verify with payer contracts before billing decisions.

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Home/CPT codes/47552/By state
CPT 47552Surgery

Reimbursement by state

Biliary endo perq dx w/speci

Highest
$358.30
Alaska
Median
$263.86
across 53 states
Lowest
$246.13
Nebraska
Spread
46%
highest vs lowest
RankStateLocalityRatevs Median
1topAlaskaAlaska$358.30+35.8%
2FloridaMiamiⓘ$303.25+14.9%
3New YorkManhattanⓘ$302.65+14.7%
4IllinoisChicagoⓘ$293.04+11.1%
5District of ColumbiaWashington DC + MD/VA Suburbs$290.81+10.2%

Methodology

Each state shows the non-facility rate for one representative Medicare locality. Most states have only one locality, but several (CA, NY, TX, FL, IL, MA, MO, NJ, OR, WA, PA) have multiple. For those, we use the largest metropolitan locality. States like California span a wide GPCI range — billers in different California cities should check the locality-specific rate on the main code page.

Rates derived from 2025 CMS Physician Fee Schedule (RVU25A) with 2025 GPCI adjustments. Conversion factor: 32.3465.

← Back to CPT 47552

6
New Jersey
Northern NJ
$288.01
+9.2%
7MichiganDetroit$283.40+7.4%
8WashingtonSeattle (King County)$281.98+6.9%
9MassachusettsMetro Boston$281.66+6.7%
10MarylandBaltimore / Surrounding Counties$281.47+6.7%
11ConnecticutConnecticut$280.07+6.1%
12PennsylvaniaMetropolitan Philadelphia$277.93+5.3%
13Rhode IslandRhode Island$269.71+2.2%
14West VirginiaWest Virginia$267.79+1.5%
15LouisianaNew Orleans$267.11+1.2%
16TexasHoustonⓘ$266.71+1.1%
17DelawareDelaware$266.70+1.1%
18OregonPortland$266.63+1.0%
19ColoradoColorado$266.55+1.0%
20Puerto RicoPuerto Rico$266.45+1.0%
21Virgin IslandsVirgin Islands$266.45+1.0%
22CaliforniaLos Angeles-Long Beach-Anaheimⓘ$266.32+0.9%
23New MexicoNew Mexico$266.19+0.9%
24MontanaMontana$266.02+0.8%
25New HampshireNew Hampshire$265.75+0.7%
26GeorgiaGeorgia$263.89+0.0%
27MissouriSt. Louis$263.86+0.0%
28HawaiiHawaii / Guam$263.30-0.2%
29OhioOhio$263.05-0.3%
30NevadaNevada$262.85-0.4%
31ArizonaArizona$261.89-0.7%
32UtahUtah$261.67-0.8%
33VirginiaVirginia$260.37-1.3%
34WyomingWyoming$260.37-1.3%
35MaineMaine (rest)$258.99-1.8%
36KentuckyKentucky$258.59-2.0%
37South CarolinaSouth Carolina$258.05-2.2%
38OklahomaOklahoma$256.90-2.6%
39North DakotaNorth Dakota$255.13-3.3%
40North CarolinaNorth Carolina$255.08-3.3%
41VermontVermont$254.82-3.4%
42MississippiMississippi$253.97-3.7%
43South DakotaSouth Dakota$251.94-4.5%
44MinnesotaMinnesota$251.20-4.8%
45KansasKansas$251.17-4.8%
46TennesseeTennessee$250.79-5.0%
47IndianaIndiana$250.64-5.0%
48AlabamaAlabama$250.23-5.2%
49IowaIowa$249.55-5.4%
50IdahoIdaho$249.40-5.5%
51WisconsinWisconsin$248.68-5.8%
52ArkansasArkansas$248.45-5.8%
53lowNebraskaNebraska$246.13-6.7%