How much does Medicare pay for CPT 51702?

Medicare allowed an average of $56.08 per service and paid $41.73 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $236.34, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 51702?

Simple insertion of temporary bladder tube. It was billed 143,032 times to 69,155 Medicare beneficiaries by 3,476 providers in 2024.

Does 51702 pay differently in an office than a hospital?

Yes. The allowed amount averaged $59.23 in an office setting and $22.99 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 51702 most?

Urology, with 94,926 services from 2,252 clinicians. Next are Nurse Practitioner, Physician Assistant, Obstetrics & Gynecology.

CPT 51702

Simple insertion of temporary bladder tube

$56.08Medicare-allowed amount per service, averaged across 143,032 services

Providers submitted

$236.34

Asking price, not received

Medicare allowed

$56.08

The fee schedule figure

Medicare paid

$41.73

Balance is patient coinsurance

Providers submitted an average of $236.34 for this code and Medicare allowed $56.08 — 4.2× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $41.73 (74%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $59.23
Hospital / facility: $22.99

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 130,607 services were billed in an office setting and 12,425 in a facility.

Services: 143,032
Beneficiaries: 69,155
Providers billing it: 3,476
Total allowed: $8,021,235

What Medicare pays for CPT 51702

Across 143,032 services billed by 3,476 providers to 69,155 beneficiaries, Medicare allowed an average of $56.08 per service. That is 2.1 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 51702

Specialty	Services	Beneficiaries	Avg allowed	Providers
Urology	94,926	44,444	$60.36	2,252
Nurse Practitioner	26,755	13,029	$47.41	630
Physician Assistant	19,321	10,025	$47.58	533
Obstetrics & Gynecology	721	597	$70.14	9
Emergency Medicine	470	449	$28.47	28
General Surgery	256	139	$43.30	6
Family Practice	164	98	$46.96	5
Nephrology	140	128	$63.00	1
Internal Medicine	90	74	$49.61	3
General Practice	62	61	$24.37	3
Certified Clinical Nurse Specialist	55	48	$39.01	2
Hospice and Palliative Care	26	18	$73.44	1
Nuclear Medicine	20	19	$28.23	1
Gynecological Oncology	14	14	$75.46	1
Colorectal Surgery (Proctology)	12	12	$13.03	1

51702 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
New York	13,294	$62.67	$40.36	288
California	13,194	$63.89	$42.27	288
Florida	8,306	$58.26	$43.22	214
Illinois	7,888	$56.69	$41.18	159
Pennsylvania	7,419	$57.15	$42.75	170
Virginia	6,242	$53.71	$39.70	152
Texas	6,107	$54.78	$41.14	167
Washington	5,541	$55.61	$38.49	105
Massachusetts	5,424	$60.99	$40.97	124
New Jersey	5,177	$63.96	$43.15	132
Maryland	4,483	$59.22	$41.47	101
Georgia	4,187	$53.70	$41.62	101
North Carolina	3,766	$46.88	$36.33	112
Arizona	3,596	$54.68	$41.96	84
Indiana	3,379	$53.75	$42.88	81
Ohio	3,072	$48.42	$37.54	89
Connecticut	2,899	$63.17	$42.59	70
Wisconsin	2,638	$47.56	$36.35	64
Tennessee	2,429	$52.59	$42.01	68
Colorado	2,360	$57.30	$40.13	70
Minnesota	2,240	$57.12	$41.74	57
South Carolina	2,090	$52.18	$40.79	68
Oregon	2,032	$54.47	$39.69	50
Michigan	1,938	$54.16	$40.49	53
Iowa	1,931	$46.81	$37.10	40
Missouri	1,897	$52.52	$41.01	63
New Mexico	1,463	$45.71	$35.81	23
Kansas	1,451	$51.23	$41.35	38
Nevada	1,326	$56.64	$41.88	34
Utah	1,284	$52.10	$39.46	27
Oklahoma	1,265	$55.59	$44.39	37
Arkansas	1,239	$45.25	$38.60	34
Mississippi	1,151	$48.27	$40.79	37
Montana	1,050	$41.12	$30.84	23
Delaware	1,026	$54.01	$39.43	26
Kentucky	949	$50.00	$40.24	32
Nebraska	860	$48.94	$39.11	22
New Hampshire	836	$52.97	$37.42	26
Idaho	796	$46.81	$35.93	22
South Dakota	765	$45.38	$33.39	21
Alabama	681	$40.24	$32.77	20
Rhode Island	547	$59.35	$43.20	19
Louisiana	536	$35.08	$27.76	15
Alaska	456	$52.56	$31.73	10
North Dakota	439	$20.69	$15.36	8
Wyoming	338	$56.07	$41.52	8
Maine	323	$46.36	$34.07	7
District of Columbia	314	$41.57	$27.87	6
West Virginia	111	$35.17	$21.46	4
Vermont	109	$23.55	$18.02	2
U.S. Virgin Islands	74	$64.67	$44.24	1
Puerto Rico	62	$24.37	$19.19	3
Hawaii	52	$20.90	$16.28	1

Related codes

51798Ultrasound measurement of bladder capacity after voiding$11.33
51741Electronic assessment of bladder emptying$10.90
51700Simple bladder irrigation and/or instillation$62.89
51784Non-needle measurement and recording of electrical activity of muscles$32.26
51701Insertion of temporary bladder tube$41.58
51797Insertion of device into abdomen$155.21
51720Instillation of anti-cancer drug into bladder$79.02
51728Complex measurement of pressure of urine flow in bladder$308.93
51705Simple change of bladder tube$86.83
51729Complex measurement of pressure of urine flow in bladder$338.91
51703Complicated insertion of bladder tube$133.52
51725Simple measurement of pressure of urine flow in bladder$165.67

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.