go back

California rates for HCPCS 51725

Simple cystometrogram (CMG) (eg, spinal manometer)

Facilitymedian $98 · 10th–90th $79$4680%50%10th90th$98Professionalmedian $295 · 10th–90th $209$1,0470%20%10th90th$295$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$79.43 / $83.18 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $288.40 / $1,148.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $323.59 / $676.08
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $371.54 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $309.03 / $724.44
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $63.10 / $309.03
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $27.54 / $102.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $269.15 / $478.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $107.15 / $194.98
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$467.74 / $467.74 / $467.74
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $1,737.80 / $1,737.80
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $204.17 / $316.23
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $309.03 / $616.60
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $707.95 / $707.95
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $74.13 / $234.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $281.84 / $645.65