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Alaska rates for HCPCS 51726

Complex cystometrogram (ie, calibrated electronic equipment);

Facilitymedian $263 · 10th–90th $263$2630%50%100%$263Professionalmedian $288 · 10th–90th $83$8710%5%10%10th90th$288$100.0$200.0$500.0$1.0K$2.0K$5.0K$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$263.03 / $263.03 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $316.23 / $1,096.48
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $100.00 / $269.15
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $229.09 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $398.11 / $891.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $112.20 / $302.00
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $288.40 / $588.84
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$263.03 / $263.03 / $263.03
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $870.96 / $1,862.09
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $269.15 / $616.60
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$281.84 / $588.84 / $1,258.93
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,230.27 / $1,659.59
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$331.13 / $331.13 / $524.81
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$794.33 / $891.25 / $1,122.02
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $660.69 / $660.69
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $117.49 / $302.00
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $269.15 / $588.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $707.95 / $1,513.56
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $239.88 / $602.56
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $467.74 / $954.99