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Ohio rates for HCPCS 51726

Complex cystometrogram (ie, calibrated electronic equipment);

Facilitymedian $112 · 10th–90th $83$2820%20%40%10th90th$112Professionalmedian $245 · 10th–90th $83$5010%10%10th90th$245$1.0$5.0$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
$83.18 / $112.20 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $346.74 / $2,089.30
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $91.20 / $162.18
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $229.09 / $398.11
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $95.50 / $95.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $331.13 / $616.60
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $100.00 / $177.83
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $245.47 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $380.19 / $575.44
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $123.03 / $169.82
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $269.15 / $398.11
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $380.19 / $575.44
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $123.03 / $173.78
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $269.15 / $426.58
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
SummaCare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $154.88
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $331.13 / $588.84
SummaCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $107.15 / $190.55
SummaCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $223.87 / $398.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $338.84 / $524.81
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $102.33 / $154.88
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $239.88 / $371.54