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Utah rates for HCPCS 51726

Complex cystometrogram (ie, calibrated electronic equipment);

Facilitymedian $120 · 10th–90th $120$1200%50%$120Professionalmedian $257 · 10th–90th $85$5750%10%10th90th$257$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$120.23 / $120.23 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $346.74 / $691.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $91.20 / $281.84
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $257.04 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $398.11 / $616.60
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $120.23 / $177.83
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $281.84 / $426.58
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $630.96
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$489.78 / $489.78 / $489.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $524.81 / $776.25
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $162.18 / $588.84
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$281.84 / $354.81 / $489.78
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $489.78 / $676.08
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $154.88 / $229.09
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $338.84 / $389.05
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $263.03 / $524.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $371.54 / $588.84
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $102.33 / $158.49
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $251.19 / $407.38