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Wisconsin rates for HCPCS 51726

Complex cystometrogram (ie, calibrated electronic equipment);

Facilitymedian $214 · 10th–90th $85$4070%10%20%10th90th$214Professionalmedian $295 · 10th–90th $87$8710%5%10%10th90th$295$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$85.11 / $173.78 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $363.08 / $707.95
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $91.20 / $173.78
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $239.88 / $407.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $588.84 / $1,445.44
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $162.18 / $407.38
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $426.58 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $251.19 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $977.24 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $269.15 / $302.00
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $707.95 / $812.83
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $691.83 / $870.96
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$147.91 / $218.78 / $281.84
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$354.81 / $489.78 / $588.84
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $549.54 / $1,778.28
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $158.49 / $575.44
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $389.05 / $1,202.26
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $389.05
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $707.95 / $1,023.29
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $208.93 / $281.84
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$288.40 / $489.78 / $741.31
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $691.83 / $1,096.48
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $512.86 / $512.86
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $1,412.54 / $1,995.26
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $416.87 / $691.83
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$269.15 / $1,000.00 / $1,513.56
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $1,621.81 / $1,621.81
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$436.52 / $436.52 / $436.52
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,174.90 / $1,174.90 / $1,174.90
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,819.70 / $2,290.87
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$213.80 / $398.11 / $489.78
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$794.33 / $933.25 / $1,047.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $489.78 / $1,258.93
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $147.91 / $371.54
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $346.74 / $870.96