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Arizona rates for HCPCS 51728

Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure), any technique

Facilitymedian $263 · 10th–90th $95$4680%20%10th90th$263Professionalmedian $324 · 10th–90th $110$9550%5%10th90th$324$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
$95.50 / $95.50 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $537.03 / $1,659.59
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $134.90 / $524.81
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$186.21 / $302.00 / $346.74
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $281.84 / $549.54
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $251.19 / $309.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $316.23 / $1,348.96
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $95.50 / $407.38
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $218.78 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $407.38 / $691.83
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $134.90 / $218.78
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $281.84 / $489.78
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$263.03 / $263.03 / $467.74
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $380.19 / $2,691.53
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $125.89 / $776.25
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $257.04 / $1,905.46
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $346.74 / $676.08
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $114.82 / $204.17
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $229.09 / $489.78