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Indiana rates for HCPCS 51728

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

Facilitymedian $115 · 10th–90th $98$1700%20%40%10th90th$115Professionalmedian $263 · 10th–90th $102$5370%5%10%10th90th$263$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
$97.72 / $114.82 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $398.11 / $851.14
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $117.49 / $218.78
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$239.88 / $309.03 / $436.52
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$234.42 / $269.15 / $512.86
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $302.00 / $467.74
Ambetter
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$63.10 / $87.10 / $114.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $346.74 / $537.03
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $128.82 / $194.98
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $218.78 / $338.84
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $245.47 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $380.19 / $724.44
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $128.82 / $229.09
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $269.15 / $489.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $363.08 / $616.60
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $125.89 / $204.17
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $239.88 / $426.58