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Texas rates for HCPCS 51728

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

Facilitymedian $120 · 10th–90th $110$6310%50%10th90th$120Professionalmedian $295 · 10th–90th $102$5750%10%10th90th$295$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
$109.65 / $109.65 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $416.87 / $776.25
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $117.49 / $245.47
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$151.36 / $295.12 / $346.74
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $275.42 / $407.38
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $316.23 / $407.38
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $102.33 / $102.33
Ambetter
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$79.43 / $79.43 / $97.72
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $239.88 / $436.52
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $707.95 / $741.31
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $436.52 / $691.83
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $141.25 / $218.78
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $309.03 / $501.19
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$630.96 / $630.96 / $630.96
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $2,818.38 / $2,818.38
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$758.58 / $831.76 / $831.76
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,737.80 / $1,995.26 / $1,995.26
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$109.65 / $123.03 / $154.88
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $489.78 / $776.25
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $144.54 / $229.09
Moda Health
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$151.36 / $295.12 / $346.74
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $331.13 / $489.78
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $199.53
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $645.65 / $1,000.00
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $436.52 / $741.31
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $141.25 / $213.80
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $309.03 / $512.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $363.08 / $588.84
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $120.23 / $186.21
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $251.19 / $407.38
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $338.84 / $338.84
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $107.15 / $107.15
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $229.09 / $229.09