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Utah rates for HCPCS 51728

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

Facilitymedian $148 · 10th–90th $148$1480%50%$148Professionalmedian $316 · 10th–90th $105$6030%5%10%10th90th$316$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
$147.91 / $147.91 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $380.19 / $831.76
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $131.83 / $436.52
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $269.15 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $416.87 / $741.31
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$125.89 / $147.91 / $218.78
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $288.40 / $512.86
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $60.26 / $954.99
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$1,047.13 / $1,047.13 / $1,047.13
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $575.44 / $1,288.25
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $186.21 / $234.42
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$331.13 / $389.05 / $436.52
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $602.56 / $831.76
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $186.21 / $239.88
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $416.87 / $457.09
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $354.81 / $724.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $389.05 / $724.44
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $131.83 / $190.55
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $257.04 / $446.68