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See a sample rate comparisonCPT 51726 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Bladder Function Test, A Bladder Function Test Is Called A Cystometrogram. The Test Can Record: Pressure Inside The Bladder And Urinary Tract The Amount Of Urine Produced And The Force (Pressure) Of The Urine Flow.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 51726 |
| Medicaid Fee Schedule | View Medicaid rates for 51726 |
National average reimbursement for CPT 51726 by major payers:
$346.01
$393.83
$435.34
$481.05
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CPT 51726
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Bay Area Endoscopy Center, LLC, Bay Area Endoscopy
$2,079.00Published rateSinus Surgery Center Idaho PA
$365.00Published rateHigh Resort Eye Surgery Center LLC
$200.00Published rateJohns Hopkins Surgery Centers Series, Knoll North Surgery Center
Johns Hopkins Surgery Center Series
$112.00Published rateAssociated Urologists Ambulatory Surgery Center LLC
$51.00Published rate
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See a sample payer proposalCPT 51726 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 51726 code is part of the Surgery services used for Surgical Procedures on the Urinary System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 51726 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 51725-CPT | Moderate | Bladder Function Test, A Bladder Function Test Is Called A Cystometrogram. The Test Can Record: Pressure Inside The Bladder And Urinary Tract The Amount Of Urine Produced And The Force (Pressure) Of The Urine Flow. |
| 51726-CPT | Moderate | Bladder Function Test, A Bladder Function Test Is Called A Cystometrogram. The Test Can Record: Pressure Inside The Bladder And Urinary Tract The Amount Of Urine Produced And The Force (Pressure) Of The Urine Flow. |
| 51727-CPT | Moderate | Bladder Function Test, A Bladder Function Test Is Called A Cystometrogram. The Test Can Record: Pressure Inside The Bladder And Urinary Tract The Amount Of Urine Produced And The Force (Pressure) Of The Urine Flow. |
| 51728-CPT | Moderate | Bladder Function Test, A Bladder Function Test Is Called A Cystometrogram. The Test Can Record: Pressure Inside The Bladder And Urinary Tract The Amount Of Urine Produced And The Force (Pressure) Of The Urine Flow. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 51726. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 51726 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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