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See a sample rate comparisonCPT 51784 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.
Electromyograph Studie (Emg) Of Anal Or Urethral Sphincter, Electromyography Studies (Emg) Of Anal Or Urethral Sphincter Other Th
| 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 51 - Multiple procedures 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 51784 |
| Medicaid Fee Schedule | View Medicaid rates for 51784 |
National average reimbursement for CPT 51784 by major payers:
$93.05
$162.54
$170.12
$160.38
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CPT 51784
5 of 25 sample ratesHigher to lower in this preview
Summit Orthopedics, Ltd, Plymouth Surgery Center
Summit Orthopedics, Ltd.
$703.00Published rateMethodist Craig Ranch Surgery Center LLC
$400.00Published rateThomasville Surgery Center, Inc.
Thomasville Surgery Center Inc
$214.00Published rateThe Northern Nv Endoscopy Asc LLC, Digestive Health Center
The Northern Nv Endoscopy Asc LLC
$108.00Published rateBrandon Charlton
Deaconess Hospital Inc
$51.72Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 51784 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 51784 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 51784 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 |
|---|---|---|
| 51736-CPT | Low | Bladder Emptying Test, A Bladder Emptying Test Is A Screening Procedure That Measures Urine Flow. It Can Help Identify Problems In The Urinary Tract As Well As Measure The Ability To Urinate And The Function Of Related Muscles. |
| 51741-CPT | Low | Bladder Emptying Test, A Bladder Emptying Test Is A Screening Procedure That Measures Urine Flow. It Can Help Identify Problems In The Urinary Tract As Well As Measure The Ability To Urinate And The Function Of Related Muscles. |
| 51784-CPT | Low | Electromyograph Studie (Emg) Of Anal Or Urethral Sphincter, Electromyography Studies (Emg) Of Anal Or Urethral Sphincter Other Th |
| 51785-CPT | Moderate | Needle Electromyograph Studie (Emg) Of Anal Or Urethral Sphincter, Needle Electromyography Studies (Emg) Of Anal Or Urethral Sphincter A |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 51784. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 51784 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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