CPT code 51726: Cystometrogram, electronic pressure-volume testing2026 Medicare rate & RVUs

Reports calibrated electronic bladder pressure testing during filling to assess bladder sensation, capacity, compliance, and involuntary contractions.

CMS RVU26DEffective Oct 1, 2026109 payment localities3K Medicare services in 2024

Medicare pays $270.88 for 51726 nationally in the office. Local office rates run $238.60–$366.95.

Medicare rate · 51726

Cystometrogram, electronic pressure-volume testing

Office or facility?

Work RVUs
1.67
Total RVUs
8.11
Global days
000

National rate · 2026

$270.88

Office setting, before claim adjustments.

See every locality for 51726 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 51726 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 51726 covers

Urologists and urogynecologists use a complex cystometrogram to evaluate lower urinary tract symptoms such as urgency, incontinence, or difficulty emptying. A bladder catheter is used to fill the bladder while calibrated electronic equipment records pressure changes and the patient’s sensations during filling. The study may be performed in an office or outpatient facility as part of a urodynamic evaluation.

Report this level when the study uses calibrated electronic equipment; a simple cystometrogram using a simpler manometric method is a different service. The record should support the testing performed and findings, including pressure observations and patient responses. Bill without a modifier for the global service, modifier 26 for interpretation, or modifier TC for equipment and staff. Same-day preoperative and postoperative care is included in the 0-day global period. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service, and co-surgeon or team-surgery billing is not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 51726 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 payment localities

$238.60 to $366.95

$238.60$302.77$366.95
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

51726 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$242.24Unavailable
Alaska$309.83Unavailable
Arizona$263.57Unavailable
Arkansas$238.60Unavailable
Atlanta, GA$275.54Unavailable
Austin, TX$282.49Unavailable
Bakersfield, CA$289.83Unavailable
Baltimore area, MD$288.41Unavailable
Beaumont, TX$251.63Unavailable
Brazoria, TX$268.19Unavailable

51726 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$238.60

$328.13

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
51726 office rate range by state
State / territoryOffice rate rangeLocalities
AK$309.831
AL$242.241
AR$238.601
AZ$263.571
CA$289.30–$366.9529
CO$283.711
CT$289.311
DC$311.811
DE$268.071
FL$264.52–$288.153
GA$249.35–$275.542
GU$297.181
HI$297.181
IA$249.661
ID$251.141
IL$255.86–$281.314
IN$252.671
KS$247.961
KY$247.151
LA$246.56–$259.302
MA$281.72–$313.172
MD$273.49–$311.813
ME$251.98–$266.902
MI$253.39–$267.452
MN$272.961
MO$241.83–$260.843
MS$240.291
MT$270.871
NC$254.801
ND$267.511
NE$251.221
NH$278.761
NJ$292.93–$308.292
NM$254.641
NV$270.141
NY$258.72–$318.905
OH$252.711
OK$247.211
OR$268.36–$293.572
PA$253.40–$281.572
PR$273.101
RI$278.241
SC$254.111
SD$267.111
TN$249.191
TX$251.63–$282.498
UT$257.741
VA$265.65–$311.812
VI$273.101
VT$265.981
WA$281.35–$320.172
WI$258.161
WV$245.891
WY$269.401

How the 51726 rate is calculated

Each of 51726’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 51726

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.67

1.67 RVUs× 1.000 GPCI

Practice expense6.27

6.27 RVUs× 1.000 GPCI

Malpractice0.17

0.17 RVUs× 1.000 GPCI

Adjusted RVUs

8.1100

Conversion factor

$33.4009

Medicare rate

$270.88

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 51726

The CMS indicators that decide how 51726 is paid alongside other services.

CMS payment indicators · 51726

Cystometrogram, electronic pressure-volume testing

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

51726 without 26 · national office

$270.88

Cystometrogram, electronic pressure-volume testing

51726-26 · Professional component

$84.17

Pays only the interpretation and report.

When to use modifier 26

51726 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 51726

    Cystometrogram, electronic pressure-volume testing1.67 wRVU

    $270.88

  • 51725

    Cystometrogram, simple filling-phase study1.47 wRVU

    $198.40−$72.48

  • 51727

    Urodynamic testing, with urethral pressure profile2.06 wRVU

    $331.00+$60.12

  • 51728

    Urodynamic study, with voiding pressure2.06 wRVU

    $336.68+$65.80

  • 51729

    Urodynamic study, voiding and urethral pressures2.45 wRVU

    $354.05+$83.17

How to choose

51725CystometrogramSimple filling-phase study
51725 is the simple cystometrogram using a simpler manometric method. Use 51726 when calibrated electronic equipment is used.
51727Urodynamic testingWith urethral pressure profile
51727 includes urethral pressure profile studies in addition to the complex cystometrogram; 51726 alone is the electronic cystometrogram.
51728Urodynamic studyWith voiding pressure
51728 adds voiding pressure studies to the complex cystometrogram. Choose 51726 when those additional studies are not performed.
51729Urodynamic studyVoiding and urethral pressures
51729 combines the complex cystometrogram with both voiding pressure and urethral pressure profile studies; 51726 does not include those additions.

51726 billing questions

When should 51726 be chosen over 51725?

Use 51726 for a cystometrogram performed with calibrated electronic equipment. Code 51725 represents the simple study using a simpler manometric method.

How does 51726 differ from 51727, 51728, and 51729?

Those codes describe a complex cystometrogram combined with additional urethral pressure profile and/or voiding pressure studies. Select the code that matches the testing actually performed.

Can the professional and technical portions be billed separately?

Yes. Modifier 26 identifies interpretation, and modifier TC identifies the technical service, including equipment and staff. Without either modifier, the claim represents the global service.

What happens when other procedures are performed in the same session?

The highest-valued procedure is paid in full, and the other procedures are subject to the standard multiple procedure reduction, with payment at 50%.

What documentation supports reporting 51726?

Document the electronic cystometrogram performed, the pressure observations and patient responses during filling, and the findings used in the interpretation.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 51726PPRRVU2026_Oct_nonQPP.csv, line 6,057 (RVU26D)

Open CMS sourceHow we calculate rates

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