CPT code 51741: Uroflowmetry, complex electronic flow study2026 Medicare rate & RVUs in Iowa
Reports calibrated electronic measurement of urinary flow during voiding, commonly used to evaluate lower urinary tract symptoms and suspected bladder outlet obstruction.
In Iowa, Medicare pays $14.02 for 51741 in the office.
Check a contract rate as a % of Medicare · 51741 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 51741 covers
The patient voids into calibrated electronic equipment that records the flow pattern over time and related measurements, such as flow rate and voided volume. Urology practices commonly use the test when evaluating symptoms such as a weak stream, hesitancy, or incomplete emptying, including in patients with suspected bladder outlet obstruction. Staff may operate the equipment, with a qualified practitioner interpreting the results. Unlike pressure testing, this measurement records urine flow during voiding rather than bladder pressure.
Report 51741 for the complex electronic flow study, rather than the simple flow measurement represented by 51736. Documentation should support the indication, the test performed, the recorded results, and the interpretation. The service has professional and technical components: report modifier 26 for the interpretation, modifier TC for equipment and staff, or no component modifier for the global service. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% multiple-procedure reduction.
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.
How Iowa compares for 51741
Across 109 of 109 payment localities, the office rate for 51741 runs from $13.65 in Arkansas to $19.36 in San Benito County, CA. Iowa pays $14.02. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Iowa · this page$14.02
- Los Angeles, CA · California$16.85+$2.83
- Washington, DC area · District of Columbia$17.33+$3.31
- Miami, FL · Florida$17.25+$3.23
- Chicago, IL · Illinois$16.75+$2.73
- Manhattan, NY · New York$17.72+$3.70
- Alaska · Alaska$18.32+$4.30
Other areas in Iowa first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $13.84 | — |
| ArkansasArkansas | $13.65 | — |
| ArizonaArizona | $14.95 | — |
| Bakersfield, CACalifornia | $15.91 | — |
| Chico, CACalifornia | $15.83 | — |
| El Centro, CACalifornia | $15.83 | — |
| Fresno, CACalifornia | $15.83 | — |
| Hanford, CACalifornia | $15.83 | — |
| Madera, CACalifornia | $15.83 | — |
| Merced, CACalifornia | $15.83 | — |
| Modesto, CACalifornia | $15.83 | — |
| Napa, CACalifornia | $17.99 | — |
| Oxnard, CACalifornia | $16.73 | — |
| Redding, CACalifornia | $15.83 | — |
| Rest of CaliforniaCalifornia | $15.83 | — |
| Riverside, CACalifornia | $16.15 | — |
| Sacramento, CACalifornia | $16.52 | — |
| Salinas, CACalifornia | $16.46 | — |
| San Diego, CACalifornia | $16.78 | — |
| Marin County, CACalifornia | $18.92 | — |
| San Francisco, CACalifornia | $18.89 | — |
| San Benito County, CACalifornia | $19.36 | — |
| Santa Clara County, CACalifornia | $19.22 | — |
| San Luis Obispo, CACalifornia | $16.20 | — |
| Santa Cruz, CACalifornia | $16.89 | — |
| Santa Maria, CACalifornia | $16.50 | — |
| Santa Rosa, CACalifornia | $17.05 | — |
| Stockton, CACalifornia | $15.83 | — |
| Vallejo, CACalifornia | $17.94 | — |
| Visalia, CACalifornia | $15.83 | — |
| Yuba City, CACalifornia | $15.83 | — |
| ColoradoColorado | $15.77 | — |
| ConnecticutConnecticut | $16.36 | — |
| DelawareDelaware | $15.19 | — |
| Fort Lauderdale, FLFlorida | $16.29 | — |
| Rest of FloridaFlorida | $15.49 | — |
| Atlanta, GAGeorgia | $15.72 | — |
| Rest of GeorgiaGeorgia | $14.62 | — |
| Hawaii, Guam, HIHawaii | $16.13 | — |
| IdahoIdaho | $14.14 | — |
| East St. Louis, ILIllinois | $15.69 | — |
| Rest of IllinoisIllinois | $15.17 | — |
| Suburban Chicago, ILIllinois | $16.41 | — |
| IndianaIndiana | $14.22 | — |
| KansasKansas | $14.03 | — |
| KentuckyKentucky | $14.32 | — |
| New Orleans, LALouisiana | $14.99 | — |
| Rest of LouisianaLouisiana | $14.32 | — |
| Metropolitan Boston, MAMassachusetts | $17.17 | — |
| Rest of MassachusettsMassachusetts | $15.71 | — |
| Baltimore area, MDMaryland | $16.33 | — |
| Rest of MarylandMaryland | $15.44 | — |
| Rest of MaineMaine | $14.29 | — |
| Southern Maine, MEMaine | $14.92 | — |
| Detroit, MIMichigan | $15.75 | — |
| Rest of MichiganMichigan | $14.74 | — |
| MinnesotaMinnesota | $14.91 | — |
| Metropolitan Kansas City, MOMissouri | $14.81 | — |
| Metropolitan St. Louis, MOMissouri | $14.95 | — |
| Rest of MissouriMissouri | $14.14 | — |
| MississippiMississippi | $13.90 | — |
| MontanaMontana | $15.36 | — |
| North CarolinaNorth Carolina | $14.42 | — |
| North DakotaNorth Dakota | $14.77 | — |
| NebraskaNebraska | $14.07 | — |
| New HampshireNew Hampshire | $15.60 | — |
| Northern New JerseyNew Jersey | $17.18 | — |
| Rest of New JerseyNew Jersey | $16.49 | — |
| New MexicoNew Mexico | $14.85 | — |
| NevadaNevada | $15.21 | — |
| NYC suburbs and Long Island, NYNew York | $18.23 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $16.66 | — |
| Queens, NYNew York | $17.75 | — |
| Rest of New YorkNew York | $14.63 | — |
| OhioOhio | $14.62 | — |
| OklahomaOklahoma | $14.21 | — |
| Portland, OROregon | $16.16 | — |
| Rest of OregonOregon | $15.03 | — |
| Metropolitan Philadelphia, PAPennsylvania | $16.02 | — |
| Rest of PennsylvaniaPennsylvania | $14.60 | — |
| Puerto RicoPuerto Rico | $15.44 | — |
| Rhode IslandRhode Island | $15.65 | — |
| South CarolinaSouth Carolina | $14.55 | — |
| South DakotaSouth Dakota | $14.70 | — |
| TennesseeTennessee | $14.11 | — |
| Austin, TXTexas | $15.77 | — |
| Beaumont, TXTexas | $14.51 | — |
| Brazoria, TXTexas | $15.11 | — |
| Dallas, TXTexas | $15.24 | — |
| Fort Worth, TXTexas | $15.16 | — |
| Galveston, TXTexas | $15.18 | — |
| Houston, TXTexas | $15.73 | — |
| Rest of TexasTexas | $14.82 | — |
| UtahUtah | $14.74 | — |
| VirginiaVirginia | $14.92 | — |
| Virgin Islands, VIUnited States Virgin Islands | $15.44 | — |
| VermontVermont | $14.78 | — |
| Rest of WashingtonWashington | $15.66 | — |
| King County, WAWashington | $17.44 | — |
| WisconsinWisconsin | $14.31 | — |
| West VirginiaWest Virginia | $14.66 | — |
| WyomingWyoming | $15.10 | — |
51741 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.
$13.65
$18.32
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $18.32 | 1 |
| AL | $13.84 | 1 |
| AR | $13.65 | 1 |
| AZ | $14.95 | 1 |
| CA | $15.83–$19.36 | 29 |
| CO | $15.77 | 1 |
| CT | $16.36 | 1 |
| DC | $17.33 | 1 |
| DE | $15.19 | 1 |
| FL | $15.49–$17.25 | 3 |
| GA | $14.62–$15.72 | 2 |
| GU | $16.13 | 1 |
| HI | $16.13 | 1 |
| IA | $14.02 | 1 |
| ID | $14.14 | 1 |
| IL | $15.17–$16.75 | 4 |
| IN | $14.22 | 1 |
| KS | $14.03 | 1 |
| KY | $14.32 | 1 |
| LA | $14.32–$14.99 | 2 |
| MA | $15.71–$17.17 | 2 |
| MD | $15.44–$17.33 | 3 |
| ME | $14.29–$14.92 | 2 |
| MI | $14.74–$15.75 | 2 |
| MN | $14.91 | 1 |
| MO | $14.14–$14.95 | 3 |
| MS | $13.90 | 1 |
| MT | $15.36 | 1 |
| NC | $14.42 | 1 |
| ND | $14.77 | 1 |
| NE | $14.07 | 1 |
| NH | $15.60 | 1 |
| NJ | $16.49–$17.18 | 2 |
| NM | $14.85 | 1 |
| NV | $15.21 | 1 |
| NY | $14.63–$18.23 | 5 |
| OH | $14.62 | 1 |
| OK | $14.21 | 1 |
| OR | $15.03–$16.16 | 2 |
| PA | $14.60–$16.02 | 2 |
| PR | $15.44 | 1 |
| RI | $15.65 | 1 |
| SC | $14.55 | 1 |
| SD | $14.70 | 1 |
| TN | $14.11 | 1 |
| TX | $14.51–$15.77 | 8 |
| UT | $14.74 | 1 |
| VA | $14.92–$17.33 | 2 |
| VI | $15.44 | 1 |
| VT | $14.78 | 1 |
| WA | $15.66–$17.44 | 2 |
| WI | $14.31 | 1 |
| WV | $14.66 | 1 |
| WY | $15.10 | 1 |
How the 51741 rate is calculated
Each of 51741’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 · 51741
RVUs × geographic indexes × conversion factor
Work0.17
0.17 RVUs× 1.000 GPCI
Practice expense0.26
0.26 RVUs× 1.000 GPCI
Malpractice0.03
0.03 RVUs× 1.000 GPCI
Adjusted RVUs
0.4600
Conversion factor
$33.4009
Medicare rate
$15.36
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Iowa inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,072
- Code
- 51741
- Physician work
- 0.17
- Practice expense
- 0.26
- Malpractice
- 0.03
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.17 | × 1.000 | 0.1700 |
| Practice expense | 0.26 | × 0.915 | 0.2379 |
| Malpractice | 0.03 | × 0.397 | 0.0119 |
| Total RVUs | 0.4198 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Iowa$14.02
Office: (0.17 × 1 + 0.26 × 0.915 + 0.03 × 0.397) × $33.4009 = $14.02
Payment rules and modifiers for 51741
The CMS indicators that decide how 51741 is paid alongside other services.
CMS payment indicators · 51741
Uroflowmetry, complex electronic flow study
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
51741 without 26 · national office
$15.36
Uroflowmetry, complex electronic flow study
51741-26 · Professional component
$8.68
Pays only the interpretation and report.
How 51741 has changed in Iowa
51741 · Office / nonfacility
$14.02
Effective 2026-10-01
The base rate is $1.29 higher than on 2025-10-01, moving from $12.73 to $14.02 (10.1%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$12.73changed to$14.02
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.23 changed to 0.26
- Practice expense GPCI 0.913 changed to 0.915
- Malpractice GPCI 0.457 changed to 0.397
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$13.11changed to$12.73
- Conversion factor 33.2875 changed to 32.3465
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$12.89changed to$13.11
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$12.99changed to$12.89
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.22 changed to 0.23
- Practice expense GPCI 0.910 changed to 0.913
- Malpractice GPCI 0.441 changed to 0.457
January 1, 2023
RVU23A
$12.92changed to$12.99
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.21 changed to 0.22
- Practice expense GPCI 0.907 changed to 0.910
- Malpractice GPCI 0.425 changed to 0.441
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$13.02changed to$12.92
- Conversion factor 34.8931 changed to 34.6062
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$13.47changed to$13.02
- Conversion factor 36.0896 changed to 34.8931
- Malpractice GPCI 0.424 changed to 0.425
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$13.62changed to$13.47
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.22 changed to 0.21
- Malpractice RVU 0.02 changed to 0.03
- Malpractice GPCI 0.423 changed to 0.424
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$14.91changed to$13.62
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.26 changed to 0.22
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$14.85changed to$14.91
- Conversion factor 35.8887 changed to 35.9996
- Practice expense GPCI 0.902 changed to 0.907
- Malpractice GPCI 0.458 changed to 0.423
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$14.78changed to$14.85
- Conversion factor 35.8043 changed to 35.8887
- Practice expense GPCI 0.896 changed to 0.902
- Malpractice GPCI 0.493 changed to 0.458
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$14.83changed to$14.78
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$14.76changed to$14.83
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$14.42changed to$14.76
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 0.25 changed to 0.26
- Practice expense GPCI 0.892 changed to 0.896
- Malpractice GPCI 0.475 changed to 0.493
Held through RVU15B.
January 1, 2014
RVU14A
$14.24changed to$14.42
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.27 changed to 0.25
- Practice expense GPCI 0.887 changed to 0.892
- Malpractice GPCI 0.456 changed to 0.475
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $14.24
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $14.02 | Not available in this setting | RVU26D |
| 2026-07-01 | $14.02 | Not available in this setting | RVU26C |
| 2026-04-01 | $14.02 | Not available in this setting | RVU26B |
| 2026-01-01 | $14.02 | Not available in this setting | RVU26A |
| 2025-10-01 | $12.73 | Not available in this setting | RVU25D |
| 2025-07-01 | $12.73 | Not available in this setting | RVU25C |
| 2025-04-01 | $12.73 | Not available in this setting | RVU25B |
| 2025-01-01 | $12.73 | Not available in this setting | RVU25A |
| 2024-10-01 | $13.11 | Not available in this setting | RVU24D |
| 2024-07-01 | $13.11 | Not available in this setting | RVU24C |
| 2024-04-01 | $13.11 | Not available in this setting | RVU24B |
| 2024-03-09 | $13.11 | Not available in this setting | RVU24AR |
| 2024-01-01 | $12.89 | Not available in this setting | RVU24A |
| 2023-10-01 | $12.99 | Not available in this setting | RVU23D |
| 2023-07-01 | $12.99 | Not available in this setting | RVU23C |
| 2023-04-01 | $12.99 | Not available in this setting | RVU23B |
| 2023-01-01 | $12.99 | Not available in this setting | RVU23A |
| 2022-10-01 | $12.92 | Not available in this setting | RVU22D |
| 2022-07-01 | $12.92 | Not available in this setting | RVU22C |
| 2022-04-01 | $12.92 | Not available in this setting | RVU22B |
| 2022-01-01 | $12.92 | Not available in this setting | RVU22A |
| 2021-10-01 | $13.02 | Not available in this setting | RVU21D |
| 2021-07-01 | $13.02 | Not available in this setting | RVU21C |
| 2021-04-01 | $13.02 | Not available in this setting | RVU21B |
| 2021-01-01 | $13.02 | Not available in this setting | RVU21A |
| 2020-10-01 | $13.47 | Not available in this setting | RVU20D |
| 2020-07-01 | $13.47 | Not available in this setting | RVU20C |
| 2020-04-01 | $13.47 | Not available in this setting | RVU20B |
| 2020-01-01 | $13.47 | Not available in this setting | RVU20A |
| 2019-10-01 | $13.62 | Not available in this setting | RVU19D |
| 2019-07-01 | $13.62 | Not available in this setting | RVU19C |
| 2019-04-01 | $13.62 | Not available in this setting | RVU19B |
| 2019-01-01 | $13.62 | Not available in this setting | RVU19A |
| 2018-10-01 | $14.91 | Not available in this setting | RVU18D |
| 2018-07-01 | $14.91 | Not available in this setting | RVU18C |
| 2018-04-01 | $14.91 | Not available in this setting | RVU18B |
| 2018-01-01 | $14.91 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $14.85 | Not available in this setting | RVU17D |
| 2017-07-01 | $14.85 | Not available in this setting | RVU17C |
| 2017-04-01 | $14.85 | Not available in this setting | RVU17B |
| 2017-01-01 | $14.85 | Not available in this setting | RVU17A |
| 2016-10-01 | $14.78 | Not available in this setting | RVU16D |
| 2016-07-01 | $14.78 | Not available in this setting | RVU16C |
| 2016-04-01 | $14.78 | Not available in this setting | RVU16B |
| 2016-01-01 | $14.78 | Not available in this setting | RVU16A |
| 2015-10-01 | $14.83 | Not available in this setting | RVU15D |
| 2015-07-01 | $14.83 | Not available in this setting | RVU15C |
| 2015-04-01 | $14.76 | Not available in this setting | RVU15B |
| 2015-01-01 | $14.76 | Not available in this setting | RVU15A |
| 2014-10-01 | $14.42 | Not available in this setting | RVU14D |
| 2014-07-01 | $14.42 | Not available in this setting | RVU14C |
| 2014-04-01 | $14.42 | Not available in this setting | RVU14B |
| 2014-01-01 | $14.42 | Not available in this setting | RVU14A |
| 2013-10-01 | $14.24 | Not available in this setting | RVU13D |
| 2013-07-01 | $14.24 | Not available in this setting | RVU13C |
| 2013-04-01 | $14.24 | Not available in this setting | RVU13B |
| 2013-01-01 | $14.24 | Not available in this setting | RVU13AR |
Where the Iowa rate applies
Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.
- Ackley
- Ackworth
- Adair
- Adel
- Afton
- Agency
- Ainsworth
- Akron
51741 billing questions
When should 51741 be used instead of 51736?
Use 51741 for a calibrated electronic flow study. Use 51736 for simple uroflowmetry; the equipment and method documented should support the code selected.
Can 51741 be reported with a cystometrogram?
Uroflowmetry and cystometrography measure different aspects of urinary function and may be performed in the same urodynamic evaluation. Document each service performed and its results.
Which modifiers identify the professional and technical portions?
Modifier 26 identifies the interpretation, and modifier TC identifies the equipment and staff portion. Without either modifier, the claim represents the global service.
What documentation supports 51741?
Document the clinical reason for testing, that calibrated electronic flow measurement was performed, the recorded flow findings, and the practitioner’s interpretation.
How does the multiple-procedure rule affect 51741?
When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the other procedures are paid at 50% under the standard reduction.
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
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