Billing code 51727: Urodynamic testingMedicare rate & RVUs
Report this study for complex bladder pressure testing performed with a urethral pressure profile to evaluate urinary incontinence or other voiding dysfunction.
Medicare pays $331.00 for 51727 nationally in the office. Local office rates run $291.05–$446.59.
Medicare rate · 51727
Urodynamic testing
Swap in your local Medicare rate.
- Work RVUs
- 2.06
- Total RVUs
- 9.91
- Global days
- 000
National rate · 2026
$331.00
Office setting, before claim adjustments.
See every locality for 51727 → · 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.
On this page 10 sections
What 51727 covers
This urodynamic study measures bladder pressure as the bladder fills and includes urethral pressure profile measurements. A catheter-based setup and pressure transducers collect the measurements; urologists and urogynecologists commonly perform or supervise the study in office or facility settings. It may help assess urinary incontinence, difficulty voiding, or other lower urinary tract symptoms when pressure measurements are needed to characterize function.
Select 51727 when the documented study includes complex cystometry and urethral pressure profile testing. The record should support the procedures performed and the resulting interpretation; use 51726 for complex cystometry without the profile, 51728 when voiding pressure studies are included, and 51729 when both additional study types are performed. Medicare recognizes professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and an unmodified claim represents the global service. The 0-day global period includes same-day preoperative and postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and others are subject to the stated reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires medical-necessity documentation; co-surgeons and team surgery are 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 51727 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
$291.05 to $446.59
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $295.54 | Unavailable |
| Alaska* | $377.98 | Unavailable |
| Arizona | $321.89 | Unavailable |
| Arkansas | $291.05 | Unavailable |
| Atlanta | $337.01 | Unavailable |
| Austin | $344.85 | Unavailable |
| Bakersfield | $353.25 | Unavailable |
| Baltimore/Surr. Cntys | $352.67 | Unavailable |
| Beaumont | $307.57 | Unavailable |
| Brazoria | $327.36 | Unavailable |
| Chicago | $344.00 | Unavailable |
| Chico | $352.48 | Unavailable |
| Colorado | $346.15 | Unavailable |
| Connecticut | $353.72 | Unavailable |
| Dallas | $329.37 | Unavailable |
| Dc + Md/Va Suburbs | $380.83 | Unavailable |
| Delaware | $327.43 | Unavailable |
| Detroit | $328.09 | Unavailable |
| East St. Louis | $319.53 | Unavailable |
| El Centro | $352.52 | Unavailable |
| Fort Lauderdale | $341.32 | Unavailable |
| Fort Worth | $326.95 | Unavailable |
| Fresno | $352.48 | Unavailable |
| Galveston | $328.29 | Unavailable |
| Hanford-Corcoran | $352.48 | Unavailable |
| Hawaii, Guam | $362.08 | Unavailable |
| Houston | $333.04 | Unavailable |
| Idaho | $306.15 | Unavailable |
| Indiana | $308.03 | Unavailable |
| Iowa | $304.22 | Unavailable |
| Kansas | $302.36 | Unavailable |
| Kentucky | $302.12 | Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $377.30 | Unavailable |
| Madera | $352.48 | Unavailable |
| Manhattan | $381.56 | Unavailable |
| Merced | $352.48 | Unavailable |
| Metropolitan Boston | $382.05 | Unavailable |
| Metropolitan Kansas City | $315.34 | Unavailable |
| Metropolitan Philadelphia | $344.31 | Unavailable |
| Metropolitan St. Louis | $318.85 | Unavailable |
| Miami | $354.68 | Unavailable |
| Minnesota | $332.24 | Unavailable |
| Mississippi | $293.50 | Unavailable |
| Modesto | $352.48 | Unavailable |
| Montana** | $330.99 | Unavailable |
| Napa | $411.68 | Unavailable |
| Nebraska | $306.08 | Unavailable |
| Nevada** | $329.81 | Unavailable |
| New Hampshire | $340.31 | Unavailable |
| New Mexico | $311.71 | Unavailable |
| New Orleans | $317.23 | Unavailable |
| North Carolina | $310.88 | Unavailable |
| North Dakota** | $325.84 | Unavailable |
| Northern Nj | $376.49 | Unavailable |
| Nyc Suburbs/Long Island | $390.76 | Unavailable |
| Ohio | $309.02 | Unavailable |
| Oklahoma | $301.94 | Unavailable |
| Oxnard-Thousand Oaks-Ventura | $375.79 | Unavailable |
| Portland | $358.02 | Unavailable |
| Poughkpsie/N Nyc Suburbs | $360.01 | Unavailable |
| Puerto Rico | $333.66 | Unavailable |
| Queens | $385.38 | Unavailable |
| Redding | $352.48 | Unavailable |
| Rest Of California | $352.48 | Unavailable |
| Rest Of Florida | $324.22 | Unavailable |
| Rest Of Georgia | $305.29 | Unavailable |
| Rest Of Illinois | $313.84 | Unavailable |
| Rest Of Louisiana | $301.48 | Unavailable |
| Rest Of Maine | $307.44 | Unavailable |
| Rest Of Maryland | $334.02 | Unavailable |
| Rest Of Massachusetts | $343.78 | Unavailable |
| Rest Of Michigan | $310.07 | Unavailable |
| Rest Of Missouri | $295.79 | Unavailable |
| Rest Of New Jersey | $357.92 | Unavailable |
| Rest Of New York | $315.75 | Unavailable |
| Rest Of Oregon | $327.41 | Unavailable |
| Rest Of Pennsylvania | $309.74 | Unavailable |
| Rest Of Texas | $317.23 | Unavailable |
| Rest Of Washington | $343.26 | Unavailable |
| Rhode Island | $339.74 | Unavailable |
| Riverside-San Bernardino-Ontario | $355.30 | Unavailable |
| Sacramento-Roseville-Folsom | $370.77 | Unavailable |
| Salinas | $369.41 | Unavailable |
| San Diego-Chula Vista-Carlsbad | $378.78 | Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $436.78 | Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $436.49 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $446.59 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $445.39 | Unavailable |
| San Luis Obispo-Paso Robles | $363.38 | Unavailable |
| Santa Cruz-Watsonville | $382.92 | Unavailable |
| Santa Maria-Santa Barbara | $370.98 | Unavailable |
| Santa Rosa-Petaluma | $386.84 | Unavailable |
| Seattle (King Cnty) | $390.40 | Unavailable |
| South Carolina | $310.43 | Unavailable |
| South Dakota** | $325.24 | Unavailable |
| Southern Maine | $325.52 | Unavailable |
| Stockton | $352.48 | Unavailable |
| Suburban Chicago | $345.03 | Unavailable |
| Tennessee | $303.91 | Unavailable |
| Utah | $314.91 | Unavailable |
| Vallejo | $411.26 | Unavailable |
| Vermont | $324.18 | Unavailable |
| Virgin Islands | $333.66 | Unavailable |
| Virginia | $324.14 | Unavailable |
| Visalia | $352.48 | Unavailable |
| West Virginia | $301.54 | Unavailable |
| Wisconsin | $314.35 | Unavailable |
| Wyoming** | $328.75 | Unavailable |
| Yuba City | $352.48 | Unavailable |
51727 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.
$291.05
$399.53
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 | $377.98 | 1 |
| AL | $295.54 | 1 |
| AR | $291.05 | 1 |
| AZ | $321.89 | 1 |
| CA | $352.48–$446.59 | 29 |
| CO | $346.15 | 1 |
| CT | $353.72 | 1 |
| DC | $380.83 | 1 |
| DE | $327.43 | 1 |
| FL | $324.22–$354.68 | 3 |
| GA | $305.29–$337.01 | 2 |
| GU | $362.08 | 1 |
| HI | $362.08 | 1 |
| IA | $304.22 | 1 |
| ID | $306.15 | 1 |
| IL | $313.84–$345.03 | 4 |
| IN | $308.03 | 1 |
| KS | $302.36 | 1 |
| KY | $302.12 | 1 |
| LA | $301.48–$317.23 | 2 |
| MA | $343.78–$382.05 | 2 |
| MD | $334.02–$380.83 | 3 |
| ME | $307.44–$325.52 | 2 |
| MI | $310.07–$328.09 | 2 |
| MN | $332.24 | 1 |
| MO | $295.79–$318.85 | 3 |
| MS | $293.50 | 1 |
| MT | $330.99 | 1 |
| NC | $310.88 | 1 |
| ND | $325.84 | 1 |
| NE | $306.08 | 1 |
| NH | $340.31 | 1 |
| NJ | $357.92–$376.49 | 2 |
| NM | $311.71 | 1 |
| NV | $329.81 | 1 |
| NY | $315.75–$390.76 | 5 |
| OH | $309.02 | 1 |
| OK | $301.94 | 1 |
| OR | $327.41–$358.02 | 2 |
| PA | $309.74–$344.31 | 2 |
| PR | $333.66 | 1 |
| RI | $339.74 | 1 |
| SC | $310.43 | 1 |
| SD | $325.24 | 1 |
| TN | $303.91 | 1 |
| TX | $307.57–$344.85 | 8 |
| UT | $314.91 | 1 |
| VA | $324.14–$380.83 | 2 |
| VI | $333.66 | 1 |
| VT | $324.18 | 1 |
| WA | $343.26–$390.40 | 2 |
| WI | $314.35 | 1 |
| WV | $301.54 | 1 |
| WY | $328.75 | 1 |
How the 51727 rate is calculated
Each of 51727’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 · 51727
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 2.06Practice expense 7.59Malpractice 0.26
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 51727
The CMS indicators that decide how 51727 is paid alongside other services.
CMS payment indicators · 51727
Urodynamic testing
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| 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) | 0 | Not paid without supporting documentation. |
| 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
51727 without 26 · national office
$331.00
Urodynamic testing
51727-26 · Professional component
$105.88
Pays only the interpretation and report.
51727 compared with similar codes
Compare codes
51727 vs 51726 vs 51728 vs 51729 vs 51725: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 51726Cystometrogram
- Choose 51726 for complex cystometry alone. Choose 51727 when the same study also includes a urethral pressure profile.
- 51728Urodynamic study
- 51728 includes voiding pressure studies with complex cystometry; 51727 includes a urethral pressure profile instead.
- 51729Urodynamic study
- 51729 includes both voiding pressure studies and a urethral pressure profile. 51727 includes the profile without the voiding-pressure combination.
- 51725Cystometrogram
- 51725 represents simple cystometry. 51727 is the complex study that includes urethral pressure profile testing.
51727 billing questions
How does 51727 differ from 51726?
51727 includes a urethral pressure profile with complex cystometry. Use 51726 when complex cystometry is performed without that profile.
When should 51728 or 51729 be selected instead?
Use 51728 when the study includes voiding pressure measurements. Use 51729 when it includes both voiding pressure studies and a urethral pressure profile.
Can the professional and technical portions be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service; without either modifier, the claim represents the global service.
Is modifier 50 appropriate for this study?
No. CMS identifies bilateral adjustment as inappropriate for this code.
How does Medicare treat multiple procedures in the same session?
The highest-valued procedure is paid in full, and the other procedures are subject to the multiple-procedure reduction specified by CMS.
What same-day care is included in the global service?
The 0-day global period includes same-day preoperative and postoperative care.
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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