$205.39–$227.35
51725 is the simple cystometrogram using a simpler manometric method. Use 51726 when calibrated electronic equipment is used.
On this page
CMS RVU26D · Effective 2026-10-01
51726 Cystometrogram Medicare reimbursement rates in Massachusetts
Reports calibrated electronic bladder pressure testing during filling to assess bladder sensation, capacity, compliance, and involuntary contractions. Compare 51726 office and facility rates across CMS payment localities in Massachusetts.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 51726 in Massachusetts?
Massachusetts has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$281.72–$313.17
2 of 2 localities have a supported rate.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Urology diagnostics
About 51726: Complex electronic cystometrogram
Reports calibrated electronic bladder pressure testing during filling to assess bladder sensation, capacity, compliance, and involuntary contractions.
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.
CMS billing rules for 51726
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Professional and technical components
- Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.67 · 21%
- Practice expense (office) RVU6.27 · 77%
- Malpractice RVU0.17 · 2%
3K
Medicare services in 2024 · #2185 by national volume
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.
51726 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
$343.78–$382.05
51727 includes urethral pressure profile studies in addition to the complex cystometrogram; 51726 alone is the electronic cystometrogram.
$350.10–$389.24
51728 adds voiding pressure studies to the complex cystometrogram. Choose 51726 when those additional studies are not performed.
$367.14–$407.07
51729 combines the complex cystometrogram with both voiding pressure and urethral pressure profile studies; 51726 does not include those additions.
Compare 51726 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
2 of 2 payment localities
Metropolitan Boston →
Office / nonfacility
$313.17
Facility
Unavailable
Rest Of Massachusetts →
Office / nonfacility
$281.72
Facility
Unavailable
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,05451725,,Simple cystometrogram,A,,1.47,4.27,,4.27,NA,0.20,5.94,5.94,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,05551725,26,Simple cystometrogram,A,,1.47,0.63,,0.63,,0.18,2.28,2.28,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,05651725,TC,Simple cystometrogram,A,,0.00,3.64,,3.64,NA,0.02,3.66,3.66,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
6,05751726,,Complex cystometrogram,A,,1.67,6.27,,6.27,NA,0.17,8.11,8.11,1,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,05851726,26,Complex cystometrogram,A,,1.67,0.70,,0.70,,0.15,2.52,2.52,1,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,05951726,TC,Complex cystometrogram,A,,0.00,5.57,,5.57,NA,0.02,5.59,5.59,1,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
6,06051727,,Cystometrogram w/up,A,,2.06,7.59,,7.59,NA,0.26,9.91,9.91,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00