How much does Medicare pay for CPT 51729?

Medicare allowed an average of $338.91 per service and paid $264.44 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $977.50, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 51729?

Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies. It was billed 42,582 times to 41,614 Medicare beneficiaries by 1,145 providers in 2024.

Does 51729 pay differently in an office than a hospital?

Yes. The allowed amount averaged $361.19 in an office setting and $126.91 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 51729 most?

Obstetrics & Gynecology, with 20,145 services from 505 clinicians. Next are Urology, Nurse Practitioner, Physician Assistant.

CPT 51729

Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies

$338.91Medicare-allowed amount per service, averaged across 42,582 services

Providers submitted

$977.50

Asking price, not received

Medicare allowed

$338.91

The fee schedule figure

Medicare paid

$264.44

Balance is patient coinsurance

Providers submitted an average of $977.50 for this code and Medicare allowed $338.91 — 2.9× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $264.44 (78%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $361.19
Hospital / facility: $126.91

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 38,533 services were billed in an office setting and 4,049 in a facility.

Services: 42,582
Beneficiaries: 41,614
Providers billing it: 1,145
Total allowed: $14,431,466

What Medicare pays for CPT 51729

Across 42,582 services billed by 1,145 providers to 41,614 beneficiaries, Medicare allowed an average of $338.91 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 51729

Specialty	Services	Beneficiaries	Avg allowed	Providers
Obstetrics & Gynecology	20,145	19,844	$332.64	505
Urology	17,044	16,495	$362.57	448
Nurse Practitioner	3,198	3,173	$269.87	118
Physician Assistant	1,430	1,418	$291.83	57
Undefined Physician type	244	243	$411.56	6
Internal Medicine	209	133	$420.90	2
Ambulatory Surgical Center	123	121	$170.68	5
Certified Nurse Midwife	79	79	$367.13	1
Gynecological Oncology	67	66	$356.09	1
General Surgery	25	24	$113.31	1
Certified Clinical Nurse Specialist	18	18	$293.77	1

51729 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
Florida	6,126	$350.81	$274.04	136
New York	5,243	$422.81	$278.03	93
California	4,200	$371.45	$258.22	98
Texas	2,315	$350.63	$276.96	57
Arizona	1,873	$349.44	$280.62	50
New Jersey	1,700	$394.09	$277.06	49
Illinois	1,501	$290.78	$226.77	46
North Carolina	1,390	$302.49	$245.82	46
Pennsylvania	1,365	$318.68	$238.66	38
Ohio	1,243	$264.35	$213.03	45
Maryland	1,161	$342.21	$245.82	29
South Carolina	1,092	$333.07	$272.31	21
Georgia	1,046	$329.71	$264.80	30
Massachusetts	1,008	$355.45	$242.92	29
Virginia	980	$320.85	$252.18	34
Mississippi	966	$253.57	$219.59	19
Michigan	881	$281.59	$222.60	36
Tennessee	756	$331.59	$281.64	19
Oklahoma	683	$335.33	$285.08	14
Colorado	590	$261.17	$196.78	18
Missouri	561	$337.48	$272.59	16
Indiana	527	$296.43	$244.51	20
Oregon	517	$228.92	$158.75	16
Washington	480	$336.57	$238.57	16
Connecticut	450	$331.49	$233.80	15
Alabama	381	$329.08	$286.38	13
Kentucky	372	$316.58	$269.25	17
Wisconsin	368	$213.69	$168.54	17
Kansas	230	$335.06	$267.82	7
Nevada	224	$345.76	$282.08	6
Iowa	219	$252.05	$210.53	9
Louisiana	208	$342.74	$296.83	10
Minnesota	207	$335.01	$259.82	11
South Dakota	186	$115.15	$90.74	3
Nebraska	176	$315.98	$258.89	5
Arkansas	157	$315.70	$284.90	6
Delaware	148	$115.36	$90.88	6
West Virginia	135	$210.56	$172.26	7
Hawaii	118	$397.27	$294.59	3
Rhode Island	117	$121.37	$90.63	7
Utah	102	$250.40	$202.36	5
Maine	98	$252.92	$202.28	4
Idaho	96	$111.23	$82.15	3
New Hampshire	85	$195.06	$125.58	2
New Mexico	70	$175.78	$137.66	4
Montana	62	$177.48	$127.08	2
Puerto Rico	47	$377.46	$289.05	3
District of Columbia	47	$425.89	$295.65	2
North Dakota	38	$315.67	$244.94	1
Wyoming	26	$312.74	$247.28	1
Alaska	11	$433.94	$280.67	1

Related codes

51798Ultrasound measurement of bladder capacity after voiding$11.33
51741Electronic assessment of bladder emptying$10.90
51702Simple insertion of temporary bladder tube$56.08
51700Simple bladder irrigation and/or instillation$62.89
51784Non-needle measurement and recording of electrical activity of muscles$32.26
51701Insertion of temporary bladder tube$41.58
51797Insertion of device into abdomen$155.21
51720Instillation of anti-cancer drug into bladder$79.02
51728Complex measurement of pressure of urine flow in bladder$308.93
51705Simple change of bladder tube$86.83
51703Complicated insertion of bladder tube$133.52
51725Simple measurement of pressure of urine flow in bladder$165.67

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.