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Muscle Function Test Of The Anal Or Urethral Sphincter

Georgia rates for HCPCS 51784

Sensors placed at the skin surface, rather than a needle, measure the electrical activity of the muscle that controls the anus or the urethra, helping evaluate problems with bladder or bowel control. It is a non-needle alternative to a more invasive version of the same type of test.

Rates data updated July 2026.

How much does Muscle Function Test Of The Anal Or Urethral Sphincter cost?

$89.13

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $89.13 for this service. The price depends on where it is billed: about $87.10 from a physician practice, and about $562 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$87.10$67.61 to $186
FacilityA hospital or hospital-owned outpatient department$562$234 to $891

How much rates vary

Facilitymedian $562 · 10th to 90th $68 to $1,259Professionalmedian $87 · 10th to 90th $59 to $295
$50$100$200$500$1K$2Kfacility $562professional $87

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$562.34
Typical High
$891.25
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$38.02
Median
$117.49
Typical High
$144.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$77.62
Typical High
$229.09
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$36.31
Median
$45.71
Typical High
$117.49
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$25.70
Median
$33.11
Typical High
$147.91
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$43.65
Typical High
$131.83
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.02
Median
$54.95
Typical High
$72.44
Ambetter
Setting
Professional
Modifier
TC · Technical part
Typical Low
$14.79
Median
$19.50
Typical High
$28.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$7,943.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$190.55
Typical High
$338.84
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$47.86
Median
$85.11
Typical High
$134.90
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$28.18
Median
$107.15
Typical High
$204.17
CareSource
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$45.71
Typical High
$87.10
CareSource
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$46.77
Typical High
$81.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$194.98
Typical High
$363.08
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$42.66
Median
$89.13
Typical High
$141.25
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$30.90
Median
$77.62
Typical High
$199.53
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$87.10
Typical High
$478.63
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.02
Median
$48.98
Typical High
$208.93
Kaiser Permanente
Setting
Professional
Modifier
TC · Technical part
Typical Low
$30.20
Median
$38.90
Typical High
$309.03
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$64.57
Typical High
$114.82
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$1,348.96
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$144.54
Typical High
$323.59
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.02
Median
$75.86
Typical High
$120.23
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$28.18
Median
$60.26
Typical High
$194.98

Where Georgia sits

The same service costs 4.1 times more in Rhode Island than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Georgia· 33rd of 51

$89.13

RI $282TX $69.18

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.