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Muscle Function Test Of The Anal Or Urethral Sphincter

North Carolina 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?

$91.20

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $91.20 for this service. The price depends on where it is billed: about $77.62 from a physician practice, and about $155 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 7 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$77.62$63.10 to $209
FacilityA hospital or hospital-owned outpatient department$155$102 to $372

How much rates vary

Facilitymedian $155 · 10th to 90th $68 to $575Professionalmedian $78 · 10th to 90th $38 to $398
$50$100$200$500$1K$2Kfacility $155professional $78

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
$102.33
Median
$346.74
Typical High
$575.44
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$36.31
Median
$60.26
Typical High
$288.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$77.62
Typical High
$398.11
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.11
Median
$56.23
Typical High
$117.49
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$25.70
Median
$34.67
Typical High
$165.96
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$37.15
Typical High
$162.18
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$39.81
Median
$53.70
Typical High
$64.57
Ambetter
Setting
Professional
Modifier
TC · Technical part
Typical Low
$19.05
Median
$20.89
Typical High
$20.89
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$44.67
Median
$120.23
Typical High
$190.55
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$33.88
Median
$181.97
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$9.77
Median
$45.71
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$173.78
Typical High
$407.38
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$40.74
Median
$83.18
Typical High
$165.96
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$30.20
Median
$85.11
Typical High
$263.03
Medcost
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$331.13
Typical High
$331.13
Medcost
Setting
Professional
Modifier
26 · Professional part
Typical Low
$112.20
Median
$138.04
Typical High
$138.04
Medcost
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$102.33
Typical High
$363.08
Medcost
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$891.25
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$138.04
Typical High
$316.23
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$34.67
Median
$72.44
Typical High
$128.82
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$25.70
Median
$61.66
Typical High
$194.98
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$2,951.21
Typical High
$2,951.21
Wellcare
Setting
Facility
Modifier
26 · Professional part
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,318.26
Typical High
$1,318.26
Wellcare
Setting
Professional
Modifier
26 · Professional part
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Wellcare
Setting
Professional
Modifier
TC · Technical part
Typical Low
$870.96
Median
$870.96
Typical High
$870.96

Where North Carolina 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.

North Carolina· 32nd of 51

$91.20

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.