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Muscle Function Test Of The Anal Or Urethral Sphincter

Virginia 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?

$85.11

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $85.11 for this service. The price depends on where it is billed: about $81.28 from a physician practice, and about $105 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$81.28$69.18 to $158
FacilityA hospital or hospital-owned outpatient department$105$67.61 to $224

How much rates vary

Facilitymedian $105 · 10th to 90th $42 to $871Professionalmedian $81 · 10th to 90th $60 to $245
$50$200$1K$5Kfacility $105professional $81

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
$70.79
Median
$95.50
Typical High
$1,047.13
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$38.90
Median
$42.66
Typical High
$64.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$75.86
Typical High
$234.42
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$35.48
Median
$42.66
Typical High
$91.20
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$25.70
Median
$33.11
Typical High
$154.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$87.10
Typical High
$158.49
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$36.31
Median
$48.98
Typical High
$89.13
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$27.54
Median
$38.02
Typical High
$69.18
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$70.79
Typical High
$602.56
CareFirst
Setting
Professional
Modifier
26 · Professional part
Typical Low
$36.31
Median
$40.74
Typical High
$56.23
CareFirst
Setting
Professional
Modifier
TC · Technical part
Typical Low
$30.20
Median
$30.20
Typical High
$53.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$125.89
Typical High
$302.00
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$37.15
Median
$69.18
Typical High
$120.23
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$30.20
Median
$54.95
Typical High
$177.83
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$75.86
Typical High
$95.50
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$34.67
Median
$40.74
Typical High
$53.70
Kaiser Permanente
Setting
Professional
Modifier
TC · Technical part
Typical Low
$28.84
Median
$34.67
Typical High
$43.65
Medcost
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$323.59
Typical High
$331.13
Medcost
Setting
Professional
Modifier
26 · Professional part
Typical Low
$112.20
Median
$120.23
Typical High
$138.04
Medcost
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$104.71
Typical High
$346.74
Medcost
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Sentara
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$95.50
Typical High
$275.42
Sentara
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$109.65
Typical High
$407.38
Sentara
Setting
Professional
Modifier
26 · Professional part
Typical Low
$37.15
Median
$75.86
Typical High
$125.89
Sentara
Setting
Professional
Modifier
TC · Technical part
Typical Low
$27.54
Median
$54.95
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$1,096.48
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$125.89
Typical High
$316.23
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.11
Median
$67.61
Typical High
$114.82
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$25.70
Median
$54.95
Typical High
$199.53

Where Virginia 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.

Virginia· 36th of 51

$85.11

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.