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Needle Test Of The Anal Or Urethral Sphincter Muscle

Kentucky rates for HCPCS 51785

This test evaluates the muscle that controls the anal or urethral opening by inserting a very fine needle electrode directly into the muscle to record its electrical activity. It helps assess how well the sphincter muscle is functioning, which can be useful in diagnosing certain bladder or bowel control problems. This is a muscle-based electrical study rather than a test of how signals travel along a nerve.

Rates data updated July 2026.

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

$347

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $347 for this service. Most negotiated rates run $224 to $457.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $347 · 10th to 90th $191 to $562
$100$200$500$1K$2Kprofessional $347

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
26 · Professional part
Typical Low
$91.20
Median
$112.20
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$407.38
Typical High
$562.34
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$223.87
Typical High
$380.19
CareSource
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$109.65
Typical High
$134.90
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$24.55
Median
$114.82
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$457.09
Typical High
$1,905.46
Molina
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$33.11
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$338.84
Typical High
$616.60

Where Kentucky sits

The same service costs 2.9 times more in Minnesota than in Rhode Island. 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.

Kentucky· 50th of 51

$347

MN $891RI $309

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.