Study of rectum sensitivity and function
Medicare pricing data for 1,534 providers across 48 states
Prices vary significantly by location — from $85 in North Dakota to $289 in New York. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Study of rectum sensitivity and function (HCPCS code 91122) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $206.92, but hospitals typically charge $684.59 — a 3.3x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $206.92, your out-of-pocket cost would be approximately $41.38. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.3x more than what Medicare allows for this procedure. Medicare actually pays $162.45 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $289 | $827 | 134 | 1,565 | +39.6% |
| Delaware | $276 | $502 | 2 | 32 | +33.3% |
| New Jersey | $272 | $841 | 29 | 323 | +31.5% |
| Maine | $269 | $557 | 4 | 271 | +29.9% |
| Nevada | $259 | $761 | 18 | 225 | +25.1% |
| Arizona | $249 | $709 | 29 | 603 | +20.4% |
| Florida | $245 | $659 | 187 | 2,025 | +18.5% |
| Oklahoma | $244 | $602 | 4 | 58 | +18.1% |
| Vermont | $239 | $825 | 2 | 11 | +15.7% |
| Oregon | $237 | $684 | 10 | 89 | +14.6% |
| Maryland | $228 | $553 | 45 | 336 | +10.1% |
| Rhode Island | $226 | $445 | 5 | 61 | +9.1% |
| Utah | $222 | $359 | 11 | 136 | +7.2% |
| Virginia | $220 | $539 | 47 | 473 | +6.4% |
| Texas | $216 | $554 | 132 | 1,570 | +4.6% |
| Arkansas | $211 | $481 | 5 | 101 | +2.0% |
| West Virginia | $205 | $548 | 5 | 83 | -0.8% |
| Kentucky | $203 | $556 | 13 | 82 | -1.7% |
| Colorado | $202 | $512 | 19 | 269 | -2.2% |
| California | $201 | $1,266 | 119 | 1,998 | -2.9% |
| Alabama | $198 | $328 | 28 | 231 | -4.3% |
| District of Columbia | $198 | $339 | 5 | 69 | -4.5% |
| Minnesota | $196 | $853 | 42 | 1,213 | -5.2% |
| Georgia | $193 | $547 | 62 | 645 | -6.5% |
| Nebraska | $193 | $566 | 17 | 161 | -6.7% |
| Illinois | $185 | $683 | 55 | 788 | -10.5% |
| Tennessee | $184 | $529 | 28 | 229 | -11.0% |
| Louisiana | $182 | $581 | 16 | 178 | -11.9% |
| Hawaii | $179 | $328 | 3 | 26 | -13.4% |
| Kansas | $175 | $494 | 14 | 136 | -15.6% |
| Michigan | $172 | $505 | 30 | 240 | -16.9% |
| Indiana | $171 | $459 | 25 | 161 | -17.5% |
| North Carolina | $169 | $458 | 48 | 474 | -18.3% |
| Missouri | $167 | $476 | 20 | 277 | -19.1% |
| Pennsylvania | $165 | $480 | 69 | 537 | -20.4% |
| Massachusetts | $152 | $523 | 45 | 469 | -26.6% |
| South Carolina | $144 | $423 | 17 | 61 | -30.6% |
| Ohio | $140 | $467 | 73 | 1,057 | -32.5% |
| New Hampshire | $138 | $668 | 2 | 109 | -33.2% |
| Connecticut | $133 | $551 | 20 | 168 | -35.6% |
| Mississippi | $131 | $345 | 9 | 149 | -36.8% |
| Iowa | $122 | $516 | 9 | 89 | -41.0% |
| Wisconsin | $121 | $909 | 33 | 194 | -41.7% |
| Washington | $117 | $394 | 15 | 122 | -43.5% |
| Alaska | $117 | $1,017 | 1 | 18 | -43.6% |
| South Dakota | $114 | $184 | 6 | 60 | -44.7% |
| New Mexico | $104 | $307 | 3 | 19 | -49.9% |
| North Dakota | $85 | $254 | 3 | 23 | -58.8% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber