Rectal sensation test
Rectal sensation threshold testing costs range from $311 to $463 across different facilities, making it essential to verify your provider's specific charges before this diagnostic procedure.
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
Code 91120 covers a rectal sensation threshold test, which measures a patient's ability to feel sensations in the rectum using small electrical currents or balloon inflation. This procedure is typically ordered for patients with bowel control issues, chronic constipation, or suspected nerve damage affecting rectal function. The test is usually performed in outpatient settings and may require prior authorization from some insurance carriers due to its specialized nature.
No credit card required. Results in 60 seconds.
Facility rate
$463
National Medicare benchmark
Non-facility rate
$463
Office setting benchmark
Data sources
3
23 data points
Key insights for CPT 91120
Facility vs office setting
$0 differenceNon-facility setting is less expensive for this procedure
What this procedure costs across different settings
The same procedure can cost very different amounts depending on where it's performed. These are the Medicare-allowed amounts — what hospitals actually charge can be 3-10x higher.
| Setting | Medicare rate | vs lowest |
|---|---|---|
| Facility (physician office) | $463 | +49% |
| Non-facility (office) | $463 | +49% |
| Outpatient (APC) | $311 | Lowest |
Got a bill with CPT 91120?
Upload your bill and our AI compares every line item against these exact benchmark rates. Free analysis in 60 seconds — you only pay if we find savings.
About this data
Rates shown are from the 2026 Medicare Physician Fee Schedule, Hospital Outpatient Prospective Payment System (OPPS), Ambulatory Surgery Center Payment System, Clinical Laboratory Fee Schedule, Durable Medical Equipment Fee Schedule, and CMS Inpatient Prospective Payment System (DRG weights). Regional adjustments use CMS Geographic Practice Cost Indices (GPCI). Hospital charges are from CMS Hospital Price Transparency machine-readable files. All data is publicly available under federal law (45 CFR Part 180).
This data is for informational purposes only and does not constitute medical or financial advice. Actual costs depend on insurance coverage, negotiated rates, and individual circumstances.
Related procedures
Related pricing data
Data: Medicare Physician Fee Schedule, CMS Inpatient PPS (IPPS), Outpatient PPS (OPPS), ASC Payment System, Clinical Lab Fee Schedule (CLFS), National Average Drug Acquisition Cost (NADAC). FY 2024 data. All publicly available from CMS.
Methodology: Facility rate applies when the procedure is performed in a hospital or ASC. Non-facility rate applies in a physician office. GPCI adjustments reflect regional cost-of-living differences.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use