CPT code 91124: Rectal physiology, sensation, tone, compliance2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $892.25 for 91124 in the office.

Check a contract rate as a % of Medicare · 91124 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 91124 covers

This study evaluates how the rectum senses distention and responds to it, including rectal tone and compliance. Testing commonly uses controlled balloon distention to assess sensory responses and pressure changes. Gastroenterologists, colorectal specialists, or clinicians in a gastrointestinal motility service may perform it in an outpatient testing setting for patients with symptoms such as impaired evacuation or fecal incontinence.

Select 91124 when the documented service is the rectal sensation, tone, and compliance study, rather than a more comprehensive anorectal manometry service. The report should identify the testing performed and include the physiologic findings and interpretation. CMS recognizes separate professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff portion, and reporting without either modifier represents the global service.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Washington, DC area compares for 91124

Across 109 of 109 payment localities, the office rate for 91124 runs from $672.02 in Arkansas to $1,067.78 in San Benito County, CA. Washington, DC area pays $892.25. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

91124 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 91124 in every payment locality

How the 91124 rate is calculated

Each of 91124’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 91124

The CMS indicators that decide how 91124 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

Codes related to 91124

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 91124 has changed in Washington, DC area

Price 91124 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

Browse all communities in District of Columbia

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates