CPT code 91125: Anorectal testing, manometry with sensory testing2026 Medicare rate & RVUs in Delaware

In Delaware, Medicare pays $344.23 for 91125 in the office.

Check a contract rate as a % of Medicare · 91125 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 91125 covers

This study assesses anorectal function using a pressure-sensing catheter and rectal balloon testing. It evaluates anal sphincter pressures and coordination along with rectal sensory responses and the ability to expel a balloon. Gastroenterologists, colorectal specialists, and motility teams commonly perform it in an outpatient motility laboratory for patients with persistent constipation, suspected outlet dysfunction, or fecal incontinence.

Report 91125 when the service includes the combined anorectal manometry, sensory assessment, and balloon expulsion evaluation; document the test elements performed and relevant findings. The global service includes the professional interpretation and the technical work, equipment, and staff. When those portions are billed separately, modifier 26 identifies the interpretation and modifier TC identifies the technical 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 Delaware compares for 91125

Across 109 of 109 payment localities, the office rate for 91125 runs from $309.15 in Arkansas to $465.82 in San Benito County, CA. Delaware pays $344.23. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

91125 rates by state

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

See 91125 in every payment locality

How the 91125 rate is calculated

Each of 91125’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 91125

The CMS indicators that decide how 91125 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

Codes related to 91125

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

How 91125 has changed in Delaware

Price 91125 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

• Arden
• Ardencroft
• Ardentown
• Bear
• Bellefonte
• Bethany Beach
• Bethel
• Blades

Browse all communities in Delaware

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