# CPT 91022: Duodenal motility study

Medicare CPT 91022 pays $194.06 in a non-facility setting and $194.06 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $172.49 in Arkansas to $225.81 in Alaska, a 31% spread.

Web page: https://www.med-reveal.com/rates/91022-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Gastroenterology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $194.06 |
| National facility | $194.06 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $225.81 | $225.81 |
| District of Columbia | $222.65 | $222.65 |
| California | $221.23 | $221.23 |
| Washington | $215.33 | $215.33 |
| New Jersey | $214.93 | $214.93 |
| New York | $213.88 | $213.88 |
| Hawaii | $212.93 | $212.93 |
| Massachusetts | $212.93 | $212.93 |
| Connecticut | $206.65 | $206.65 |
| Colorado | $203.39 | $203.39 |
| Oregon | $201.54 | $201.54 |
| Maryland | $201.01 | $201.01 |
| New Hampshire | $199.71 | $199.71 |
| Rhode Island | $199.48 | $199.48 |
| Florida | $196.76 | $196.76 |
| Minnesota | $196.62 | $196.62 |
| Puerto Rico | $195.62 | $195.62 |
| Virgin Islands | $195.62 | $195.62 |
| Montana | $194.05 | $194.05 |
| Nevada | $193.81 | $193.81 |
| Wyoming | $193.45 | $193.45 |
| North Dakota | $192.67 | $192.67 |
| South Dakota | $192.51 | $192.51 |
| Delaware | $192.32 | $192.32 |
| Texas | $191.90 | $191.90 |
| Pennsylvania | $191.67 | $191.67 |
| Illinois | $191.46 | $191.46 |
| Vermont | $191.45 | $191.45 |
| Virginia | $190.91 | $190.91 |
| Arizona | $189.23 | $189.23 |
| Georgia | $187.92 | $187.92 |
| Maine | $186.74 | $186.74 |
| Wisconsin | $186.35 | $186.35 |
| Michigan | $186.17 | $186.17 |
| Utah | $185.12 | $185.12 |
| North Carolina | $183.50 | $183.50 |
| South Carolina | $182.69 | $182.69 |
| New Mexico | $182.50 | $182.50 |
| Indiana | $182.28 | $182.28 |
| Missouri | $182.09 | $182.09 |
| Louisiana | $181.56 | $181.56 |
| Ohio | $181.47 | $181.47 |
| Nebraska | $181.44 | $181.44 |
| Idaho | $181.23 | $181.23 |
| Iowa | $180.33 | $180.33 |
| Tennessee | $179.79 | $179.79 |
| Kansas | $178.98 | $178.98 |
| Oklahoma | $178.03 | $178.03 |
| Kentucky | $177.77 | $177.77 |
| West Virginia | $176.08 | $176.08 |
| Alabama | $174.92 | $174.92 |
| Mississippi | $173.30 | $173.30 |
| Arkansas | $172.49 | $172.49 |

## Related codes

- 91010: Esophageal motility study — https://www.med-reveal.com/rates/91010-cpt-fee-schedule
- 91013: Esophageal motility study with stimulation or perfusion (add-on) — https://www.med-reveal.com/rates/91013-cpt-fee-schedule
- 91020: Gastric motility studies — https://www.med-reveal.com/rates/91020-cpt-fee-schedule
- 91030: Esophagus, acid perfusion (Bernstein) test — https://www.med-reveal.com/rates/91030-cpt-fee-schedule
- 91034: Esophageal pH monitoring, prolonged, catheter placement — https://www.med-reveal.com/rates/91034-cpt-fee-schedule
- 91035: Esophageal pH monitoring, prolonged, mucosal attached telemetry — https://www.med-reveal.com/rates/91035-cpt-fee-schedule
- 91038: Esophageal function test, prolonged, greater than 1 hour — https://www.med-reveal.com/rates/91038-cpt-fee-schedule
- 91040: Esophageal balloon distension provocation study — https://www.med-reveal.com/rates/91040-cpt-fee-schedule

Commercial negotiated rates for 91022 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules