CPT 91030

Esophagus Acid Perfusion Test Esophagitis

CPT 91030 pays $162.66 in a non-facility setting and $162.66 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $143.34 in Arkansas to $187.82 in District of Columbia, a 31% spread.

National non-facility rate

$162.66

Office and other outpatient settings

Facility rate
$162.66

Hospital and ASC settings

Highest state
$187.82

District of Columbia

Lowest state
$143.34

Arkansas · 31% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $162.66
CPT 91030 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $162.66, national facility $162.66.
StateRate compared visuallyNon-facilityFacility
District of Columbia
$187.82$187.82
California
$187.02$187.02
Alaska
$185.31$185.31
Washington
$181.62$181.62
New Jersey
$180.87$180.87
Hawaii
$179.94$179.94
New York
$179.85$179.85
Massachusetts
$179.46$179.46
Connecticut
$173.72$173.72
Colorado
$171.05$171.05
Oregon
$169.46$169.46
Maryland
$168.76$168.76
New Hampshire
$167.84$167.84
Rhode Island
$167.38$167.38
Minnesota
$165.29$165.29
Florida
$164.68$164.68
Puerto Rico
$164.08$164.08
Virgin Islands
$164.08$164.08
Montana
$162.66$162.66
Nevada
$162.51$162.51
Wyoming
$162.23$162.23
North Dakota
$161.67$161.67
South Dakota
$161.55$161.55
Delaware
$161.07$161.07
Texas
$160.67$160.67
Vermont
$160.52$160.52
Pennsylvania
$160.35$160.35
Virginia
$159.94$159.94
Illinois
$159.86$159.86
Arizona
$158.35$158.35
Georgia
$157.00$157.00
Maine
$156.20$156.20
Wisconsin
$155.99$155.99
Michigan
$155.34$155.34
Utah
$154.62$154.62
North Carolina
$153.26$153.26
South Carolina
$152.44$152.44
Indiana
$152.22$152.22
New Mexico
$152.10$152.10
Missouri
$151.83$151.83
Nebraska
$151.52$151.52
Louisiana
$151.32$151.32
Idaho
$151.28$151.28
Ohio
$151.26$151.26
Iowa
$150.50$150.50
Tennessee
$149.94$149.94
Kansas
$149.23$149.23
Oklahoma
$148.24$148.24
Kentucky
$147.95$147.95
West Virginia
$146.19$146.19
Alabama
$145.53$145.53
Mississippi
$143.98$143.98
Arkansas
$143.34$143.34

Billed by 1 specialties

Commercial rates for 91030

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates