# CPT 91030: Esophagus, acid perfusion (Bernstein) test

Medicare 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.

Web page: https://www.med-reveal.com/rates/91030-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Gastroenterology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $162.66 |
| National facility | $162.66 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $187.82 | $187.82 |
| California | $187.02 | $187.02 |
| Alaska | $185.31 | $185.31 |
| Washington | $181.63 | $181.63 |
| 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 | $160.36 | $160.36 |
| Virginia | $159.94 | $159.94 |
| Illinois | $159.85 | $159.85 |
| 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 |

## 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
- 91022: Duodenal motility study — https://www.med-reveal.com/rates/91022-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 91030 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