# CPT 91040: Esophageal balloon distension provocation study

Medicare CPT 91040 pays $576.83 in a non-facility setting and $576.83 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $499.05 in Arkansas to $676.16 in California, a 35% spread.

Web page: https://www.med-reveal.com/rates/91040-cpt-fee-schedule
Section: Medical and Therapeutic Services

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $576.83 |
| National facility | $576.83 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| California | $676.16 | $676.16 |
| District of Columbia | $675.40 | $675.40 |
| Washington | $653.21 | $653.21 |
| Hawaii | $650.02 | $650.02 |
| New Jersey | $647.04 | $647.04 |
| Massachusetts | $644.31 | $644.31 |
| New York | $642.00 | $642.00 |
| Alaska | $626.76 | $626.76 |
| Connecticut | $619.80 | $619.80 |
| Colorado | $611.34 | $611.34 |
| Oregon | $605.37 | $605.37 |
| Maryland | $600.51 | $600.51 |
| New Hampshire | $598.74 | $598.74 |
| Rhode Island | $595.05 | $595.05 |
| Minnesota | $590.68 | $590.68 |
| Puerto Rico | $582.76 | $582.76 |
| Virgin Islands | $582.76 | $582.76 |
| Florida | $581.17 | $581.17 |
| Nevada | $576.93 | $576.93 |
| Montana | $576.83 | $576.83 |
| Wyoming | $576.14 | $576.14 |
| North Dakota | $575.25 | $575.25 |
| South Dakota | $575.06 | $575.06 |
| Delaware | $570.21 | $570.21 |
| Vermont | $570.09 | $570.09 |
| Texas | $568.41 | $568.41 |
| Virginia | $566.83 | $566.83 |
| Pennsylvania | $566.18 | $566.18 |
| Illinois | $561.07 | $561.07 |
| Arizona | $559.63 | $559.63 |
| Georgia | $552.45 | $552.45 |
| Wisconsin | $552.20 | $552.20 |
| Maine | $551.70 | $551.70 |
| Michigan | $544.84 | $544.84 |
| Utah | $544.02 | $544.02 |
| North Carolina | $539.53 | $539.53 |
| Indiana | $535.86 | $535.86 |
| South Carolina | $535.21 | $535.21 |
| Nebraska | $533.40 | $533.40 |
| New Mexico | $532.35 | $532.35 |
| Missouri | $532.13 | $532.13 |
| Idaho | $532.03 | $532.03 |
| Louisiana | $529.77 | $529.77 |
| Ohio | $529.66 | $529.66 |
| Iowa | $529.12 | $529.12 |
| Tennessee | $526.24 | $526.24 |
| Kansas | $523.43 | $523.43 |
| Oklahoma | $518.20 | $518.20 |
| Kentucky | $516.40 | $516.40 |
| Alabama | $507.87 | $507.87 |
| West Virginia | $506.93 | $506.93 |
| Mississippi | $500.74 | $500.74 |
| Arkansas | $499.05 | $499.05 |

## 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
- 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

Commercial negotiated rates for 91040 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