# CPT 91065: Breath hydrogen or methane test

Medicare CPT 91065 pays $64.46 in a non-facility setting and $64.46 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $56.09 in Arkansas to $75.07 in District of Columbia, a 34% spread.

Web page: https://www.med-reveal.com/rates/91065-cpt-fee-schedule
Section: Medical and Therapeutic Services

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $64.46 |
| National facility | $64.46 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $75.07 | $75.07 |
| California | $74.86 | $74.86 |
| Washington | $72.53 | $72.53 |
| New Jersey | $72.06 | $72.06 |
| Hawaii | $72.01 | $72.01 |
| New York | $71.62 | $71.62 |
| Massachusetts | $71.60 | $71.60 |
| Alaska | $71.22 | $71.22 |
| Connecticut | $69.14 | $69.14 |
| Colorado | $68.05 | $68.05 |
| Oregon | $67.39 | $67.39 |
| Maryland | $67.03 | $67.03 |
| New Hampshire | $66.72 | $66.72 |
| Rhode Island | $66.40 | $66.40 |
| Minnesota | $65.65 | $65.65 |
| Florida | $65.29 | $65.29 |
| Puerto Rico | $65.08 | $65.08 |
| Virgin Islands | $65.08 | $65.08 |
| Montana | $64.46 | $64.46 |
| Nevada | $64.41 | $64.41 |
| Wyoming | $64.29 | $64.29 |
| North Dakota | $64.07 | $64.07 |
| South Dakota | $64.02 | $64.02 |
| Delaware | $63.74 | $63.74 |
| Texas | $63.57 | $63.57 |
| Vermont | $63.56 | $63.56 |
| Pennsylvania | $63.40 | $63.40 |
| Virginia | $63.30 | $63.30 |
| Illinois | $63.17 | $63.17 |
| Arizona | $62.60 | $62.60 |
| Georgia | $61.98 | $61.98 |
| Maine | $61.67 | $61.67 |
| Wisconsin | $61.60 | $61.60 |
| Michigan | $61.25 | $61.25 |
| Utah | $60.97 | $60.97 |
| North Carolina | $60.40 | $60.40 |
| South Carolina | $60.02 | $60.02 |
| Indiana | $59.95 | $59.95 |
| New Mexico | $59.86 | $59.86 |
| Missouri | $59.75 | $59.75 |
| Nebraska | $59.65 | $59.65 |
| Idaho | $59.54 | $59.54 |
| Louisiana | $59.53 | $59.53 |
| Ohio | $59.50 | $59.50 |
| Iowa | $59.21 | $59.21 |
| Tennessee | $58.96 | $58.96 |
| Kansas | $58.65 | $58.65 |
| Oklahoma | $58.20 | $58.20 |
| Kentucky | $58.07 | $58.07 |
| West Virginia | $57.27 | $57.27 |
| Alabama | $57.03 | $57.03 |
| Mississippi | $56.35 | $56.35 |
| Arkansas | $56.09 | $56.09 |

## 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 91065 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