# CPT 91111: Gastrointestinal tract imaging, wireless capsule endoscopy, esophagus only

Medicare CPT 91111 pays $956.94 in a non-facility setting and $956.94 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $825.58 in Arkansas to $1,126.91 in California, a 36% spread.

Web page: https://www.med-reveal.com/rates/91111-cpt-fee-schedule
Section: Medical and Therapeutic Services

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $956.94 |
| National facility | $956.94 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| California | $1,126.91 | $1,126.91 |
| District of Columbia | $1,123.52 | $1,123.52 |
| Washington | $1,087.13 | $1,087.13 |
| Hawaii | $1,083.08 | $1,083.08 |
| New Jersey | $1,075.24 | $1,075.24 |
| Massachusetts | $1,071.86 | $1,071.86 |
| New York | $1,065.96 | $1,065.96 |
| Alaska | $1,031.06 | $1,031.06 |
| Connecticut | $1,029.17 | $1,029.17 |
| Colorado | $1,016.18 | $1,016.18 |
| Oregon | $1,006.25 | $1,006.25 |
| Maryland | $996.80 | $996.80 |
| New Hampshire | $994.69 | $994.69 |
| Rhode Island | $987.87 | $987.87 |
| Minnesota | $982.61 | $982.61 |
| Puerto Rico | $967.10 | $967.10 |
| Virgin Islands | $967.10 | $967.10 |
| Florida | $961.60 | $961.60 |
| Nevada | $957.58 | $957.58 |
| Montana | $956.93 | $956.93 |
| Wyoming | $956.50 | $956.50 |
| North Dakota | $955.94 | $955.94 |
| South Dakota | $955.83 | $955.83 |
| Vermont | $946.85 | $946.85 |
| Delaware | $945.80 | $945.80 |
| Texas | $942.63 | $942.63 |
| Virginia | $940.70 | $940.70 |
| Pennsylvania | $938.34 | $938.34 |
| Arizona | $927.99 | $927.99 |
| Illinois | $927.31 | $927.31 |
| Wisconsin | $916.89 | $916.89 |
| Maine | $915.11 | $915.11 |
| Georgia | $914.71 | $914.71 |
| Utah | $901.21 | $901.21 |
| Michigan | $901.14 | $901.14 |
| North Carolina | $894.30 | $894.30 |
| Indiana | $888.49 | $888.49 |
| South Carolina | $886.32 | $886.32 |
| Nebraska | $884.60 | $884.60 |
| Idaho | $881.99 | $881.99 |
| Missouri | $880.68 | $880.68 |
| New Mexico | $880.42 | $880.42 |
| Iowa | $877.23 | $877.23 |
| Louisiana | $876.46 | $876.46 |
| Ohio | $876.40 | $876.40 |
| Tennessee | $871.91 | $871.91 |
| Kansas | $867.22 | $867.22 |
| Oklahoma | $857.49 | $857.49 |
| Kentucky | $854.02 | $854.02 |
| Alabama | $840.48 | $840.48 |
| West Virginia | $836.37 | $836.37 |
| Mississippi | $827.80 | $827.80 |
| Arkansas | $825.58 | $825.58 |

## 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 91111 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