# HCPCS Q0091: Screening papanicolaou smear, obtaining/preparing/conveyance to lab

Medicare HCPCS Q0091 pays $46.09 in a non-facility setting and $15.70 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $40.94 in Arkansas to $53.80 in Alaska, a 31% spread.

Web page: https://www.med-reveal.com/rates/Q0091-hcpcs-fee-schedule
Section: Temporary, Administrative and Miscellaneous

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $46.09 |
| National facility | $15.70 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $53.80 | $21.43 |
| District of Columbia | $52.74 | $16.94 |
| California | $52.13 | $16.16 |
| New Jersey | $50.96 | $16.74 |
| Washington | $50.89 | $16.24 |
| New York | $50.85 | $16.94 |
| Massachusetts | $50.36 | $16.22 |
| Hawaii | $50.20 | $15.64 |
| Connecticut | $49.09 | $16.36 |
| Colorado | $48.13 | $15.79 |
| Maryland | $47.74 | $16.05 |
| Oregon | $47.68 | $15.66 |
| New Hampshire | $47.32 | $15.68 |
| Rhode Island | $47.30 | $15.91 |
| Florida | $47.15 | $16.65 |
| Puerto Rico | $46.44 | $15.71 |
| Virgin Islands | $46.44 | $15.71 |
| Minnesota | $46.35 | $15.07 |
| Montana | $46.09 | $15.70 |
| Nevada | $45.96 | $15.53 |
| Illinois | $45.93 | $16.56 |
| Wyoming | $45.83 | $15.44 |
| Delaware | $45.66 | $15.63 |
| Pennsylvania | $45.60 | $15.82 |
| Texas | $45.58 | $15.65 |
| North Dakota | $45.50 | $15.10 |
| South Dakota | $45.43 | $15.03 |
| Vermont | $45.27 | $15.18 |
| Virginia | $45.24 | $15.36 |
| Arizona | $44.92 | $15.47 |
| Georgia | $44.79 | $15.79 |
| Michigan | $44.49 | $15.95 |
| Maine | $44.25 | $15.21 |
| Utah | $44.01 | $15.44 |
| Wisconsin | $44.01 | $14.89 |
| New Mexico | $43.55 | $15.68 |
| North Carolina | $43.52 | $15.16 |
| South Carolina | $43.43 | $15.35 |
| Missouri | $43.35 | $15.46 |
| Louisiana | $43.27 | $15.52 |
| Ohio | $43.22 | $15.47 |
| Indiana | $43.16 | $14.99 |
| Idaho | $42.92 | $14.96 |
| Nebraska | $42.92 | $14.87 |
| Iowa | $42.68 | $14.87 |
| Tennessee | $42.62 | $14.99 |
| Kansas | $42.42 | $14.94 |
| Kentucky | $42.34 | $15.32 |
| Oklahoma | $42.33 | $15.19 |
| West Virginia | $42.19 | $15.78 |
| Alabama | $41.53 | $14.93 |
| Mississippi | $41.24 | $15.07 |
| Arkansas | $40.94 | $14.84 |

## Related codes

- A9300: Exercise equipment — https://www.med-reveal.com/rates/A9300-hcpcs-fee-schedule
- A9999: Miscellaneous DME supply or accessory, not otherwise specified — https://www.med-reveal.com/rates/A9999-hcpcs-fee-schedule
- Q0111: Wet mounts, KOH preparations — https://www.med-reveal.com/rates/Q0111-hcpcs-fee-schedule
- Q0138: Injection, ferumoxytol, non-ESRD use — https://www.med-reveal.com/rates/Q0138-hcpcs-fee-schedule
- Q4074: Iloprost, inhalation solution, FDA-approved final product, non-compounded — https://www.med-reveal.com/rates/Q4074-hcpcs-fee-schedule

Commercial negotiated rates for Q0091 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