CPT code 91010: Esophageal manometry, standard pressure study2026 Medicare rate & RVUs in Alabama
Esophageal manometry records pressure patterns during swallowing to evaluate dysphagia, suspected motility disorders, and esophageal function before selected procedures.
In Alabama, Medicare pays $219.39 for 91010 in the office.
Check a contract rate as a % of Medicare · 91010 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 91010 covers
Esophageal manometry uses a pressure-sensing catheter passed through the nose into the esophagus to record pressure changes during swallowing. The study evaluates coordinated esophageal contractions and lower esophageal sphincter function, often for dysphagia, suspected achalasia, or other motility disorders. Gastroenterology practices typically perform it in an outpatient motility lab or endoscopy setting, with a clinician interpreting the recorded study and producing a report.
Report the study when standard pressure measurements are performed; document the indication, procedure details, findings, and interpretation. The global service includes both the technical work and interpretation; modifier 26 identifies the professional interpretation, while modifier TC identifies equipment and staff. Same-day preoperative and postoperative care is included in the 0-day global period. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documented medical necessity; co-surgeon and team-surgery billing are not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How Alabama compares for 91010
Across 109 of 109 payment localities, the office rate for 91010 runs from $216.02 in Arkansas to $337.90 in San Benito County, CA. Alabama pays $219.39. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Alabama · this page$219.39
- Los Angeles, CA · California$283.33+$63.94
- Washington, DC area · District of Columbia$284.22+$64.83
- Miami, FL · Florida$258.67+$39.28
- Chicago, IL · Illinois$251.02+$31.63
- Manhattan, NY · New York$282.84+$63.45
- Alaska · Alaska$278.43+$59.04
Other areas in Alabama first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | $216.02 | — |
| ArizonaArizona | $239.16 | — |
| Bakersfield, CACalifornia | $264.75 | — |
| Chico, CACalifornia | $264.45 | — |
| El Centro, CACalifornia | $264.46 | — |
| Fresno, CACalifornia | $264.45 | — |
| Hanford, CACalifornia | $264.45 | — |
| Madera, CACalifornia | $264.45 | — |
| Merced, CACalifornia | $264.45 | — |
| Modesto, CACalifornia | $264.45 | — |
| Napa, CACalifornia | $310.92 | — |
| Oxnard, CACalifornia | $282.46 | — |
| Redding, CACalifornia | $264.45 | — |
| Rest of CaliforniaCalifornia | $264.45 | — |
| Riverside, CACalifornia | $265.44 | — |
| Sacramento, CACalifornia | $278.71 | — |
| Salinas, CACalifornia | $277.70 | — |
| San Diego, CACalifornia | $285.12 | — |
| Marin County, CACalifornia | $330.61 | — |
| San Francisco, CACalifornia | $330.51 | — |
| San Benito County, CACalifornia | $337.90 | — |
| Santa Clara County, CACalifornia | $337.49 | — |
| San Luis Obispo, CACalifornia | $273.09 | — |
| Santa Cruz, CACalifornia | $288.54 | — |
| Santa Maria, CACalifornia | $278.98 | — |
| Santa Rosa, CACalifornia | $291.53 | — |
| Stockton, CACalifornia | $264.45 | — |
| Vallejo, CACalifornia | $310.78 | — |
| Visalia, CACalifornia | $264.45 | — |
| Yuba City, CACalifornia | $264.45 | — |
| ColoradoColorado | $258.54 | — |
| ConnecticutConnecticut | $262.78 | — |
| DelawareDelaware | $243.32 | — |
| Fort Lauderdale, FLFlorida | $250.87 | — |
| Rest of FloridaFlorida | $238.50 | — |
| Atlanta, GAGeorgia | $249.78 | — |
| Rest of GeorgiaGeorgia | $224.69 | — |
| Hawaii, Guam, HIHawaii | $272.11 | — |
| IowaIowa | $226.93 | — |
| IdahoIdaho | $228.16 | — |
| East St. Louis, ILIllinois | $232.79 | — |
| Rest of IllinoisIllinois | $230.03 | — |
| Suburban Chicago, ILIllinois | $253.87 | — |
| IndianaIndiana | $229.61 | — |
| KansasKansas | $225.04 | — |
| KentuckyKentucky | $223.26 | — |
| New Orleans, LALouisiana | $234.38 | — |
| Rest of LouisianaLouisiana | $222.58 | — |
| Metropolitan Boston, MAMassachusetts | $286.22 | — |
| Rest of MassachusettsMassachusetts | $256.55 | — |
| Baltimore area, MDMaryland | $261.89 | — |
| Rest of MarylandMaryland | $248.41 | — |
| Rest of MaineMaine | $228.61 | — |
| Southern Maine, MEMaine | $242.91 | — |
| Detroit, MIMichigan | $240.86 | — |
| Rest of MichiganMichigan | $228.73 | — |
| MinnesotaMinnesota | $249.55 | — |
| Metropolitan Kansas City, MOMissouri | $233.50 | — |
| Metropolitan St. Louis, MOMissouri | $236.19 | — |
| Rest of MissouriMissouri | $218.00 | — |
| MississippiMississippi | $217.10 | — |
| MontanaMontana | $245.82 | — |
| North CarolinaNorth Carolina | $231.27 | — |
| North DakotaNorth Dakota | $244.05 | — |
| NebraskaNebraska | $228.48 | — |
| New HampshireNew Hampshire | $253.70 | — |
| Northern New JerseyNew Jersey | $280.84 | — |
| Rest of New JerseyNew Jersey | $266.29 | — |
| New MexicoNew Mexico | $229.75 | — |
| NevadaNevada | $245.53 | — |
| NYC suburbs and Long Island, NYNew York | $289.08 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $267.44 | — |
| Queens, NYNew York | $286.43 | — |
| Rest of New YorkNew York | $234.88 | — |
| OhioOhio | $228.36 | — |
| OklahomaOklahoma | $223.65 | — |
| Portland, OROregon | $268.05 | — |
| Rest of OregonOregon | $244.13 | — |
| Metropolitan Philadelphia, PAPennsylvania | $255.41 | — |
| Rest of PennsylvaniaPennsylvania | $229.18 | — |
| Puerto RicoPuerto Rico | $248.00 | — |
| Rhode IslandRhode Island | $252.93 | — |
| South CarolinaSouth Carolina | $230.10 | — |
| South DakotaSouth Dakota | $243.83 | — |
| TennesseeTennessee | $226.14 | — |
| Austin, TXTexas | $257.23 | — |
| Beaumont, TXTexas | $227.52 | — |
| Brazoria, TXTexas | $243.69 | — |
| Dallas, TXTexas | $244.98 | — |
| Fort Worth, TXTexas | $243.00 | — |
| Galveston, TXTexas | $244.24 | — |
| Houston, TXTexas | $245.89 | — |
| Rest of TexasTexas | $235.28 | — |
| UtahUtah | $233.46 | — |
| VirginiaVirginia | $241.53 | — |
| Virgin Islands, VIUnited States Virgin Islands | $248.00 | — |
| VermontVermont | $242.33 | — |
| Rest of WashingtonWashington | $256.31 | — |
| King County, WAWashington | $293.01 | — |
| WisconsinWisconsin | $235.31 | — |
| West VirginiaWest Virginia | $220.79 | — |
| WyomingWyoming | $245.05 | — |
91010 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$216.02
$301.17
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $278.43 | 1 |
| AL | $219.39 | 1 |
| AR | $216.02 | 1 |
| AZ | $239.16 | 1 |
| CA | $264.45–$337.90 | 29 |
| CO | $258.54 | 1 |
| CT | $262.78 | 1 |
| DC | $284.22 | 1 |
| DE | $243.32 | 1 |
| FL | $238.50–$258.67 | 3 |
| GA | $224.69–$249.78 | 2 |
| GU | $272.11 | 1 |
| HI | $272.11 | 1 |
| IA | $226.93 | 1 |
| ID | $228.16 | 1 |
| IL | $230.03–$253.87 | 4 |
| IN | $229.61 | 1 |
| KS | $225.04 | 1 |
| KY | $223.26 | 1 |
| LA | $222.58–$234.38 | 2 |
| MA | $256.55–$286.22 | 2 |
| MD | $248.41–$284.22 | 3 |
| ME | $228.61–$242.91 | 2 |
| MI | $228.73–$240.86 | 2 |
| MN | $249.55 | 1 |
| MO | $218.00–$236.19 | 3 |
| MS | $217.10 | 1 |
| MT | $245.82 | 1 |
| NC | $231.27 | 1 |
| ND | $244.05 | 1 |
| NE | $228.48 | 1 |
| NH | $253.70 | 1 |
| NJ | $266.29–$280.84 | 2 |
| NM | $229.75 | 1 |
| NV | $245.53 | 1 |
| NY | $234.88–$289.08 | 5 |
| OH | $228.36 | 1 |
| OK | $223.65 | 1 |
| OR | $244.13–$268.05 | 2 |
| PA | $229.18–$255.41 | 2 |
| PR | $248.00 | 1 |
| RI | $252.93 | 1 |
| SC | $230.10 | 1 |
| SD | $243.83 | 1 |
| TN | $226.14 | 1 |
| TX | $227.52–$257.23 | 8 |
| UT | $233.46 | 1 |
| VA | $241.53–$284.22 | 2 |
| VI | $248.00 | 1 |
| VT | $242.33 | 1 |
| WA | $256.31–$293.01 | 2 |
| WI | $235.31 | 1 |
| WV | $220.79 | 1 |
| WY | $245.05 | 1 |
How the 91010 rate is calculated
Each of 91010’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 91010
RVUs × geographic indexes × conversion factor
Work1.25
1.25 RVUs× 1.000 GPCI
Practice expense6.02
6.02 RVUs× 1.000 GPCI
Malpractice0.09
0.09 RVUs× 1.000 GPCI
Adjusted RVUs
7.3600
Conversion factor
$33.4009
Medicare rate
$245.83
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Alabama inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
11,588
- Code
- 91010
- Physician work
- 1.25
- Practice expense
- 6.02
- Malpractice
- 0.09
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.25 | × 1.000 | 1.2500 |
| Practice expense | 6.02 | × 0.875 | 5.2675 |
| Malpractice | 0.09 | × 0.566 | 0.0509 |
| Total RVUs | 6.5684 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Alabama$219.39
Office: (1.25 × 1 + 6.02 × 0.875 + 0.09 × 0.566) × $33.4009 = $219.39
Payment rules and modifiers for 91010
The CMS indicators that decide how 91010 is paid alongside other services.
CMS payment indicators · 91010
Esophageal manometry, standard pressure study
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
91010 without 26 · national office
$245.83
Esophageal manometry, standard pressure study
91010-26 · Professional component
$67.80
Pays only the interpretation and report.
How 91010 has changed in Alabama
91010 · Office / nonfacility
$219.39
Effective 2026-10-01
The base rate is $32.77 higher than on 2025-10-01, moving from $186.62 to $219.39 (17.6%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$186.62changed to$219.39
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.28 changed to 1.25
- Practice expense RVU 5.12 changed to 6.02
- Malpractice RVU 0.07 changed to 0.09
- Practice expense GPCI 0.869 changed to 0.875
- Malpractice GPCI 0.575 changed to 0.566
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$196.58changed to$186.62
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 5.27 changed to 5.12
- Malpractice RVU 0.08 changed to 0.07
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$193.38changed to$196.58
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$202.20changed to$193.38
- Conversion factor 33.8872 changed to 32.7442
- Practice expense GPCI 0.878 changed to 0.869
- Malpractice GPCI 0.748 changed to 0.575
January 1, 2023
RVU23A
$213.11changed to$202.20
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 5.40 changed to 5.27
- Malpractice RVU 0.09 changed to 0.08
- Practice expense GPCI 0.888 changed to 0.878
- Malpractice GPCI 0.921 changed to 0.748
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$207.11changed to$213.11
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 5.17 changed to 5.40
- Malpractice RVU 0.07 changed to 0.09
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$187.48changed to$207.11
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 4.34 changed to 5.17
- Malpractice RVU 0.08 changed to 0.07
- Practice expense GPCI 0.889 changed to 0.888
- Malpractice GPCI 0.707 changed to 0.921
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$176.35changed to$187.48
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 4.01 changed to 4.34
- Malpractice RVU 0.09 changed to 0.08
- Practice expense GPCI 0.890 changed to 0.889
- Malpractice GPCI 0.492 changed to 0.707
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$164.94changed to$176.35
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 3.66 changed to 4.01
Held through RVU19B, RVU19C, RVU19D.
April 1, 2018
RVU18B
No ratechanged to$164.94
Held through RVU18C, RVU18D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $219.39 | Not available in this setting | RVU26D |
| 2026-07-01 | $219.39 | Not available in this setting | RVU26C |
| 2026-04-01 | $219.39 | Not available in this setting | RVU26B |
| 2026-01-01 | $219.39 | Not available in this setting | RVU26A |
| 2025-10-01 | $186.62 | Not available in this setting | RVU25D |
| 2025-07-01 | $186.62 | Not available in this setting | RVU25C |
| 2025-04-01 | $186.62 | Not available in this setting | RVU25B |
| 2025-01-01 | $186.62 | Not available in this setting | RVU25A |
| 2024-10-01 | $196.58 | Not available in this setting | RVU24D |
| 2024-07-01 | $196.58 | Not available in this setting | RVU24C |
| 2024-04-01 | $196.58 | Not available in this setting | RVU24B |
| 2024-03-09 | $196.58 | Not available in this setting | RVU24AR |
| 2024-01-01 | $193.38 | Not available in this setting | RVU24A |
| 2023-10-01 | $202.20 | Not available in this setting | RVU23D |
| 2023-07-01 | $202.20 | Not available in this setting | RVU23C |
| 2023-04-01 | $202.20 | Not available in this setting | RVU23B |
| 2023-01-01 | $202.20 | Not available in this setting | RVU23A |
| 2022-10-01 | $213.11 | Not available in this setting | RVU22D |
| 2022-07-01 | $213.11 | Not available in this setting | RVU22C |
| 2022-04-01 | $213.11 | Not available in this setting | RVU22B |
| 2022-01-01 | $213.11 | Not available in this setting | RVU22A |
| 2021-10-01 | $207.11 | Not available in this setting | RVU21D |
| 2021-07-01 | $207.11 | Not available in this setting | RVU21C |
| 2021-04-01 | $207.11 | Not available in this setting | RVU21B |
| 2021-01-01 | $207.11 | Not available in this setting | RVU21A |
| 2020-10-01 | $187.48 | Not available in this setting | RVU20D |
| 2020-07-01 | $187.48 | Not available in this setting | RVU20C |
| 2020-04-01 | $187.48 | Not available in this setting | RVU20B |
| 2020-01-01 | $187.48 | Not available in this setting | RVU20A |
| 2019-10-01 | $176.35 | Not available in this setting | RVU19D |
| 2019-07-01 | $176.35 | Not available in this setting | RVU19C |
| 2019-04-01 | $176.35 | Not available in this setting | RVU19B |
| 2019-01-01 | $176.35 | Not available in this setting | RVU19A |
| 2018-10-01 | $164.94 | Not available in this setting | RVU18D |
| 2018-07-01 | $164.94 | Not available in this setting | RVU18C |
| 2018-04-01 | $164.94 | Not available in this setting | RVU18B |
| 2018-01-01 | Rate data unavailable | Not available in this setting | RVU18AR1 |
| 2017-10-01 | Rate data unavailable | Not available in this setting | RVU17D |
| 2017-07-01 | Rate data unavailable | Not available in this setting | RVU17C |
| 2017-04-01 | Rate data unavailable | Not available in this setting | RVU17B |
| 2017-01-01 | Rate data unavailable | Not available in this setting | RVU17A |
| 2016-10-01 | Rate data unavailable | Not available in this setting | RVU16D |
| 2016-07-01 | Rate data unavailable | Not available in this setting | RVU16C |
| 2016-04-01 | Rate data unavailable | Not available in this setting | RVU16B |
| 2016-01-01 | Rate data unavailable | Not available in this setting | RVU16A |
| 2015-10-01 | Rate data unavailable | Not available in this setting | RVU15D |
| 2015-07-01 | Rate data unavailable | Not available in this setting | RVU15C |
| 2015-04-01 | Rate data unavailable | Not available in this setting | RVU15B |
| 2015-01-01 | Rate data unavailable | Not available in this setting | RVU15A |
| 2014-10-01 | Rate data unavailable | Not available in this setting | RVU14D |
| 2014-07-01 | Rate data unavailable | Not available in this setting | RVU14C |
| 2014-04-01 | Rate data unavailable | Not available in this setting | RVU14B |
| 2014-01-01 | Rate data unavailable | Not available in this setting | RVU14A |
| 2013-10-01 | Rate data unavailable | Not available in this setting | RVU13D |
| 2013-07-01 | Rate data unavailable | Not available in this setting | RVU13C |
| 2013-04-01 | Rate data unavailable | Not available in this setting | RVU13B |
| 2013-01-01 | Rate data unavailable | Not available in this setting | RVU13AR |
Where the Alabama rate applies
Alabama is a Medicare payment area, not a city. Our Census mapping connects it to 595 cities and communities in Alabama. Some span more than one payment area; confirm with the service ZIP.
- Abanda
- Abbeville
- Adamsville
- Addison
- Akron
- Alabaster
- Albertville
- Alexander City
91010 billing questions
When should 91010 be reported instead of 91013?
Report 91010 for a standard esophageal pressure motility study. Use 91013 as an add-on when the study includes stimulation or perfusion.
Can the interpretation and technical service be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service, including equipment and staff. Without either modifier, the claim represents the global service.
What documentation supports 91010?
Document the clinical reason for testing, the study performed, the pressure findings, and the interpreting clinician's report. The record should support that standard esophageal motility measurements were obtained.
Is modifier 50 appropriate for this code?
No. The descriptor and anatomy do not support bilateral reporting, so modifier 50 is inappropriate.
How are same-day services around the test treated?
The code has a 0-day global period, which includes same-day preoperative and postoperative care.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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