CPT code 91013: Esophageal motility, with stimulation or perfusion2026 Medicare rate & RVUs in Nebraska
An add-on to esophageal manometry for provocation with stimulation or perfusion when assessing esophageal motor responses.
In Nebraska, Medicare pays $26.49 for 91013 in the office.
Check a contract rate as a % of Medicare · 91013 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 91013 covers
This service adds a provocative phase to esophageal manometry, using stimulation or perfusion to assess how the esophagus responds during pressure testing. A gastroenterologist or other qualified clinician typically performs it in a diagnostic endoscopy or motility lab for patients being evaluated for symptoms such as dysphagia or suspected esophageal motility disorders. The stimulation or perfusion is performed as part of the manometric evaluation, rather than as a separate general reflux-monitoring study.
Report 91013 only with the primary esophageal motility study, 91010; it is not a stand-alone service. The record should support the manometry and the additional provocative procedure performed. CMS treats 91013 as an add-on paid within the primary procedure’s global period. The diagnostic service may be billed globally without a modifier, or by component: modifier 26 identifies the professional interpretation and modifier TC identifies the technical service, including equipment and staff.
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 Nebraska compares for 91013
Across 109 of 109 payment localities, the office rate for 91013 runs from $25.12 in Arkansas to $38.64 in San Benito County, CA. Nebraska pays $26.49. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Nebraska · this page$26.49
- Los Angeles, CA · California$32.56+$6.07
- Washington, DC area · District of Columbia$32.68+$6.19
- Miami, FL · Florida$29.81+$3.32
- Chicago, IL · Illinois$28.98+$2.49
- Manhattan, NY · New York$32.54+$6.05
- Alaska · Alaska$32.68+$6.19
Other areas in Nebraska first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $25.49 | — |
| ArkansasArkansas | $25.12 | — |
| ArizonaArizona | $27.66 | — |
| Bakersfield, CACalifornia | $30.49 | — |
| Chico, CACalifornia | $30.45 | — |
| El Centro, CACalifornia | $30.46 | — |
| Fresno, CACalifornia | $30.45 | — |
| Hanford, CACalifornia | $30.45 | — |
| Madera, CACalifornia | $30.45 | — |
| Merced, CACalifornia | $30.45 | — |
| Modesto, CACalifornia | $30.45 | — |
| Napa, CACalifornia | $35.62 | — |
| Oxnard, CACalifornia | $32.45 | — |
| Redding, CACalifornia | $30.45 | — |
| Rest of CaliforniaCalifornia | $30.45 | — |
| Riverside, CACalifornia | $30.57 | — |
| Sacramento, CACalifornia | $32.05 | — |
| Salinas, CACalifornia | $31.93 | — |
| San Diego, CACalifornia | $32.74 | — |
| Marin County, CACalifornia | $37.82 | — |
| San Francisco, CACalifornia | $37.81 | — |
| San Benito County, CACalifornia | $38.64 | — |
| Santa Clara County, CACalifornia | $38.59 | — |
| San Luis Obispo, CACalifornia | $31.40 | — |
| Santa Cruz, CACalifornia | $33.10 | — |
| Santa Maria, CACalifornia | $32.06 | — |
| Santa Rosa, CACalifornia | $33.44 | — |
| Stockton, CACalifornia | $30.45 | — |
| Vallejo, CACalifornia | $35.60 | — |
| Visalia, CACalifornia | $30.45 | — |
| Yuba City, CACalifornia | $30.45 | — |
| ColoradoColorado | $29.80 | — |
| ConnecticutConnecticut | $30.28 | — |
| DelawareDelaware | $28.12 | — |
| Fort Lauderdale, FLFlorida | $28.95 | — |
| Rest of FloridaFlorida | $27.59 | — |
| Atlanta, GAGeorgia | $28.83 | — |
| Rest of GeorgiaGeorgia | $26.07 | — |
| Hawaii, Guam, HIHawaii | $31.27 | — |
| IowaIowa | $26.32 | — |
| IdahoIdaho | $26.45 | — |
| East St. Louis, ILIllinois | $26.97 | — |
| Rest of IllinoisIllinois | $26.66 | — |
| Suburban Chicago, ILIllinois | $29.29 | — |
| IndianaIndiana | $26.61 | — |
| KansasKansas | $26.11 | — |
| KentuckyKentucky | $25.92 | — |
| New Orleans, LALouisiana | $27.14 | — |
| Rest of LouisianaLouisiana | $25.84 | — |
| Metropolitan Boston, MAMassachusetts | $32.88 | — |
| Rest of MassachusettsMassachusetts | $29.59 | — |
| Baltimore area, MDMaryland | $30.18 | — |
| Rest of MarylandMaryland | $28.69 | — |
| Rest of MaineMaine | $26.50 | — |
| Southern Maine, MEMaine | $28.07 | — |
| Detroit, MIMichigan | $27.85 | — |
| Rest of MichiganMichigan | $26.52 | — |
| MinnesotaMinnesota | $28.79 | — |
| Metropolitan Kansas City, MOMissouri | $27.04 | — |
| Metropolitan St. Louis, MOMissouri | $27.33 | — |
| Rest of MissouriMissouri | $25.34 | — |
| MississippiMississippi | $25.24 | — |
| MontanaMontana | $28.39 | — |
| North CarolinaNorth Carolina | $26.79 | — |
| North DakotaNorth Dakota | $28.19 | — |
| New HampshireNew Hampshire | $29.25 | — |
| Northern New JerseyNew Jersey | $32.32 | — |
| Rest of New JerseyNew Jersey | $30.69 | — |
| New MexicoNew Mexico | $26.63 | — |
| NevadaNevada | $28.36 | — |
| NYC suburbs and Long Island, NYNew York | $33.23 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $30.83 | — |
| Queens, NYNew York | $32.94 | — |
| Rest of New YorkNew York | $27.19 | — |
| OhioOhio | $26.48 | — |
| OklahomaOklahoma | $25.96 | — |
| Portland, OROregon | $30.85 | — |
| Rest of OregonOregon | $28.20 | — |
| Metropolitan Philadelphia, PAPennsylvania | $29.47 | — |
| Rest of PennsylvaniaPennsylvania | $26.56 | — |
| Puerto RicoPuerto Rico | $28.63 | — |
| Rhode IslandRhode Island | $29.20 | — |
| South CarolinaSouth Carolina | $26.67 | — |
| South DakotaSouth Dakota | $28.17 | — |
| TennesseeTennessee | $26.23 | — |
| Austin, TXTexas | $29.64 | — |
| Beaumont, TXTexas | $26.38 | — |
| Brazoria, TXTexas | $28.17 | — |
| Dallas, TXTexas | $28.31 | — |
| Fort Worth, TXTexas | $28.09 | — |
| Galveston, TXTexas | $28.23 | — |
| Houston, TXTexas | $28.41 | — |
| Rest of TexasTexas | $27.23 | — |
| UtahUtah | $27.03 | — |
| VirginiaVirginia | $27.92 | — |
| Virgin Islands, VIUnited States Virgin Islands | $28.63 | — |
| VermontVermont | $28.01 | — |
| Rest of WashingtonWashington | $29.56 | — |
| King County, WAWashington | $33.63 | — |
| WisconsinWisconsin | $27.23 | — |
| West VirginiaWest Virginia | $25.65 | — |
| WyomingWyoming | $28.30 | — |
91013 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.
$25.12
$34.55
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 | $32.68 | 1 |
| AL | $25.49 | 1 |
| AR | $25.12 | 1 |
| AZ | $27.66 | 1 |
| CA | $30.45–$38.64 | 29 |
| CO | $29.80 | 1 |
| CT | $30.28 | 1 |
| DC | $32.68 | 1 |
| DE | $28.12 | 1 |
| FL | $27.59–$29.81 | 3 |
| GA | $26.07–$28.83 | 2 |
| GU | $31.27 | 1 |
| HI | $31.27 | 1 |
| IA | $26.32 | 1 |
| ID | $26.45 | 1 |
| IL | $26.66–$29.29 | 4 |
| IN | $26.61 | 1 |
| KS | $26.11 | 1 |
| KY | $25.92 | 1 |
| LA | $25.84–$27.14 | 2 |
| MA | $29.59–$32.88 | 2 |
| MD | $28.69–$32.68 | 3 |
| ME | $26.50–$28.07 | 2 |
| MI | $26.52–$27.85 | 2 |
| MN | $28.79 | 1 |
| MO | $25.34–$27.33 | 3 |
| MS | $25.24 | 1 |
| MT | $28.39 | 1 |
| NC | $26.79 | 1 |
| ND | $28.19 | 1 |
| NE | $26.49 | 1 |
| NH | $29.25 | 1 |
| NJ | $30.69–$32.32 | 2 |
| NM | $26.63 | 1 |
| NV | $28.36 | 1 |
| NY | $27.19–$33.23 | 5 |
| OH | $26.48 | 1 |
| OK | $25.96 | 1 |
| OR | $28.20–$30.85 | 2 |
| PA | $26.56–$29.47 | 2 |
| PR | $28.63 | 1 |
| RI | $29.20 | 1 |
| SC | $26.67 | 1 |
| SD | $28.17 | 1 |
| TN | $26.23 | 1 |
| TX | $26.38–$29.64 | 8 |
| UT | $27.03 | 1 |
| VA | $27.92–$32.68 | 2 |
| VI | $28.63 | 1 |
| VT | $28.01 | 1 |
| WA | $29.56–$33.63 | 2 |
| WI | $27.23 | 1 |
| WV | $25.65 | 1 |
| WY | $28.30 | 1 |
How the 91013 rate is calculated
Each of 91013’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 · 91013
RVUs × geographic indexes × conversion factor
Work0.18
0.18 RVUs× 1.000 GPCI
Practice expense0.66
0.66 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
0.8500
Conversion factor
$33.4009
Medicare rate
$28.39
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Nebraska inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
11,591
- Code
- 91013
- Physician work
- 0.18
- Practice expense
- 0.66
- Malpractice
- 0.01
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.18 | × 1.000 | 0.1800 |
| Practice expense | 0.66 | × 0.923 | 0.6092 |
| Malpractice | 0.01 | × 0.378 | 0.0038 |
| Total RVUs | 0.7930 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Nebraska$26.49
Office: (0.18 × 1 + 0.66 × 0.923 + 0.01 × 0.378) × $33.4009 = $26.49
Payment rules and modifiers for 91013
The CMS indicators that decide how 91013 is paid alongside other services.
CMS payment indicators · 91013
Esophageal motility, with stimulation or perfusion
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| 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
91013 without 26 · national office
$28.39
Esophageal motility, with stimulation or perfusion
91013-26 · Professional component
$9.69
Pays only the interpretation and report.
How 91013 has changed in Nebraska
91013 · Office / nonfacility
$26.49
Effective 2026-10-01
The base rate is $3.96 higher than on 2025-10-01, moving from $22.53 to $26.49 (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
$22.53changed to$26.49
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.56 changed to 0.66
- Practice expense GPCI 0.917 changed to 0.923
- Malpractice GPCI 0.304 changed to 0.378
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$23.49changed to$22.53
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.57 changed to 0.56
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$23.11changed to$23.49
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$24.14changed to$23.11
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.58 changed to 0.57
- Practice expense GPCI 0.913 changed to 0.917
- Malpractice GPCI 0.269 changed to 0.304
January 1, 2023
RVU23A
$24.85changed to$24.14
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.59 changed to 0.58
- Practice expense GPCI 0.908 changed to 0.913
- Malpractice GPCI 0.235 changed to 0.269
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$25.06changed to$24.85
- Conversion factor 34.8931 changed to 34.6062
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$24.31changed to$25.06
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.54 changed to 0.59
- Practice expense GPCI 0.909 changed to 0.908
- Malpractice GPCI 0.277 changed to 0.235
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$24.31changed to$24.31
- Conversion factor 36.0391 changed to 36.0896
- Practice expense GPCI 0.910 changed to 0.909
- Malpractice GPCI 0.318 changed to 0.277
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$23.96changed to$24.31
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.53 changed to 0.54
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$21.91changed to$23.96
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 0.47 changed to 0.53
- Practice expense GPCI 0.909 changed to 0.910
- Malpractice GPCI 0.340 changed to 0.318
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$21.53changed to$21.91
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 0.46 changed to 0.47
- Practice expense GPCI 0.908 changed to 0.909
- Malpractice GPCI 0.362 changed to 0.340
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$22.39changed to$21.53
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 0.48 changed to 0.46
- Malpractice RVU 0.02 changed to 0.01
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$22.28changed to$22.39
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$21.95changed to$22.28
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 0.47 changed to 0.48
- Practice expense GPCI 0.906 changed to 0.908
- Malpractice GPCI 0.342 changed to 0.362
Held through RVU15B.
January 1, 2014
RVU14A
$22.95changed to$21.95
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.54 changed to 0.47
- Practice expense GPCI 0.904 changed to 0.906
- Malpractice GPCI 0.322 changed to 0.342
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $22.95
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $26.49 | Not available in this setting | RVU26D |
| 2026-07-01 | $26.49 | Not available in this setting | RVU26C |
| 2026-04-01 | $26.49 | Not available in this setting | RVU26B |
| 2026-01-01 | $26.49 | Not available in this setting | RVU26A |
| 2025-10-01 | $22.53 | Not available in this setting | RVU25D |
| 2025-07-01 | $22.53 | Not available in this setting | RVU25C |
| 2025-04-01 | $22.53 | Not available in this setting | RVU25B |
| 2025-01-01 | $22.53 | Not available in this setting | RVU25A |
| 2024-10-01 | $23.49 | Not available in this setting | RVU24D |
| 2024-07-01 | $23.49 | Not available in this setting | RVU24C |
| 2024-04-01 | $23.49 | Not available in this setting | RVU24B |
| 2024-03-09 | $23.49 | Not available in this setting | RVU24AR |
| 2024-01-01 | $23.11 | Not available in this setting | RVU24A |
| 2023-10-01 | $24.14 | Not available in this setting | RVU23D |
| 2023-07-01 | $24.14 | Not available in this setting | RVU23C |
| 2023-04-01 | $24.14 | Not available in this setting | RVU23B |
| 2023-01-01 | $24.14 | Not available in this setting | RVU23A |
| 2022-10-01 | $24.85 | Not available in this setting | RVU22D |
| 2022-07-01 | $24.85 | Not available in this setting | RVU22C |
| 2022-04-01 | $24.85 | Not available in this setting | RVU22B |
| 2022-01-01 | $24.85 | Not available in this setting | RVU22A |
| 2021-10-01 | $25.06 | Not available in this setting | RVU21D |
| 2021-07-01 | $25.06 | Not available in this setting | RVU21C |
| 2021-04-01 | $25.06 | Not available in this setting | RVU21B |
| 2021-01-01 | $25.06 | Not available in this setting | RVU21A |
| 2020-10-01 | $24.31 | Not available in this setting | RVU20D |
| 2020-07-01 | $24.31 | Not available in this setting | RVU20C |
| 2020-04-01 | $24.31 | Not available in this setting | RVU20B |
| 2020-01-01 | $24.31 | Not available in this setting | RVU20A |
| 2019-10-01 | $24.31 | Not available in this setting | RVU19D |
| 2019-07-01 | $24.31 | Not available in this setting | RVU19C |
| 2019-04-01 | $24.31 | Not available in this setting | RVU19B |
| 2019-01-01 | $24.31 | Not available in this setting | RVU19A |
| 2018-10-01 | $23.96 | Not available in this setting | RVU18D |
| 2018-07-01 | $23.96 | Not available in this setting | RVU18C |
| 2018-04-01 | $23.96 | Not available in this setting | RVU18B |
| 2018-01-01 | $23.96 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $21.91 | Not available in this setting | RVU17D |
| 2017-07-01 | $21.91 | Not available in this setting | RVU17C |
| 2017-04-01 | $21.91 | Not available in this setting | RVU17B |
| 2017-01-01 | $21.91 | Not available in this setting | RVU17A |
| 2016-10-01 | $21.53 | Not available in this setting | RVU16D |
| 2016-07-01 | $21.53 | Not available in this setting | RVU16C |
| 2016-04-01 | $21.53 | Not available in this setting | RVU16B |
| 2016-01-01 | $21.53 | Not available in this setting | RVU16A |
| 2015-10-01 | $22.39 | Not available in this setting | RVU15D |
| 2015-07-01 | $22.39 | Not available in this setting | RVU15C |
| 2015-04-01 | $22.28 | Not available in this setting | RVU15B |
| 2015-01-01 | $22.28 | Not available in this setting | RVU15A |
| 2014-10-01 | $21.95 | Not available in this setting | RVU14D |
| 2014-07-01 | $21.95 | Not available in this setting | RVU14C |
| 2014-04-01 | $21.95 | Not available in this setting | RVU14B |
| 2014-01-01 | $21.95 | Not available in this setting | RVU14A |
| 2013-10-01 | $22.95 | Not available in this setting | RVU13D |
| 2013-07-01 | $22.95 | Not available in this setting | RVU13C |
| 2013-04-01 | $22.95 | Not available in this setting | RVU13B |
| 2013-01-01 | $22.95 | Not available in this setting | RVU13AR |
Where the Nebraska rate applies
Nebraska is a Medicare payment area, not a city. Our Census mapping connects it to 593 cities and communities in Nebraska. Some span more than one payment area; confirm with the service ZIP.
- Abie
- Adams
- Agnew
- Ainsworth
- Albion
- Alda
- Alexandria
- Allen
91013 billing questions
Can 91013 be reported by itself?
No. It is an add-on to the primary esophageal motility study, 91010, and must be billed with that service.
When is 91013 different from 91010?
Use 91010 for esophageal manometry. Add 91013 when stimulation or perfusion is also performed as a provocative part of that motility evaluation.
How are the professional and technical services reported?
Report the global service without a component modifier, or use modifier 26 for the professional interpretation and modifier TC for the technical service.
Does 91013 have a separate global period?
CMS identifies it as an add-on paid within the primary procedure’s global period. It is reported with 91010.
What documentation supports the add-on?
Document the esophageal manometry and the stimulation or perfusion performed to assess the esophageal motor response.
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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