CPT code 91037: Esophageal impedance, one hour or less2026 Medicare rate & RVUs in Bartlett, Illinois

CPT 91037: $191.40–$193.55 office across 2 localities in Bartlett, IL in 2026 Medicare. Compare each area.

CMS RVU26DEffective Oct 1, 20262 payment localities

Medicare pays $191.40–$193.55 for 91037 in the office in Bartlett, Illinois, from Chicago, IL to Suburban Chicago, IL. Which amount applies depends on the service address.

$191.40–$193.55Office (non-facility)
—Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 91037 for the payment locality that covers the ZIP.

On this page 6 sections
  1. Rate in Bartlett, Illinois
  2. By payment locality
  3. City and payment areas
  4. How it’s calculated
  5. Payment rules
  6. Sources

Where 91037 pays more and less in Bartlett, Illinois

Bartlett, Illinois maps to 2 Medicare payment localities in our Census-to-CMS crosswalk. A city name alone doesn’t confirm an address’s payment area.

91037 office and facility rates by payment locality
Payment localityOfficeFacility
Chicago, IL$191.40Unavailable
Suburban Chicago, IL$193.55Unavailable

How payment areas work in Bartlett

City limits and Medicare payment areas are different maps. These are the payment areas that cover the city’s counties; the service ZIP decides which one applies.

  • Chicago · Cook County
  • Suburban Chicago · DuPage County, Kane County

City boundaries: 2026 Census geography · Census source · CMS county-to-locality definitions

How the 91037 rate is calculated

Each of 91037’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 · 91037

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.95

0.95 RVUs× 1.000 GPCI

Practice expense4.59

4.59 RVUs× 1.000 GPCI

Malpractice0.07

0.07 RVUs× 1.000 GPCI

Adjusted RVUs

5.6100

Conversion factor

$33.4009

Medicare rate

$187.38

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 91037

The CMS indicators that decide how 91037 is paid alongside other services.

CMS payment indicators · 91037

Esophageal impedance, one hour or less

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

91037 without 26 · national office

$187.38

Esophageal impedance, one hour or less

91037-26 · Professional component

$51.44

Pays only the interpretation and report.

When to use modifier 26

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
RVUs for 91037PPRRVU2026_Oct_nonQPP.csv, line 11,609 (RVU26D)

Open CMS sourceHow we calculate rates

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