HCPCS code Q0091: Pap collection, screening specimen2026 Medicare rate & RVUs in Iowa

In Iowa, Medicare pays $42.68 for Q0091 in the office and $14.87 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · Q0091 nationwide

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

What Q0091 covers

Q0091 represents the clinician’s work to obtain a cervical or vaginal specimen for a screening Pap test, prepare it, and send it to the laboratory. It is commonly reported when a physician or other qualified practitioner collects the sample during a preventive gynecologic visit. The code covers specimen acquisition and handling, not cytology interpretation or a separately performed pelvic examination.

Report Q0091 when the collection is for screening, rather than evaluation of symptoms or a known abnormality. Documentation should identify the screening purpose, record that the specimen was collected, and support its preparation and conveyance to the laboratory. G0101 may describe a screening pelvic examination performed at the same visit; the laboratory reports cytology under the code matching its preparation and screening method. CMS assigns physician work and practice-expense values to Q0091, with separate office and facility practice-expense inputs.

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 Iowa compares for Q0091

Across 109 of 109 payment localities, the office rate for Q0091 runs from $40.94 in Arkansas to $61.57 in San Benito County, CA. Iowa pays $42.68. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

Q0091 rates by state

Office rate range in each state. Select a state to see its payment localities.

See Q0091 in every payment locality

How the Q0091 rate is calculated

Each of Q0091’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.

Payment rules and modifiers for Q0091

Q0091 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Codes related to Q0091

Related codes aren’t interchangeable: bill the code that matches the service performed.

How Q0091 has changed in Iowa

Price Q0091 for an earlier date of service

Where the Iowa rate applies

Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.

• Ackley
• Ackworth
• Adair
• Adel
• Afton
• Agency
• Ainsworth
• Akron

Browse all communities in Iowa

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

Open CMS sourceHow we calculate rates