HCPCS code Q0091: Pap collection, screening specimen2026 Medicare rate & RVUs in Montana
Q0091 reports obtaining and preparing a cervical or vaginal specimen for a screening Pap test and sending it to the laboratory.
In Montana, Medicare pays $46.09 for Q0091 in the office and $15.70 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.
On this page 11 sections
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 Montana 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. Montana pays $46.09. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$46.09
- Los Angeles, CA · California$52.30+$6.21
- Washington, DC area · District of Columbia$52.74+$6.65
- Miami, FL · Florida$48.98+$2.89
- Chicago, IL · Illinois$47.64+$1.55
- Manhattan, NY · New York$52.81+$6.72
- Alaska · Alaska$53.80+$7.71
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $41.53 | $14.93 |
| ArkansasArkansas | $40.94 | $14.84 |
| ArizonaArizona | $44.92 | $15.47 |
| Bakersfield, CACalifornia | $49.10 | $15.79 |
| Chico, CACalifornia | $49.01 | $15.69 |
| El Centro, CACalifornia | $49.01 | $15.70 |
| Fresno, CACalifornia | $49.01 | $15.69 |
| Hanford, CACalifornia | $49.01 | $15.69 |
| Madera, CACalifornia | $49.01 | $15.69 |
| Merced, CACalifornia | $49.01 | $15.69 |
| Modesto, CACalifornia | $49.01 | $15.69 |
| Napa, CACalifornia | $56.87 | $16.81 |
| Oxnard, CACalifornia | $52.07 | $16.14 |
| Redding, CACalifornia | $49.01 | $15.69 |
| Rest of CaliforniaCalifornia | $49.01 | $15.69 |
| Riverside, CACalifornia | $49.34 | $16.02 |
| Sacramento, CACalifornia | $51.45 | $16.10 |
| Salinas, CACalifornia | $51.26 | $16.03 |
| San Diego, CACalifornia | $52.48 | $16.12 |
| Marin County, CACalifornia | $60.25 | $17.39 |
| San Francisco, CACalifornia | $60.22 | $17.36 |
| San Benito County, CACalifornia | $61.57 | $17.74 |
| Santa Clara County, CACalifornia | $61.43 | $17.60 |
| San Luis Obispo, CACalifornia | $50.43 | $15.81 |
| Santa Cruz, CACalifornia | $52.99 | $16.06 |
| Santa Maria, CACalifornia | $51.45 | $16.01 |
| Santa Rosa, CACalifornia | $53.53 | $16.20 |
| Stockton, CACalifornia | $49.01 | $15.69 |
| Vallejo, CACalifornia | $56.82 | $16.76 |
| Visalia, CACalifornia | $49.01 | $15.69 |
| Yuba City, CACalifornia | $49.01 | $15.69 |
| ColoradoColorado | $48.13 | $15.79 |
| ConnecticutConnecticut | $49.09 | $16.36 |
| DelawareDelaware | $45.66 | $15.63 |
| Fort Lauderdale, FLFlorida | $47.33 | $16.54 |
| Rest of FloridaFlorida | $45.14 | $16.08 |
| Atlanta, GAGeorgia | $46.86 | $15.98 |
| Rest of GeorgiaGeorgia | $42.71 | $15.60 |
| Hawaii, Guam, HIHawaii | $50.20 | $15.64 |
| IowaIowa | $42.68 | $14.87 |
| IdahoIdaho | $42.92 | $14.96 |
| East St. Louis, ILIllinois | $44.46 | $16.50 |
| Rest of IllinoisIllinois | $43.78 | $16.03 |
| Suburban Chicago, ILIllinois | $47.84 | $16.63 |
| IndianaIndiana | $43.16 | $14.99 |
| KansasKansas | $42.42 | $14.94 |
| KentuckyKentucky | $42.34 | $15.32 |
| New Orleans, LALouisiana | $44.28 | $15.68 |
| Rest of LouisianaLouisiana | $42.25 | $15.35 |
| Metropolitan Boston, MAMassachusetts | $52.89 | $16.60 |
| Rest of MassachusettsMassachusetts | $47.83 | $15.83 |
| Baltimore area, MDMaryland | $48.94 | $16.32 |
| Rest of MarylandMaryland | $46.53 | $15.77 |
| Rest of MaineMaine | $43.07 | $15.11 |
| Southern Maine, MEMaine | $45.43 | $15.30 |
| Detroit, MIMichigan | $45.62 | $16.29 |
| Rest of MichiganMichigan | $43.35 | $15.60 |
| MinnesotaMinnesota | $46.35 | $15.07 |
| Metropolitan Kansas City, MOMissouri | $44.05 | $15.51 |
| Metropolitan St. Louis, MOMissouri | $44.51 | $15.57 |
| Rest of MissouriMissouri | $41.50 | $15.30 |
| MississippiMississippi | $41.24 | $15.07 |
| North CarolinaNorth Carolina | $43.52 | $15.16 |
| North DakotaNorth Dakota | $45.50 | $15.10 |
| NebraskaNebraska | $42.92 | $14.87 |
| New HampshireNew Hampshire | $47.32 | $15.68 |
| Northern New JerseyNew Jersey | $52.21 | $16.95 |
| Rest of New JerseyNew Jersey | $49.71 | $16.52 |
| New MexicoNew Mexico | $43.55 | $15.68 |
| NevadaNevada | $45.96 | $15.53 |
| NYC suburbs and Long Island, NYNew York | $53.97 | $17.83 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $49.99 | $16.70 |
| Queens, NYNew York | $53.32 | $17.40 |
| Rest of New YorkNew York | $44.14 | $15.27 |
| OhioOhio | $43.22 | $15.47 |
| OklahomaOklahoma | $42.33 | $15.19 |
| Portland, OROregon | $49.70 | $15.93 |
| Rest of OregonOregon | $45.66 | $15.39 |
| Metropolitan Philadelphia, PAPennsylvania | $47.86 | $16.22 |
| Rest of PennsylvaniaPennsylvania | $43.33 | $15.42 |
| Puerto RicoPuerto Rico | $46.44 | $15.71 |
| Rhode IslandRhode Island | $47.30 | $15.91 |
| South CarolinaSouth Carolina | $43.43 | $15.35 |
| South DakotaSouth Dakota | $45.43 | $15.03 |
| TennesseeTennessee | $42.62 | $14.99 |
| Austin, TXTexas | $47.92 | $15.76 |
| Beaumont, TXTexas | $43.05 | $15.39 |
| Brazoria, TXTexas | $45.67 | $15.55 |
| Dallas, TXTexas | $45.93 | $15.65 |
| Fort Worth, TXTexas | $45.61 | $15.64 |
| Galveston, TXTexas | $45.79 | $15.60 |
| Houston, TXTexas | $46.33 | $16.15 |
| Rest of TexasTexas | $44.31 | $15.46 |
| UtahUtah | $44.01 | $15.44 |
| VirginiaVirginia | $45.24 | $15.36 |
| Virgin Islands, VIUnited States Virgin Islands | $46.44 | $15.71 |
| VermontVermont | $45.27 | $15.18 |
| Rest of WashingtonWashington | $47.76 | $15.76 |
| King County, WAWashington | $54.02 | $16.72 |
| WisconsinWisconsin | $44.01 | $14.89 |
| West VirginiaWest Virginia | $42.19 | $15.78 |
| WyomingWyoming | $45.83 | $15.44 |
Q0091 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.
$40.94
$55.29
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 | $53.80 | 1 |
| AL | $41.53 | 1 |
| AR | $40.94 | 1 |
| AZ | $44.92 | 1 |
| CA | $49.01–$61.57 | 29 |
| CO | $48.13 | 1 |
| CT | $49.09 | 1 |
| DC | $52.74 | 1 |
| DE | $45.66 | 1 |
| FL | $45.14–$48.98 | 3 |
| GA | $42.71–$46.86 | 2 |
| GU | $50.20 | 1 |
| HI | $50.20 | 1 |
| IA | $42.68 | 1 |
| ID | $42.92 | 1 |
| IL | $43.78–$47.84 | 4 |
| IN | $43.16 | 1 |
| KS | $42.42 | 1 |
| KY | $42.34 | 1 |
| LA | $42.25–$44.28 | 2 |
| MA | $47.83–$52.89 | 2 |
| MD | $46.53–$52.74 | 3 |
| ME | $43.07–$45.43 | 2 |
| MI | $43.35–$45.62 | 2 |
| MN | $46.35 | 1 |
| MO | $41.50–$44.51 | 3 |
| MS | $41.24 | 1 |
| MT | $46.09 | 1 |
| NC | $43.52 | 1 |
| ND | $45.50 | 1 |
| NE | $42.92 | 1 |
| NH | $47.32 | 1 |
| NJ | $49.71–$52.21 | 2 |
| NM | $43.55 | 1 |
| NV | $45.96 | 1 |
| NY | $44.14–$53.97 | 5 |
| OH | $43.22 | 1 |
| OK | $42.33 | 1 |
| OR | $45.66–$49.70 | 2 |
| PA | $43.33–$47.86 | 2 |
| PR | $46.44 | 1 |
| RI | $47.30 | 1 |
| SC | $43.43 | 1 |
| SD | $45.43 | 1 |
| TN | $42.62 | 1 |
| TX | $43.05–$47.92 | 8 |
| UT | $44.01 | 1 |
| VA | $45.24–$52.74 | 2 |
| VI | $46.44 | 1 |
| VT | $45.27 | 1 |
| WA | $47.76–$54.02 | 2 |
| WI | $44.01 | 1 |
| WV | $42.19 | 1 |
| WY | $45.83 | 1 |
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.
How the rate is built · Q0091
RVUs × geographic indexes × conversion factor
Work0.36
0.36 RVUs× 1.000 GPCI
Practice expense0.99
0.99 RVUs× 1.000 GPCI
Malpractice0.03
0.03 RVUs× 1.000 GPCI
Adjusted RVUs
1.3800
Conversion factor
$33.4009
Medicare rate
$46.09
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Montana inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
18,050
- Code
- Q0091
- Physician work
- 0.36
- Practice expense
- 0.99
- Malpractice
- 0.03
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.36 | × 1.000 | 0.3600 |
| Practice expense | 0.99 | × 1.000 | 0.9900 |
| Malpractice | 0.03 | × 0.998 | 0.0299 |
| Total RVUs | 1.3799 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Montana$46.09
Office: (0.36 × 1 + 0.99 × 1 + 0.03 × 0.998) × $33.4009 = $46.09
Facility: (0.36 × 1 + 0.08 × 1 + 0.03 × 0.998) × $33.4009 = $15.70
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.
Place of service · Q0091
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$46.09
- Non-facility (office)
- $46.09
- Facility
- $15.70
Higher because the practice carries its own overhead.
How Q0091 has changed in Montana
Q0091 · Office / nonfacility
$46.09
Effective 2026-10-01
The base rate is $2.76 higher than on 2025-10-01, moving from $43.33 to $46.09 (6.4%).
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
$43.33changed to$46.09
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.37 changed to 0.36
- Practice expense RVU 0.95 changed to 0.99
- Malpractice RVU 0.02 changed to 0.03
- Malpractice GPCI 0.978 changed to 0.998
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$44.26changed to$43.33
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.94 changed to 0.95
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$43.54changed to$44.26
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$43.70changed to$43.54
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.90 changed to 0.94
January 1, 2023
RVU23A
$43.92changed to$43.70
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.86 changed to 0.90
- Malpractice RVU 0.04 changed to 0.02
- Malpractice GPCI 0.977 changed to 0.978
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$43.93changed to$43.92
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.85 changed to 0.86
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$44.00changed to$43.93
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.81 changed to 0.85
- Malpractice RVU 0.03 changed to 0.04
- Malpractice GPCI 1.304 changed to 0.977
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$45.24changed to$44.00
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.82 changed to 0.81
- Malpractice RVU 0.04 changed to 0.03
- Malpractice GPCI 1.631 changed to 1.304
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$46.27changed to$45.24
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.85 changed to 0.82
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$46.19changed to$46.27
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 0.86 changed to 0.85
- Malpractice GPCI 1.429 changed to 1.631
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$45.80changed to$46.19
- Conversion factor 35.8043 changed to 35.8887
- Malpractice GPCI 1.226 changed to 1.429
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$45.96changed to$45.80
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$45.73changed to$45.96
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$44.96changed to$45.73
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 0.85 changed to 0.86
- Malpractice RVU 0.03 changed to 0.04
- Malpractice GPCI 1.165 changed to 1.226
Held through RVU15B.
January 1, 2014
RVU14A
$46.04changed to$44.96
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.95 changed to 0.85
- Malpractice GPCI 1.103 changed to 1.165
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $46.04
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $46.09 | $15.70 | RVU26D |
| 2026-07-01 | $46.09 | $15.70 | RVU26C |
| 2026-04-01 | $46.09 | $15.70 | RVU26B |
| 2026-01-01 | $46.09 | $15.70 | RVU26A |
| 2025-10-01 | $43.33 | $17.45 | RVU25D |
| 2025-07-01 | $43.33 | $17.45 | RVU25C |
| 2025-04-01 | $43.33 | $17.45 | RVU25B |
| 2025-01-01 | $43.33 | $17.45 | RVU25A |
| 2024-10-01 | $44.26 | $17.96 | RVU24D |
| 2024-07-01 | $44.26 | $17.96 | RVU24C |
| 2024-04-01 | $44.26 | $17.96 | RVU24B |
| 2024-03-09 | $44.26 | $17.96 | RVU24AR |
| 2024-01-01 | $43.54 | $17.67 | RVU24A |
| 2023-10-01 | $43.70 | $18.28 | RVU23D |
| 2023-07-01 | $43.70 | $18.28 | RVU23C |
| 2023-04-01 | $43.70 | $18.28 | RVU23B |
| 2023-01-01 | $43.70 | $18.28 | RVU23A |
| 2022-10-01 | $43.92 | $19.00 | RVU22D |
| 2022-07-01 | $43.92 | $19.00 | RVU22C |
| 2022-04-01 | $43.92 | $19.00 | RVU22B |
| 2022-01-01 | $43.92 | $19.00 | RVU22A |
| 2021-10-01 | $43.93 | $19.16 | RVU21D |
| 2021-07-01 | $43.93 | $19.16 | RVU21C |
| 2021-04-01 | $43.93 | $19.16 | RVU21B |
| 2021-01-01 | $43.93 | $19.16 | RVU21A |
| 2020-10-01 | $44.00 | $19.82 | RVU20D |
| 2020-07-01 | $44.00 | $19.82 | RVU20C |
| 2020-04-01 | $44.00 | $19.82 | RVU20B |
| 2020-01-01 | $44.00 | $19.82 | RVU20A |
| 2019-10-01 | $45.24 | $20.73 | RVU19D |
| 2019-07-01 | $45.24 | $20.73 | RVU19C |
| 2019-04-01 | $45.24 | $20.73 | RVU19B |
| 2019-01-01 | $45.24 | $20.73 | RVU19A |
| 2018-10-01 | $46.27 | $21.07 | RVU18D |
| 2018-07-01 | $46.27 | $21.07 | RVU18C |
| 2018-04-01 | $46.27 | $21.07 | RVU18B |
| 2018-01-01 | $46.27 | $21.07 | RVU18AR1 |
| 2017-10-01 | $46.19 | $20.71 | RVU17D |
| 2017-07-01 | $46.19 | $20.71 | RVU17C |
| 2017-04-01 | $46.19 | $20.71 | RVU17B |
| 2017-01-01 | $46.19 | $20.71 | RVU17A |
| 2016-10-01 | $45.80 | $20.37 | RVU16D |
| 2016-07-01 | $45.80 | $20.37 | RVU16C |
| 2016-04-01 | $45.80 | $20.37 | RVU16B |
| 2016-01-01 | $45.80 | $20.37 | RVU16A |
| 2015-10-01 | $45.96 | $20.45 | RVU15D |
| 2015-07-01 | $45.96 | $20.45 | RVU15C |
| 2015-04-01 | $45.73 | $20.35 | RVU15B |
| 2015-01-01 | $45.73 | $20.35 | RVU15A |
| 2014-10-01 | $44.96 | $19.88 | RVU14D |
| 2014-07-01 | $44.96 | $19.88 | RVU14C |
| 2014-04-01 | $44.96 | $19.88 | RVU14B |
| 2014-01-01 | $44.96 | $19.88 | RVU14A |
| 2013-10-01 | $46.04 | $19.16 | RVU13D |
| 2013-07-01 | $46.04 | $19.16 | RVU13C |
| 2013-04-01 | $46.04 | $19.16 | RVU13B |
| 2013-01-01 | $46.04 | $19.16 | RVU13AR |
Where the Montana rate applies
Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.
- Absarokee
- Acton
- Alberton
- Alder
- Alzada
- Amsterdam
- Anaconda-Deer Lodge County
- Antelope
Q0091 billing questions
How is Q0091 different from G0101?
Q0091 represents collection and handling of the screening Pap specimen. G0101 represents a screening pelvic examination when that examination is performed and documented.
Does Q0091 include the laboratory's cytology interpretation?
No. Q0091 covers obtaining, preparing, and sending the specimen; the laboratory reports its cytology service under the applicable laboratory code.
Can Q0091 be reported for a diagnostic Pap test?
Q0091 is for obtaining a specimen for screening. When testing is performed to evaluate symptoms or a known abnormality, do not characterize that collection as screening.
What documentation supports Q0091?
Document the screening purpose, the cervical or vaginal specimen collection, and preparation and conveyance of the specimen to the laboratory.
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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