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CMS RVU26D · Effective 2026-10-01

91020 in Wyoming**

Office / nonfacility

$307.93

Base rate per service

Facility setting

Not available in this setting

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Gastrointestinal testing

About 91020: Gastric motility manometry study

Reports manometric assessment of stomach motility, using pressure measurements to evaluate gastric motor function when a clinician suspects a motility disorder.

This study measures pressure activity in the stomach with a catheter-based manometric technique to assess gastric motor function. It may be part of an evaluation for suspected gastric dysmotility, including persistent nausea or vomiting. Gastroenterologists and other clinicians who evaluate gastrointestinal motility typically order or perform the test in a facility-based setting; Medicare recorded facility services for this code in 2024.

Report 91020 for the gastric manometric service, supported by documentation of the clinical indication, measurements obtained, and the clinician’s interpretation and report. It is a diagnostic test with separately priced professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and no modifier represents the global service. The 0-day global period includes same-day preoperative and postoperative care. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 91020

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
Professional and technical components
Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
Bilateral procedures
Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
Assistant at surgery is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU1.40 · 15%
  • Practice expense (office) RVU7.76 · 84%
  • Malpractice RVU0.08 · 1%

69

Medicare services in 2024 · #5158 by national volume

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.

91020 compared with similar codes

Office rates for Wyoming**, from the same CMS release.

91010

Esophageal manometry

Standard pressure study

$245.05

Choose 91020 for gastric manometry and 91010 for esophageal motility manometry; the studied organ determines the code.

91013

Esophageal motility

With stimulation or perfusion

$28.30

91013 is an esophageal motility study involving perfusion or stimulation. It does not represent gastric manometry.

91022

Motility study

Duodenal

$193.45

91022 evaluates duodenal motility manometrically. Use 91020 when the pressure study assesses the stomach.

The same code, a different location

How does Wyoming** compare?

91020 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $307.93

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $357.08

    $49.15 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $357.59

    $49.66 higher than Wyoming**

  4. Miami

    $323.34

    $15.41 higher than Wyoming**

  5. Chicago

    $313.71

    $5.78 higher than Wyoming**

  6. Manhattan

    $355.17

    $47.24 higher than Wyoming**

  7. Alaska*

    $347.65

    $39.72 higher than Wyoming**

Other payment areas listed in Wyoming appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 91020 ranges from $270.78 in Arkansas to $427.09 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Alabama

    Alabama · 91020

    Office

    $275.07

    Facility

    Unavailable

    $32.86 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 91020

    Office

    $270.78

    Facility

    Unavailable

    $37.15 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 91020

    Office

    $300.20

    Facility

    Unavailable

    $7.73 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 91020

    Office

    $333.35

    Facility

    Unavailable

    $25.42 higher than Wyoming** for the office setting.

  • Chico

    California · 91020

    Office

    $333.06

    Facility

    Unavailable

    $25.13 higher than Wyoming** for the office setting.

  • El Centro

    California · 91020

    Office

    $333.08

    Facility

    Unavailable

    $25.15 higher than Wyoming** for the office setting.

  • Fresno

    California · 91020

    Office

    $333.06

    Facility

    Unavailable

    $25.13 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 91020

    Office

    $333.06

    Facility

    Unavailable

    $25.13 higher than Wyoming** for the office setting.

  • Madera

    California · 91020

    Office

    $333.06

    Facility

    Unavailable

    $25.13 higher than Wyoming** for the office setting.

  • Merced

    California · 91020

    Office

    $333.06

    Facility

    Unavailable

    $25.13 higher than Wyoming** for the office setting.

  • Modesto

    California · 91020

    Office

    $333.06

    Facility

    Unavailable

    $25.13 higher than Wyoming** for the office setting.

  • Napa

    California · 91020

    Office

    $392.68

    Facility

    Unavailable

    $84.75 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 91020

    Office

    $356.10

    Facility

    Unavailable

    $48.17 higher than Wyoming** for the office setting.

  • Redding

    California · 91020

    Office

    $333.06

    Facility

    Unavailable

    $25.13 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 91020

    Office

    $333.06

    Facility

    Unavailable

    $25.13 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 91020

    Office

    $333.96

    Facility

    Unavailable

    $26.03 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 91020

    Office

    $351.32

    Facility

    Unavailable

    $43.39 higher than Wyoming** for the office setting.

  • Salinas

    California · 91020

    Office

    $350.05

    Facility

    Unavailable

    $42.12 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 91020

    Office

    $359.60

    Facility

    Unavailable

    $51.67 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 91020

    Office

    $417.89

    Facility

    Unavailable

    $109.96 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 91020

    Office

    $417.80

    Facility

    Unavailable

    $109.87 higher than Wyoming** for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 91020

    Office

    $427.09

    Facility

    Unavailable

    $119.16 higher than Wyoming** for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 91020

    Office

    $426.72

    Facility

    Unavailable

    $118.79 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 91020

    Office

    $344.21

    Facility

    Unavailable

    $36.28 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 91020

    Office

    $364.09

    Facility

    Unavailable

    $56.16 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 91020

    Office

    $351.72

    Facility

    Unavailable

    $43.79 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 91020

    Office

    $367.88

    Facility

    Unavailable

    $59.95 higher than Wyoming** for the office setting.

  • Stockton

    California · 91020

    Office

    $333.06

    Facility

    Unavailable

    $25.13 higher than Wyoming** for the office setting.

  • Vallejo

    California · 91020

    Office

    $392.55

    Facility

    Unavailable

    $84.62 higher than Wyoming** for the office setting.

  • Visalia

    California · 91020

    Office

    $333.06

    Facility

    Unavailable

    $25.13 higher than Wyoming** for the office setting.

  • Yuba City

    California · 91020

    Office

    $333.06

    Facility

    Unavailable

    $25.13 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 91020

    Office

    $325.19

    Facility

    Unavailable

    $17.26 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 91020

    Office

    $330.08

    Facility

    Unavailable

    $22.15 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 91020

    Office

    $305.48

    Facility

    Unavailable

    $2.45 lower than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 91020

    Office

    $314.15

    Facility

    Unavailable

    $6.22 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 91020

    Office

    $298.56

    Facility

    Unavailable

    $9.37 lower than Wyoming** for the office setting.

  • Atlanta

    Georgia · 91020

    Office

    $313.45

    Facility

    Unavailable

    $5.52 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 91020

    Office

    $281.14

    Facility

    Unavailable

    $26.79 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 91020

    Office

    $343.01

    Facility

    Unavailable

    $35.08 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 91020

    Office

    $284.98

    Facility

    Unavailable

    $22.95 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 91020

    Office

    $286.48

    Facility

    Unavailable

    $21.45 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 91020

    Office

    $290.60

    Facility

    Unavailable

    $17.33 lower than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 91020

    Office

    $287.58

    Facility

    Unavailable

    $20.35 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 91020

    Office

    $318.01

    Facility

    Unavailable

    $10.08 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 91020

    Office

    $288.33

    Facility

    Unavailable

    $19.60 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 91020

    Office

    $282.42

    Facility

    Unavailable

    $25.51 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 91020

    Office

    $279.63

    Facility

    Unavailable

    $28.30 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 91020

    Office

    $293.70

    Facility

    Unavailable

    $14.23 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 91020

    Office

    $278.71

    Facility

    Unavailable

    $29.22 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 91020

    Office

    $360.53

    Facility

    Unavailable

    $52.60 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 91020

    Office

    $322.57

    Facility

    Unavailable

    $14.64 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 91020

    Office

    $328.93

    Facility

    Unavailable

    $21.00 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 91020

    Office

    $311.98

    Facility

    Unavailable

    $4.05 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 91020

    Office

    $286.88

    Facility

    Unavailable

    $21.05 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 91020

    Office

    $305.31

    Facility

    Unavailable

    $2.62 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 91020

    Office

    $301.39

    Facility

    Unavailable

    $6.54 lower than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 91020

    Office

    $286.42

    Facility

    Unavailable

    $21.51 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 91020

    Office

    $314.26

    Facility

    Unavailable

    $6.33 higher than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 91020

    Office

    $292.75

    Facility

    Unavailable

    $15.18 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 91020

    Office

    $296.19

    Facility

    Unavailable

    $11.74 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 91020

    Office

    $272.79

    Facility

    Unavailable

    $35.14 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 91020

    Office

    $271.90

    Facility

    Unavailable

    $36.03 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 91020

    Office

    $308.62

    Facility

    Unavailable

    $0.69 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 91020

    Office

    $290.29

    Facility

    Unavailable

    $17.64 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 91020

    Office

    $307.04

    Facility

    Unavailable

    $0.89 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 91020

    Office

    $287.00

    Facility

    Unavailable

    $20.93 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 91020

    Office

    $318.92

    Facility

    Unavailable

    $10.99 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 91020

    Office

    $353.22

    Facility

    Unavailable

    $45.29 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 91020

    Office

    $334.60

    Facility

    Unavailable

    $26.67 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 91020

    Office

    $287.65

    Facility

    Unavailable

    $20.28 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 91020

    Office

    $308.44

    Facility

    Unavailable

    $0.51 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 91020

    Office

    $362.89

    Facility

    Unavailable

    $54.96 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 91020

    Office

    $335.91

    Facility

    Unavailable

    $27.98 higher than Wyoming** for the office setting.

  • Queens

    New York · 91020

    Office

    $359.97

    Facility

    Unavailable

    $52.04 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 91020

    Office

    $294.87

    Facility

    Unavailable

    $13.06 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 91020

    Office

    $286.10

    Facility

    Unavailable

    $21.83 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 91020

    Office

    $280.30

    Facility

    Unavailable

    $27.63 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 91020

    Office

    $337.46

    Facility

    Unavailable

    $29.53 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 91020

    Office

    $306.79

    Facility

    Unavailable

    $1.14 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 91020

    Office

    $320.61

    Facility

    Unavailable

    $12.68 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 91020

    Office

    $287.22

    Facility

    Unavailable

    $20.71 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 91020

    Office

    $311.44

    Facility

    Unavailable

    $3.51 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 91020

    Office

    $317.78

    Facility

    Unavailable

    $9.85 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 91020

    Office

    $288.52

    Facility

    Unavailable

    $19.41 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 91020

    Office

    $306.85

    Facility

    Unavailable

    $1.08 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 91020

    Office

    $283.80

    Facility

    Unavailable

    $24.13 lower than Wyoming** for the office setting.

  • Austin

    Texas · 91020

    Office

    $323.45

    Facility

    Unavailable

    $15.52 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 91020

    Office

    $285.11

    Facility

    Unavailable

    $22.82 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 91020

    Office

    $306.08

    Facility

    Unavailable

    $1.85 lower than Wyoming** for the office setting.

  • Dallas

    Texas · 91020

    Office

    $307.63

    Facility

    Unavailable

    $0.30 lower than Wyoming** for the office setting.

  • Fort Worth

    Texas · 91020

    Office

    $305.07

    Facility

    Unavailable

    $2.86 lower than Wyoming** for the office setting.

  • Galveston

    Texas · 91020

    Office

    $306.72

    Facility

    Unavailable

    $1.21 lower than Wyoming** for the office setting.

  • Houston

    Texas · 91020

    Office

    $308.19

    Facility

    Unavailable

    $0.26 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 91020

    Office

    $295.15

    Facility

    Unavailable

    $12.78 lower than Wyoming** for the office setting.

  • Utah

    Utah · 91020

    Office

    $292.80

    Facility

    Unavailable

    $15.13 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 91020

    Office

    $303.43

    Facility

    Unavailable

    $4.50 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 91020

    Office

    $311.44

    Facility

    Unavailable

    $3.51 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 91020

    Office

    $304.71

    Facility

    Unavailable

    $3.22 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 91020

    Office

    $322.33

    Facility

    Unavailable

    $14.40 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 91020

    Office

    $369.31

    Facility

    Unavailable

    $61.38 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 91020

    Office

    $295.89

    Facility

    Unavailable

    $12.04 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 91020

    Office

    $275.82

    Facility

    Unavailable

    $32.11 lower than Wyoming** for the office setting.

See how rates vary across the country

91020 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$270.78

$380.08

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$347.651
AL$275.071
AR$270.781
AZ$300.201
CA$333.06–$427.0929
CO$325.191
CT$330.081
DC$357.591
DE$305.481
FL$298.56–$323.343
GA$281.14–$313.452
GU$343.011
HI$343.011
IA$284.981
ID$286.481
IL$287.58–$318.014
IN$288.331
KS$282.421
KY$279.631
LA$278.71–$293.702
MA$322.57–$360.532
MD$311.98–$357.593
ME$286.88–$305.312
MI$286.42–$301.392
MN$314.261
MO$272.79–$296.193
MS$271.901
MT$308.621
NC$290.291
ND$307.041
NE$287.001
NH$318.921
NJ$334.60–$353.222
NM$287.651
NV$308.441
NY$294.87–$362.895
OH$286.101
OK$280.301
OR$306.79–$337.462
PA$287.22–$320.612
PR$311.441
RI$317.781
SC$288.521
SD$306.851
TN$283.801
TX$285.11–$323.458
UT$292.801
VA$303.43–$357.592
VI$311.441
VT$304.711
WA$322.33–$369.312
WI$295.891
WV$275.821
WY$307.931

Explore 91020 on the national rate map →

Where does this rate apply?

Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Wyoming →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 91020 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$338.72

$307.93 × 110% = $338.72

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 91020 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

11,594

Code
91020
Physician work
1.40
Practice expense
7.76
Malpractice
0.08

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 91020 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work1.40× 1.0001.4000
Practice expense7.76× 1.0007.7600
Malpractice0.08× 0.7400.0592
Total RVUs9.2192
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$307.93

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 91020 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.41
Practice expense7.761
Malpractice0.080.74

(1.4 × 1 + 7.76 × 1 + 0.08 × 0.74) × $33.4009 = $307.93

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

91020 · Office / nonfacility

$307.93

Effective 2026-10-01

The base rate is $47.48 higher than on 2025-10-01, moving from $260.45 to $307.93 (18.2%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $260.45changed to$307.93

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.44 changed to 1.40
    • Practice expense RVU 6.56 changed to 7.76
    • Malpractice RVU 0.07 changed to 0.08
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $260.45

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$307.93Not available in this settingRVU26D
2026-07-01$307.93Not available in this settingRVU26C
2026-04-01$307.93Not available in this settingRVU26B
2026-01-01$307.93Not available in this settingRVU26A
2025-10-01$260.45Not available in this settingRVU25D
2025-07-01$260.45Not available in this settingRVU25C
2025-04-01$260.45Not available in this settingRVU25B
2025-01-01$260.45Not available in this settingRVU25A

91020 billing questions

How is 91020 different from 91010?

91020 evaluates gastric pressure activity. Code 91010 is for esophageal motility testing, so select based on the organ studied.

When would 91022 be reported instead?

91022 represents manometric evaluation of duodenal motility. Use 91020 for the stomach and 91022 for the duodenum.

Can the professional and technical portions be billed separately?

Yes. Report modifier 26 for the professional interpretation and report, or modifier TC for the equipment and staff. Without either modifier, the claim represents the global service.

What documentation supports 91020?

Document the reason for testing, the gastric manometric measurements performed, and the interpretation and report. The record should support that the study assessed gastric rather than esophageal or duodenal motility.

Should modifier 50 be used for this study?

No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this service.

How does the 0-day global period affect same-day care?

Same-day preoperative and postoperative care is included in the service under the 0-day global period.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 91020PPRRVU2026_Oct_nonQPP.csv, line 11,594 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet