$216.02
91010 reports the esophageal motility study itself. Report 91013 in addition only when stimulation or perfusion is performed as part of that study.
On this page
CMS RVU26D · Effective 2026-10-01
91013 Esophageal motility Medicare reimbursement rates in Arkansas
An add-on to esophageal manometry for provocation with stimulation or perfusion when assessing esophageal motor responses. Compare 91013 office and facility rates across CMS payment localities in Arkansas.
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.
What does Medicare pay for 91013 in Arkansas?
Arkansas has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$25.12
1 of 1 localities have a supported rate.
Payment area: Arkansas
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Gastroenterology testing
About 91013: Provoked esophageal motility study
An add-on to esophageal manometry for provocation with stimulation or perfusion when assessing esophageal motor responses.
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.
CMS billing rules for 91013
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
- 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.
Where the value comes from
- Work RVU0.18 · 21%
- Practice expense (office) RVU0.66 · 78%
- Malpractice RVU0.01 · 1%
309
Medicare services in 2024 · #3973 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.
91013 compared with similar codes
Office rates for Arkansas, from the same CMS release.
$143.34
91030 represents acid perfusion testing as a separate esophageal test. 91013 is an add-on when stimulation or perfusion is used during esophageal motility testing.
$437.09
91035 is an esophageal reflux-monitoring test using an electrode. 91013 describes a provocative maneuver added to manometry, not reflux monitoring.
Compare 91013 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Arkansas →
Office / nonfacility
$25.12
Facility
Unavailable
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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 91013 in Arkansas.
PPRRVU2026_Oct_nonQPP.csv
11,591
- Code
- 91013
- Physician work
- 0.18
- Practice expense
- 0.66
- Malpractice
- 0.01
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.18 | × 1.000 | 0.1800 |
| Practice expense | 0.66 | × 0.859 | 0.5669 |
| Malpractice | 0.01 | × 0.515 | 0.0052 |
| Total RVUs | 0.7521 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Arkansas$25.12
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.18 | 1 |
| Practice expense | 0.66 | 0.859 |
| Malpractice | 0.01 | 0.515 |
(0.18 × 1 + 0.66 × 0.859 + 0.01 × 0.515) × $33.4009 = $25.12
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.
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 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.
11,58891010,,Esophagus motility study,A,,1.25,6.02,,6.02,NA,0.09,7.36,7.36,1,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,58991010,26,Esophagus motility study,A,,1.25,0.71,,0.71,,0.07,2.03,2.03,1,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,59091010,TC,Esophagus motility study,A,,0.00,5.31,,5.31,NA,0.02,5.33,5.33,1,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,59191013,,Esophgl motil w/stim/perfus,A,,0.18,0.66,,0.66,NA,0.01,0.85,0.85,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,59291013,26,Esophgl motil w/stim/perfus,A,,0.18,0.10,,0.10,,0.01,0.29,0.29,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,59391013,TC,Esophgl motil w/stim/perfus,A,,0.00,0.56,,0.56,NA,0.00,0.56,0.56,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,59491020,,Gastric motility studies,A,,1.40,7.76,,7.76,NA,0.08,9.24,9.24,1,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541