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CPT 91010 · Medicine/E&M · Evaluation & Management

Esophagus motility study

Esophageal motility studies to evaluate swallowing muscle function range from $247 to $531 depending on facility type, making it essential to verify your provider's actual charges before treatment.

By David Park , Healthcare Cost Researcher · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
About the analyst

David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.

Medicare + CMS benchmark data
Publicly available pricing
Updated 2026-04-03
Rate comparison — Esophagus motility study
Non-facility$99Medicare facility$247Hospital outpatient$531$432 difference between lowest and highest rate
$247
Medicare facility rate
$99
Non-facility rate

Code 91010 covers esophageal motility testing, which measures how well the swallowing muscles in the esophagus contract and move food toward the stomach. Patients with swallowing difficulties, chest pain, or gastroesophageal reflux typically receive this diagnostic test. This procedure charges approximately 8.5x the Medicare reimbursement rate, with facility fees varying significantly between outpatient hospital departments and independent clinics.

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Compare by care setting
The same procedure costs different amounts depending on where you receive care.
$531
Hospital Outpatient rate for Esophagus motility study
Medicare facility benchmark: $247
Regional rate comparison — Esophagus motility study
Top 5 lowest and highest localities by Medicare facility rate
National avg $247REST OF ILLINOIS, IL$285DETROIT, MI$300QUEENS, NY$304MIAMI, FL$376CHICAGO, IL$355NYC SUBURBS/LONG ISLAND, NY$338

Facility rate

$247

National Medicare benchmark

Non-facility rate

$99

Office setting benchmark

Data sources

3

23 data points

Key insights for CPT 91010

Facility vs office setting

$148 difference

Non-facility setting is less expensive for this procedure

What this procedure costs across different settings

The same procedure can cost very different amounts depending on where it's performed. These are the Medicare-allowed amounts — what hospitals actually charge can be 3-10x higher.

SettingMedicare ratevs lowest
Facility (physician office)$247+150%
Non-facility (office)$99Lowest
Outpatient (APC)$531+436%

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About this data

Rates shown are from the 2026 Medicare Physician Fee Schedule, Hospital Outpatient Prospective Payment System (OPPS), Ambulatory Surgery Center Payment System, Clinical Laboratory Fee Schedule, Durable Medical Equipment Fee Schedule, and CMS Inpatient Prospective Payment System (DRG weights). Regional adjustments use CMS Geographic Practice Cost Indices (GPCI). Hospital charges are from CMS Hospital Price Transparency machine-readable files. All data is publicly available under federal law (45 CFR Part 180).

This data is for informational purposes only and does not constitute medical or financial advice. Actual costs depend on insurance coverage, negotiated rates, and individual circumstances.

Related procedures

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

Related pricing data

Data: Medicare Physician Fee Schedule, CMS Inpatient PPS (IPPS), Outpatient PPS (OPPS), ASC Payment System, Clinical Lab Fee Schedule (CLFS), National Average Drug Acquisition Cost (NADAC). FY 2024 data. All publicly available from CMS.

Methodology: Facility rate applies when the procedure is performed in a hospital or ASC. Non-facility rate applies in a physician office. GPCI adjustments reflect regional cost-of-living differences.

This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use

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