CPT 91010 Gastroenterology

How Much Does Esophagus Motility Study Cost?

Also known as: Esophagus motility study (CPT 91010)

Esophageal manometry to measure the pressure and function of the esophagus and lower esophageal sphincter.

Esophagus Motility Study (CPT 91010) costs $246 at Medicare rates.

Medicare (Facility)
$246
CMS PFS 2026 national rate

Patient Guide: Esophagus Motility Study

What you need to know before your appointment

What to Expect

A thin, flexible catheter is passed through the nose into the esophagus. You swallow water while the catheter measures pressure at various points.

How Long Does It Take?

30-45 minutes

Common Reasons Doctors Order This

Difficulty swallowing evaluation, pre-surgical evaluation for anti-reflux surgery, achalasia diagnosis, esophageal spasm

How to Prepare

Fast for 6-8 hours. Stop acid-blocking medications if directed. The test is uncomfortable but not painful.

Procedures Commonly Done Together

These procedures are frequently performed alongside Esophagus motility study

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How to Reduce Your Cost for Esophagus motility study

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

1.25
Work RVU
6.02
Practice Expense RVU
0.09
Malpractice RVU
7.36
Total RVU

Payment = Total RVU (7.36) x CF ($33.40) = $246

Frequently Asked Questions

How much does Esophagus motility study cost?

The Medicare facility rate for Esophagus motility study is $246. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Esophagus motility study cost without insurance?

Without insurance, the cost of Esophagus motility study can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Esophagus motility study?

Most commercial health insurance plans and Medicare cover Esophagus motility study when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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