CPT 91012
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
ESOPHAGUS MOTILITY STUDY UNSCHEDULED
Low
$191
Average
$1.9k
Median
$944
High
$13.9k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
12 payers; the 90th percentile is 4.3× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +2 other terms | 8 | $1.6k | $1.5k | $341 | 23% | — | $721 – $1.8k |
| 2 | Anthem facility · fee schedule · outpatient · +1 other terms | 5 | $355 | $1.6k | $3.3k | 215% | — | $112 – $11.0k |
| 3 | First Health fee schedule · both | 5 | $191 | $191 | $78 | 41% | — | $97 – $287 |
| 4 | Aetna fee schedule · outpatient · +2 other terms | 4 | $1.3k | $1.3k | $54 | 4% | — | $1.3k – $1.4k |
| 5 | Aetna Better Health fee schedule · inpatient | 2 | $957 | $957 | — | — | — | $957 – $957 |
| 6 | Ambetter facility · fee schedule · outpatient | 2 | $930 | $930 | $130 | 14% | — | $800 – $1.1k |
| 7 | Highmark facility · fee schedule · outpatient | 2 | $357 | $371 | $39 | 11% | — | $315 – $399 |
| 8 | Humana fee schedule · outpatient · +1 other terms | 2 | $6.1k | $6.3k | $1.5k | 23% | — | $5.0k – $8.3k |
| 9 | Kaiser fee schedule · both | 2 | $333 | $333 | $56 | 17% | — | $277 – $389 |
| 10 | Tricare facility · fee schedule · outpatient | 2 | $1.0k | $1.0k | $597 | 59% | — | $407 – $1.6k |
← Hospitals reporting CPT 91012 · Snapshot 20261113T090226Z-3ce6c0b8