Gastric motility manometry test

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC Gastric Motility Study - Manometry Study, Gastric

Payers reporting CPT 91020

Payer pricing summary

Low

$129

Average

$766

Median

$592

High

$2.7k

Payer rate distribution

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#
1	Anthem fee schedule · outpatient · +22 other terms	101	$647	$386	$554	144%	1–10	$30 – $3.2k
2	UnitedHealthcare fee schedule · outpatient · +30 other terms	407	$531	$1.1k	$1.5k	135%	—	$1 – $15.6k
3	Aetna fee schedule · outpatient · +28 other terms	403	$524	$1.3k	$2.0k	156%	—	$70 – $21.3k
4	Blue Cross Blue Shield fee schedule · outpatient · +23 other terms	329	$515	$671	$507	76%	—	$1 – $4.2k
5	Humana fee schedule · outpatient · +25 other terms	291	$512	$702	$788	112%	—	$73 – $8.3k
6	Cigna fee schedule · outpatient · +25 other terms	151	$496	$564	$401	71%	—	$75 – $2.4k
7	Molina fee schedule · outpatient · +20 other terms	140	$516	$481	$316	66%	—	$51 – $2.2k
8	WellCare fee schedule · outpatient · +13 other terms	134	$502	$637	$666	105%	—	$51 – $4.3k
9	Oscar case rate · outpatient · +14 other terms	130	$2.5k	$2.5k	$888	35%	—	$830 – $7.5k
10	Ambetter facility · fee schedule · outpatient · +13 other terms	68	$667	$927	$771	83%	—	$383 – $7.1k
11	Kaiser fee schedule · outpatient · +15 other terms	68	$582	$869	$892	103%	—	$132 – $4.3k
12	Devoted fee schedule · outpatient · +11 other terms	67	$409	$425	$117	28%	—	$198 – $588
13	Optum fee schedule · outpatient · +13 other terms	52	$482	$472	$243	51%	—	$198 – $1.4k
14	Caresource fee schedule · outpatient · +11 other terms	38	$405	$659	$1.1k	163%	—	$153 – $4.3k
15	Bcbs Tx fee schedule · outpatient · +3 other terms	31	$667	$626	$223	36%	—	$206 – $1.2k
16	Clover fee schedule · outpatient · +7 other terms	31	$580	$1.0k	$1.3k	123%	—	$337 – $4.4k
17	MultiPlan fee schedule · outpatient · +17 other terms	28	$859	$1.1k	$466	42%	—	$498 – $2.2k
18	Tricare fee schedule · outpatient · +12 other terms	28	$383	$1.1k	$1.7k	151%	—	$339 – $5.1k
19	Medicare fee schedule · outpatient · +12 other terms	26	$198	$784	$1.3k	166%	—	$171 – $4.2k
20	Highmark facility · fee schedule · outpatient · +9 other terms	24	$794	$785	$466	59%	—	$114 – $1.8k
21	Bcbs La fee schedule · outpatient · +2 other terms	23	$742	$735	$190	26%	—	$341 – $1.3k
22	Medica facility · fee schedule · outpatient · +14 other terms	21	$521	$478	$208	44%	—	$124 – $1.3k
23	Regence facility · fee schedule · outpatient · +11 other terms	21	$400	$678	$518	76%	—	$378 – $1.9k
24	Aetna Better Health facility · fee schedule · outpatient · +13 other terms	17	$250	$319	$151	47%	—	$191 – $661
25	Medical Mutual facility · fee schedule · outpatient · +7 other terms	17	$356	$710	$1.2k	171%	—	$192 – $6.0k

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