CPT 91030
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
Acid perfusion of esophagus
Low
$63
Average
$938
Median
$533
High
$5.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
39 payers; the 90th percentile is 9.4× 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 | UnitedHealthcare case rate · outpatient · +3 other terms | 365 | $1.7k | $1.7k | $1.6k | 93% | — | $1 – $22.4k |
| 2 | Oscar case rate · outpatient · +1 other terms | 130 | $2.5k | $2.6k | $847 | 33% | — | $830 – $7.5k |
| 3 | Aetna case rate · outpatient · +3 other terms | 123 | $3.8k | $5.9k | $4.9k | 83% | — | $400 – $18.3k |
| 4 | Molina case rate · outpatient · +3 other terms | 59 | $587 | $969 | $613 | 63% | — | $206 – $1.8k |
| 5 | Humana facility · case rate · outpatient · +3 other terms | 31 | $387 | $374 | $148 | 40% | — | $163 – $581 |
| 6 | Anthem case rate · outpatient · +3 other terms | 30 | $1.4k | $1.4k | $963 | 67% | — | $513 – $5.4k |
| 7 | Caresource facility · case rate · outpatient · +1 other terms | 24 | $330 | $452 | $204 | 45% | — | $184 – $790 |
| 8 | Ambetter case rate · outpatient · +1 other terms | 23 | $802 | $1.2k | $714 | 60% | — | $0 – $2.0k |
| 9 | Blue Cross Blue Shield case rate · outpatient · +1 other terms | 18 | $428 | $659 | $284 | 43% | — | $375 – $1.3k |
| 10 | Cigna case rate · outpatient · +1 other terms | 16 | $1.8k | $2.2k | $1.4k | 63% | — | $1 – $5.1k |
← Hospitals reporting CPT 91030 · Snapshot 20261113T090226Z-3ce6c0b8