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
$81
Average
$476
Median
$446
High
$1.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
61 payers; the 90th percentile is 6.8× 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 fee schedule · outpatient · +7 other terms | 411 | $531 | $1.1k | $1.5k | 142% | — | $1 – $15.6k |
| 2 | Aetna fee schedule · outpatient · +6 other terms | 399 | $483 | $1.1k | $2.3k | 210% | — | $1 – $19.0k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +7 other terms | 330 | $396 | $513 | $513 | 100% | — | $1 – $4.2k |
| 4 | Humana fee schedule · outpatient · +7 other terms | 296 | $489 | $592 | $766 | 129% | — | $1 – $8.3k |
| 5 | Cigna fee schedule · outpatient · +6 other terms | 150 | $454 | $526 | $455 | 87% | — | $48 – $2.8k |
| 6 | Molina fee schedule · outpatient · +6 other terms | 141 | $521 | $478 | $330 | 69% | — | $1 – $2.2k |
| 7 | WellCare fee schedule · outpatient · +5 other terms | 130 | $504 | $650 | $676 | 104% | — | $47 – $4.3k |
| 8 | Anthem fee schedule · outpatient · +4 other terms | 101 | $507 | $271 | $473 | 174% | — | $8 – $4.1k |
| 9 | Kaiser fee schedule · outpatient · +5 other terms | 72 | $622 | $1.0k | $1.1k | 106% | — | $58 – $4.3k |
| 10 | Ambetter facility · fee schedule · outpatient · +4 other terms | 68 | $667 | $1.2k | $1.9k | 158% | — | $201 – $14.6k |
← Hospitals reporting CPT 91030 · Snapshot 20261113T090226Z-3ce6c0b8