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See a sample rate comparisonCPT 91133 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Electrogastrography Diagnos Transcutaneous; W/ Provocative Test, Electrogastrography Diagnostic Transcutaneous; With Provocative Test
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Gastroenterology Procedures |
| Common Place of Service | 19 - Off Campus Outpatient Hospital 11 - Office |
| Common Modifiers | 26 - Professional component PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $508.36 national non-facility rate (2026) · View Medicare rates for 91133 |
| Medicaid Fee Schedule | $401.90 median of the 7 states in the free preview · View Medicaid rates for 91133 |
National average reimbursement for CPT 91133 by major payers:
$445.60
$315.94
$447.32
$533.01
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CPT 91133
5 of 25 sample ratesHigher to lower in this preview
Jeremy Wong
University Physicians Incorporated
$1,225.44Published rateRhonda Lampen
Loyola University Medical Center
$654.13Published rateBankimchandra Patel
North Alabama Cardiology Center, P.C.
$354.39Published rateRhonda Lampen
$67.51Published rateApex Cardiology, PC
$27.67Published rate
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See a sample payer proposalCPT 91133 vs. Other Gastroenterology Procedures Codes
The CPT 91133 code is part of the Medicine Services and Procedures services used for Gastroenterology Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 91133 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 91117-CPT | Low | Study Of Intestinal Movement, The Study Lasts At Least Six Hours And Is Designed To Provide Information For Constipation Treatment. A Tube Is Inserted Into The Intestines To Record Muscle Movement And Pressure. A Meal Or Drugs May Be Given To Stimulate The Intestines For The Study. |
| 91132-CPT | Moderate | Electrogastrography, Diagnostic, Transcutaneous |
| 91133-CPT | Moderate | Electrogastrography Diagnos Transcutaneous; W/ Provocative Test, Electrogastrography Diagnostic Transcutaneous; With Provocative Test |
| 91200-CPT | Low | Liver Imaging, Elastography Is An Imaging Technique That Can Show The Difference Between Normal And Abnormal Tissues. In This Procedure It Is Used To Assess Liver Fibrosis. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 91133. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 91133 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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