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Nationwide rates for HCPCS 91110

Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report

Facilitymedian $178 · 10th–90th $110$6310%10%20%10th90th$178Professionalmedian $741 · 10th–90th $132$1,7780%10%10th90th$741$1.0$10.0$100.0$1.0K$10.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$112.20 / $162.18 / $316.23
Aetna
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$4,466.84 / $4,466.84 / $4,466.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $1,000.00 / $2,884.03
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $186.21 / $575.44
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$275.42 / $891.25 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$275.42 / $426.58 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$575.44 / $758.58 / $1,412.54
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$162.18 / $162.18 / $162.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,000.00 / $1,862.09
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $194.98 / $354.81
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$616.60 / $831.76 / $1,513.56
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$26.92 / $144.54 / $398.11
Cigna
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$36.31 / $181.97 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,174.90 / $2,290.87
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $213.80 / $371.54
Cigna
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$524.81 / $588.84 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$616.60 / $954.99 / $1,905.46
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,047.13 / $1,949.84
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $181.97 / $323.59
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$616.60 / $891.25 / $1,621.81