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Alaska rates for HCPCS 91110

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

Facilitymedian $316 · 10th–90th $316$3160%50%100%$316Professionalmedian $776 · 10th–90th $138$2,4550%5%10th90th$776$100.0$200.0$500.0$1.0K$2.0K$5.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$316.23 / $316.23 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $1,000.00 / $2,754.23
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $162.18 / $562.34
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$1,479.11 / $1,479.11 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$426.58 / $549.54 / $549.54
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$549.54 / $776.25 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,348.96 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$134.90 / $208.93 / $446.68
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$630.96 / $1,047.13 / $2,089.30
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$316.23 / $316.23 / $316.23
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,995.26 / $3,388.44
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$158.49 / $346.74 / $602.56
Moda Health
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$1,479.11 / $1,479.11 / $1,479.11
Moda Health
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$524.81 / $524.81 / $549.54
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$794.33 / $1,698.24 / $2,951.21
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $3,019.95 / $4,570.88
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$446.68 / $478.63 / $707.95
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$2,344.23 / $2,511.89 / $3,890.45
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $1,819.70 / $2,238.72
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $186.21 / $446.68
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$630.96 / $831.76 / $2,089.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $2,041.74 / $4,365.16
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$138.04 / $363.08 / $794.33
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$776.25 / $1,659.59 / $3,630.78