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Arizona rates for HCPCS 91110

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

Facilitymedian $234 · 10th–90th $126$7940%20%40%10th90th$234Professionalmedian $741 · 10th–90th $129$1,8200%5%10th90th$741$20.0$100.0$500.0$2.0K

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
$234.42 / $234.42 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $1,023.29 / $3,311.31
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $199.53 / $630.96
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$630.96 / $891.25 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$295.12 / $426.58 / $549.54
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$575.44 / $741.31 / $1,479.11
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $758.58
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $83.18 / $114.82
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $758.58 / $3,090.30
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $120.23 / $489.78
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$537.03 / $630.96 / $2,570.40
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$26.92 / $125.89 / $177.83
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
$707.95 / $1,023.29 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $181.97 / $331.13
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$602.56 / $831.76 / $1,698.24
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$257.04 / $794.33 / $794.33
Medica
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$281.84 / $645.65 / $645.65
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,122.02 / $5,370.32
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $204.17 / $1,047.13
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$630.96 / $933.25 / $4,466.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $954.99 / $1,621.81
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $181.97 / $288.40
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$616.60 / $794.33 / $1,348.96