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California rates for HCPCS 91110

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

Facilitymedian $794 · 10th–90th $186$1,0000%20%10th90th$794Professionalmedian $851 · 10th–90th $186$2,7540%5%10th90th$851$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$186.21 / $208.93 / $630.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,288.25 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $257.04 / $831.76
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$275.42 / $977.24 / $3,630.78
Aetna
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$398.11 / $549.54 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$616.60 / $812.83 / $1,698.24
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $645.65 / $933.25
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $117.49 / $117.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,348.96 / $2,511.89
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$173.78 / $269.15 / $426.58
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$676.08 / $1,096.48 / $2,137.96
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,288.25 / $2,511.89
Blue Shield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$186.21 / $263.03 / $467.74
Blue Shield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$676.08 / $1,023.29 / $2,089.30
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
$812.83 / $1,202.26 / $2,238.72
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$128.82 / $213.80 / $363.08
Cigna
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$524.81 / $524.81 / $524.81
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$660.69 / $977.24 / $1,905.46
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,096.48 / $1,479.11
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $141.25 / $190.55
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$676.08 / $954.99 / $1,288.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,000.00 / $1,905.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $158.49 / $263.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$794.33 / $1,000.00 / $1,698.24
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$794.33 / $794.33 / $794.33
Lucent Health
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$1,000.00 / $1,000.00 / $1,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,495.41 / $5,888.44 / $5,888.44
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$933.25 / $933.25 / $1,096.48
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$4,570.88 / $5,011.87 / $5,011.87
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $186.21 / $977.24
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$117.49 / $117.49 / $117.49
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,258.93 / $2,089.30
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $208.93 / $331.13
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$630.96 / $954.99 / $1,778.28
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,884.03 / $2,884.03 / $2,884.03
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$426.58 / $426.58 / $426.58
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$2,511.89 / $2,511.89 / $2,511.89
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,202.26 / $1,737.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $977.24 / $2,089.30
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $177.83 / $323.59
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$588.84 / $812.83 / $1,778.28