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Washington, DC rates for HCPCS 91110

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

Facilitymedian $251 · 10th–90th $102$2820%20%10th90th$251Professionalmedian $708 · 10th–90th $117$1,9500%5%10%10th90th$708$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
$102.33 / $251.19 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $954.99 / $2,754.23
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $169.82 / $575.44
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$213.80 / $1,071.52 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$549.54 / $549.54 / $549.54
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$575.44 / $741.31 / $1,318.26
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $707.95 / $3,630.78
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $117.49 / $194.98
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$707.95 / $794.33 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $1,071.52 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $190.55 / $346.74
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$602.56 / $891.25 / $1,995.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $933.25 / $1,862.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $128.82 / $257.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$691.83 / $812.83 / $1,621.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,288.25 / $2,511.89
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $181.97 / $549.54
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$645.65 / $1,071.52 / $3,235.94