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Iowa rates for HCPCS 91110

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

Facilitymedian $229 · 10th–90th $155$7940%20%10th90th$229Professionalmedian $759 · 10th–90th $132$2,0890%5%10th90th$759$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
$154.88 / $154.88 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $1,148.15 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $204.17 / $691.83
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$630.96 / $977.24 / $3,630.78
Aetna
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$398.11 / $426.58 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$575.44 / $741.31 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,621.81 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$141.25 / $263.03 / $467.74
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$660.69 / $1,348.96 / $2,137.96
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $1,047.13 / $2,951.21
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $186.21 / $478.63
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$524.81 / $870.96 / $2,511.89
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$794.33 / $794.33 / $794.33
Medica
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$645.65 / $645.65 / $645.65
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,778.28 / $5,370.32
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$151.36 / $302.00 / $1,047.13
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$776.25 / $1,479.11 / $4,466.84
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,862.09 / $2,454.71
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$257.04 / $288.40 / $426.58
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,412.54 / $1,584.89 / $2,041.74
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $1,862.09 / $2,187.76
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$275.42 / $316.23 / $363.08
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,380.38 / $1,584.89 / $1,862.09
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $741.31 / $1,584.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,348.96 / $2,398.83
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $257.04 / $389.05
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$741.31 / $1,096.48 / $1,905.46
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,318.26 / $1,548.82
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$208.93 / $208.93 / $245.47
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,096.48 / $1,096.48 / $1,318.26