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Illinois rates for HCPCS 91110

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

Facilitymedian $178 · 10th–90th $112$2040%20%10th90th$178Professionalmedian $741 · 10th–90th $129$1,7780%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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$112.20 / $177.83 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $1,096.48 / $2,818.38
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $199.53 / $758.58
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$154.88 / $707.95 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$275.42 / $426.58 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$575.44 / $758.58 / $1,348.96
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $562.34 / $1,122.02
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $91.20 / $147.91
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $512.86 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $1,071.52 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $190.55 / $338.84
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$588.84 / $891.25 / $1,412.54
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,737.80 / $2,884.03
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$128.82 / $281.84 / $1,047.13
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$616.60 / $1,047.13 / $2,290.87
Hally Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $851.14 / $891.25
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$134.90 / $134.90 / $144.54
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$676.08 / $707.95 / $758.58
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,047.13 / $1,698.24
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$125.89 / $190.55 / $309.03
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$676.08 / $870.96 / $1,412.54