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Indiana rates for HCPCS 91110

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

Facilitymedian $158 · 10th–90th $107$2140%20%40%10th90th$158Professionalmedian $692 · 10th–90th $120$1,5490%5%10%10th90th$692$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
$107.15 / $158.49 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $954.99 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $162.18 / $457.09
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$630.96 / $977.24 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$275.42 / $275.42 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$575.44 / $707.95 / $1,174.90
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $977.24 / $1,380.38
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $141.25 / $218.78
Ambetter
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$295.12 / $295.12 / $295.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $891.25 / $1,479.11
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$141.25 / $177.83 / $288.40
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$616.60 / $724.44 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $1,023.29 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $190.55 / $346.74
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$575.44 / $831.76 / $1,513.56
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $954.99 / $1,445.44
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $173.78 / $281.84
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$616.60 / $776.25 / $1,230.27