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Massachusetts rates for HCPCS 91110

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

Facilitymedian $182 · 10th–90th $182$7940%50%90th$182Professionalmedian $759 · 10th–90th $141$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
$181.97 / $181.97 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $1,148.15 / $3,467.37
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $218.78 / $588.84
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$275.42 / $891.25 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$398.11 / $549.54 / $549.54
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$575.44 / $758.58 / $1,698.24
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$245.47 / $275.42 / $794.33
AllWays Health Partners
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$1,000.00 / $1,000.00 / $1,000.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $1,318.26 / $5,495.41
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $223.87 / $1,096.48
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$676.08 / $1,148.15 / $4,570.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $1,737.80 / $6,025.60
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$169.82 / $208.93 / $758.58
BCBS
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$676.08 / $870.96 / $3,019.95
BCBS
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$338.84 / $436.52 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,318.26 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $223.87 / $426.58
Cigna
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$588.84 / $588.84 / $588.84
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$630.96 / $1,096.48 / $2,137.96
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $549.54 / $1,318.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,348.96 / $2,187.76
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$128.82 / $194.98 / $323.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$741.31 / $1,096.48 / $1,862.09
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $229.09 / $1,584.89
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$245.47 / $275.42 / $794.33
Mass General Brigham
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$1,000.00 / $1,000.00 / $1,000.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $1,318.26 / $5,495.41
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $223.87 / $1,096.48
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$676.08 / $1,148.15 / $4,570.88
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 / $213.80 / $371.54
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$741.31 / $1,122.02 / $2,041.74