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Maryland rates for HCPCS 91110

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

Facilitymedian $141 · 10th–90th $100$1410%20%40%10th$141Professionalmedian $741 · 10th–90th $135$1,8200%5%10%10th90th$741$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$100.00 / $100.00 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,000.00 / $2,884.03
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $186.21 / $549.54
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$275.42 / $891.25 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$616.60 / $776.25 / $1,698.24
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $707.95 / $912.01
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
$676.08 / $758.58 / $954.99
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$177.83 / $177.83 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $1,071.52 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $190.55 / $331.13
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$562.34 / $891.25 / $1,621.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $977.24 / $1,288.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $134.90 / $213.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$724.44 / $831.76 / $1,096.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,047.13 / $1,819.70
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $169.82 / $281.84
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$616.60 / $891.25 / $1,548.82
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $933.25 / $1,258.93
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $128.82 / $177.83
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$616.60 / $812.83 / $1,096.48