go back

Michigan rates for HCPCS 91110

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

Facilitymedian $166 · 10th–90th $129$1660%50%10th$166Professionalmedian $759 · 10th–90th $132$1,7380%10%10th90th$759$2.0$10.0$50.0$200.0$1.0K$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
$128.82 / $165.96 / $165.96
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 / $204.17 / $831.76
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$213.80 / $363.08 / $891.25
Aetna
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$275.42 / $398.11 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$588.84 / $758.58 / $1,412.54
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $562.34 / $616.60
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $114.82 / $120.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,047.13 / $1,122.02
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$147.91 / $173.78 / $173.78
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$933.25 / $933.25 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $1,000.00 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $181.97 / $331.13
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$575.44 / $812.83 / $1,819.70
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$128.82 / $478.63 / $562.34
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $1,000.00 / $2,089.30
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $190.55 / $489.78
Health Alliance Plan
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$302.00 / $302.00 / $891.25
Health Alliance Plan
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$275.42 / $398.11 / $1,698.24
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$645.65 / $794.33 / $1,479.11
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $912.01 / $1,513.56
Priority Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $173.78 / $316.23
Priority Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$575.44 / $776.25 / $1,230.27
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $977.24 / $1,513.56
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $190.55 / $257.04
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$645.65 / $794.33 / $1,258.93