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Minnesota rates for HCPCS 91110

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

Facilitymedian $363 · 10th–90th $120$8130%10%10th90th$363Professionalmedian $851 · 10th–90th $170$2,1380%5%10th90th$851$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
$120.23 / $120.23 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,000.00 / $2,951.21
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $190.55 / $575.44
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$630.96 / $891.25 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$398.11 / $426.58 / $549.54
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$616.60 / $741.31 / $1,548.82
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$87.10 / $104.71 / $104.71
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,778.28 / $2,511.89
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$165.96 / $275.42 / $398.11
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$912.01 / $1,621.81 / $2,089.30
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$177.83 / $407.38 / $977.24
Cigna
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$36.31 / $181.97 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,905.46 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$165.96 / $302.00 / $478.63
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$776.25 / $1,621.81 / $2,570.40
Health Partners
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$316.23 / $398.11 / $776.25
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,819.70 / $2,818.38
Health Partners
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$194.98 / $281.84 / $436.52
Health Partners
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,071.52 / $1,513.56 / $2,344.23
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,659.59 / $5,370.32
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $275.42 / $1,047.13
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$707.95 / $1,412.54 / $4,466.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,513.56 / $2,691.53
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $257.04 / $416.87
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$707.95 / $1,288.25 / $2,344.23