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Missouri rates for HCPCS 91110

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

Facilitymedian $155 · 10th–90th $110$2630%10%20%10th90th$155Professionalmedian $724 · 10th–90th $123$1,6600%5%10%10th90th$724$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
$109.65 / $154.88 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $977.24 / $2,630.27
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $186.21 / $537.03
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
$575.44 / $741.31 / $1,513.56
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $1,122.02 / $1,258.93
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $93.33 / $93.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $977.24 / $1,479.11
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$134.90 / $204.17 / $281.84
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$645.65 / $776.25 / $1,174.90
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $977.24 / $1,230.27
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $151.36 / $234.42
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$660.69 / $794.33 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$26.92 / $125.89 / $177.83
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
$724.44 / $1,148.15 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $204.17 / $363.08
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$616.60 / $933.25 / $1,778.28
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$257.04 / $794.33 / $794.33
Medica
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$281.84 / $645.65 / $645.65
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,230.27 / $5,370.32
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $218.78 / $1,047.13
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$707.95 / $1,023.29 / $4,466.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,000.00 / $1,584.89
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $165.96 / $275.42
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$645.65 / $812.83 / $1,288.25