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Montana rates for HCPCS 91110

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

Facilitymedian $174 · 10th–90th $174$2040%20%40%90th$174Professionalmedian $851 · 10th–90th $162$1,5850%5%10th90th$851$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,148.15 / $3,235.94
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $204.17 / $660.69
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$660.69 / $851.14 / $1,445.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $173.78 / $1,148.15
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$173.78 / $173.78 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,202.26 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$162.18 / $218.78 / $323.59
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$645.65 / $977.24 / $1,737.80
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,348.96 / $2,511.89
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$173.78 / $173.78 / $204.17
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,621.81 / $2,089.30
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $181.97 / $316.23
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$707.95 / $1,023.29 / $1,479.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,412.54 / $1,659.59
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$186.21 / $223.87 / $331.13
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$831.76 / $1,174.90 / $1,412.54