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North Carolina rates for HCPCS 91110

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

Facilitymedian $112 · 10th–90th $112$7940%50%90th$112Professionalmedian $741 · 10th–90th $158$1,8620%5%10th90th$741$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
$112.20 / $112.20 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $1,096.48 / $3,235.94
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $204.17 / $602.56
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$275.42 / $630.96 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$562.34 / $562.34 / $676.08
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$616.60 / $758.58 / $1,479.11
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $1,148.15
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $158.49 / $331.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $457.09
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$229.09 / $371.54 / $501.19
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$954.99 / $1,230.27 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,230.27 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$125.89 / $229.09 / $398.11
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$630.96 / $977.24 / $1,778.28
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,258.93 / $1,258.93
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$275.42 / $275.42 / $275.42
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,819.70 / $3,715.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $1,023.29 / $1,949.84
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $190.55 / $338.84
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$630.96 / $851.14 / $1,584.89
Wellcare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$794.33 / $794.33 / $794.33
Wellcare
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$1,000.00 / $1,000.00 / $1,000.00
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,495.41 / $5,495.41 / $5,888.44
Wellcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$933.25 / $1,096.48 / $1,096.48
Wellcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$4,570.88 / $4,570.88 / $5,011.87