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Nebraska rates for HCPCS 91110

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

Facilitymedian $240 · 10th–90th $229$6460%50%10th90th$240Professionalmedian $724 · 10th–90th $138$1,9500%5%10%10th90th$724$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$229.09 / $239.88 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $1,318.26 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $251.19 / $575.44
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$245.47 / $977.24 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$588.84 / $741.31 / $1,621.81
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $1,548.82
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $1,122.02 / $1,513.56
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $173.78 / $239.88
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$562.34 / $933.25 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,698.24 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$177.83 / $263.03 / $436.52
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$831.76 / $1,412.54 / $1,862.09
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$794.33 / $794.33 / $794.33
Medica
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$645.65 / $645.65 / $645.65
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,584.89 / $5,370.32
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$194.98 / $275.42 / $1,047.13
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$741.31 / $1,288.25 / $4,466.84
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,698.24 / $2,187.76
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$223.87 / $257.04 / $338.84
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,202.26 / $1,412.54 / $1,819.70
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,548.82 / $1,778.28
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$218.78 / $251.19 / $380.19
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$831.76 / $1,318.26 / $1,445.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,445.44 / $1,905.46
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$151.36 / $245.47 / $346.74
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$741.31 / $1,230.27 / $1,584.89