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New York rates for HCPCS 91110

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

Facilitymedian $162 · 10th–90th $126$3020%10%10th90th$162Professionalmedian $741 · 10th–90th $126$1,7780%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
$134.90 / $186.21 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $1,047.13 / $3,235.94
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $204.17 / $724.44
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$794.33 / $794.33 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$398.11 / $398.11 / $426.58
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$575.44 / $776.25 / $1,659.59
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $562.34 / $562.34
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $91.20 / $158.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $812.83 / $1,949.84
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $109.65 / $309.03
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$562.34 / $707.95 / $1,513.56
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $1,047.13 / $1,230.27
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
$707.95 / $1,348.96 / $3,162.28
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $223.87 / $512.86
Cigna
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$524.81 / $588.84 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$602.56 / $1,122.02 / $2,691.53
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,258.93 / $1,621.81
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$138.04 / $199.53 / $1,023.29
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$812.83 / $1,096.48 / $1,412.54
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $870.96 / $1,698.24
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $151.36 / $263.03
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$501.19 / $724.44 / $1,445.44
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $1,698.24 / $1,698.24
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,174.90 / $1,995.26
MVP Health Care
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$144.54 / $177.83 / $331.13
MVP Health Care
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$501.19 / $588.84 / $1,000.00
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$831.76 / $1,000.00 / $1,659.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $1,071.52 / $2,818.38
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $162.18 / $457.09
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$645.65 / $912.01 / $2,691.53
Univera
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$91.20 / $131.83 / $660.69
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $870.96 / $1,949.84
Univera
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $147.91 / $354.81
Univera
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$501.19 / $724.44 / $1,949.84