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Ohio rates for HCPCS 91110

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

Facilitymedian $141 · 10th–90th $107$3890%20%10th90th$141Professionalmedian $692 · 10th–90th $123$1,3800%10%10th90th$692$2.0$10.0$50.0$200.0$1.0K$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
$107.15 / $141.25 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $933.25 / $1,819.70
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $162.18 / $346.74
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$794.33 / $794.33 / $1,071.52
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
$562.34 / $741.31 / $1,288.25
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $645.65 / $851.14
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $91.20 / $141.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,071.52 / $1,862.09
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$147.91 / $204.17 / $338.84
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$660.69 / $870.96 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $1,000.00 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $186.21 / $346.74
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$562.34 / $812.83 / $1,445.44
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$26.92 / $125.89 / $177.83
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$36.31 / $181.97 / $213.80
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $977.24 / $1,621.81
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $177.83 / $323.59
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$549.54 / $794.33 / $1,288.25
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $645.65
SummaCare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$562.34 / $562.34 / $562.34
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $954.99 / $1,659.59
SummaCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $147.91 / $302.00
SummaCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$660.69 / $776.25 / $1,348.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $954.99 / $1,698.24
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $177.83 / $295.12
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$588.84 / $776.25 / $1,380.38