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Oregon rates for HCPCS 91110

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

Facilitymedian $263 · 10th–90th $162$2820%20%40%10th90th$263Professionalmedian $832 · 10th–90th $162$1,9500%5%10th90th$832$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
$162.18 / $263.03 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,148.15 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $190.55 / $575.44
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$891.25 / $1,202.26 / $2,344.23
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$616.60 / $794.33 / $1,479.11
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
$977.24 / $1,548.82 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$158.49 / $234.42 / $380.19
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$776.25 / $1,288.25 / $1,949.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,778.28 / $2,041.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$229.09 / $251.19 / $288.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,318.26 / $1,513.56 / $1,737.80
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$162.18 / $251.19 / $281.84
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,621.81 / $2,137.96
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$169.82 / $257.04 / $363.08
Moda Health
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$891.25 / $1,202.26 / $2,344.23
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$794.33 / $1,380.38 / $1,819.70
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $426.58 / $1,513.56
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,698.24 / $2,290.87
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$173.78 / $288.40 / $389.05
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$912.01 / $1,380.38 / $1,905.46
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$2,511.89 / $2,511.89 / $2,511.89
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,698.24 / $2,187.76
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$208.93 / $269.15 / $354.81
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,202.26 / $1,445.44 / $1,862.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,621.81 / $2,398.83
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $245.47 / $389.05
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$741.31 / $1,348.96 / $2,041.74