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Rhode Island rates for HCPCS 91110

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

Professionalmedian $832 · 10th–90th $162$2,0890%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
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,230.27 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $229.09 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$154.88 / $154.88 / $1,071.52
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$616.60 / $794.33 / $1,412.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $812.83 / $1,698.24
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $125.89 / $288.40
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$478.63 / $645.65 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,174.90 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$134.90 / $199.53 / $323.59
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$741.31 / $954.99 / $1,621.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $1,047.13 / $1,621.81
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$125.89 / $177.83 / $251.19
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$724.44 / $912.01 / $1,258.93