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Tennessee rates for HCPCS 91110

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

Facilitymedian $794 · 10th–90th $245$1,0000%20%10th90th$794Professionalmedian $759 · 10th–90th $132$1,6980%10%10th90th$759$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
$245.47 / $251.19 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,071.52 / $2,398.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $177.83 / $457.09
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$154.88 / $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
$616.60 / $776.25 / $1,348.96
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $741.31 / $1,380.38
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $141.25 / $363.08
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $954.99 / $1,778.28
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$141.25 / $223.87 / $346.74
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$691.83 / $977.24 / $1,584.89
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$169.82 / $169.82 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,023.29 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $194.98 / $316.23
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$630.96 / $851.14 / $1,380.38
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$794.33 / $794.33 / $794.33
Lucent Health
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$1,000.00 / $1,000.00 / $1,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,495.41 / $5,888.44 / $5,888.44
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$933.25 / $933.25 / $1,096.48
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$4,570.88 / $5,011.87 / $5,011.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,023.29 / $1,659.59
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $194.98 / $302.00
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$676.08 / $812.83 / $1,380.38