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Texas rates for HCPCS 91110

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

Facilitymedian $112 · 10th–90th $91$1,0000%20%10th90th$112Professionalmedian $692 · 10th–90th $115$1,3800%5%10%10th90th$692$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
$91.20 / $102.33 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $933.25 / $1,949.84
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $158.49 / $446.68
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$245.47 / $977.24 / $1,071.52
Aetna
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$1,698.24 / $1,698.24 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$562.34 / $724.44 / $1,122.02
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $758.58 / $912.01
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $117.49 / $158.49
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $501.19 / $870.96
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $549.54 / $549.54
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $128.82 / $128.82
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
$724.44 / $1,096.48 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $194.98 / $346.74
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$602.56 / $891.25 / $1,513.56
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
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$91.20 / $107.15 / $144.54
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $1,000.00 / $1,949.84
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $162.18 / $346.74
Moda Health
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$245.47 / $977.24 / $1,071.52
Moda Health
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$1,698.24 / $1,698.24 / $1,698.24
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$575.44 / $794.33 / $1,513.56
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $89.13 / $562.34
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,995.26 / $2,290.87
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$29.51 / $138.04 / $199.53
Providence
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$39.81 / $213.80 / $251.19
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,122.02 / $1,862.09
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $190.55 / $331.13
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$602.56 / $891.25 / $1,380.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $977.24 / $1,659.59
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $173.78 / $302.00
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$602.56 / $794.33 / $1,318.26
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $794.33 / $954.99
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $120.23 / $144.54
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$645.65 / $676.08 / $812.83