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Washington rates for HCPCS 91110

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

Facilitymedian $257 · 10th–90th $162$5130%10%10th90th$257Professionalmedian $813 · 10th–90th $158$1,8620%5%10th90th$813$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 / $251.19 / $512.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,148.15 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $204.17 / $851.14
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$1,071.52 / $1,071.52 / $1,071.52
Aetna
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$1,513.56 / $1,513.56 / $1,513.56
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$602.56 / $776.25 / $1,445.44
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,122.02 / $1,122.02
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $91.20 / $190.55
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$1,584.89 / $1,584.89 / $1,584.89
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,513.56 / $2,089.30
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$154.88 / $223.87 / $346.74
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$933.25 / $1,288.25 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $1,412.54 / $2,398.83
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $223.87 / $380.19
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$660.69 / $1,174.90 / $2,041.74
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$165.96 / $263.03 / $2,238.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,548.82 / $2,238.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$154.88 / $245.47 / $338.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$776.25 / $1,288.25 / $1,905.46
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $398.11
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $281.84 / $1,202.26
Premera BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,445.44 / $2,137.96
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$151.36 / $234.42 / $323.59
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$851.14 / $1,288.25 / $1,819.70
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$1,584.89 / $1,584.89 / $1,584.89
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,513.56 / $2,089.30
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$154.88 / $218.78 / $331.13
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$933.25 / $1,288.25 / $1,778.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,348.96 / $2,187.76
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $239.88 / $346.74
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$724.44 / $1,122.02 / $1,862.09
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $977.24 / $1,862.09
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $138.04 / $245.47
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$831.76 / $831.76 / $1,584.89