go back

Massachusetts rates for HCPCS 91113

Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report

Facilitymedian $977 · 10th–90th $107–$1,9050%10%10th90th$977Professionalmedian $1,096 · 10th–90th $813–$2,5700%10%10th90th$1,096$50.0$200.0$1.0K$5.0K$20.0K

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
Typical Low / Median / Typical High
$1,000.00 / $1,000.00 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $954.99 / $2,041.74
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,888.44 / $5,888.44 / $5,888.44
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,621.81 / $5,888.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,584.89 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,412.54 / $2,630.27
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $724.44 / $1,778.28
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $676.08 / $1,621.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,621.81 / $2,630.27
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,888.44 / $5,888.44 / $5,888.44
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,621.81 / $5,888.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $1,288.25 / $3,388.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,548.82 / $2,951.21