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Unlisted Digestive Diagnostic Test

Pennsylvania rates for HCPCS 91299

Covers a diagnostic study of the digestive tract that has no standard named entry of its own. Such studies look at how the esophagus, stomach, or intestines move, sense, or handle what passes through them. Because the study is non-standard, the provider submits a written description of exactly what was performed.

Rates data updated July 2026.

How much does Unlisted Digestive Diagnostic Test cost?

$1,862

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $1,862 for this service. Most negotiated rates run $67.61 to $64,565.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $85 · 10th to 90th $30 to $1,622Professionalmedian $64,565 · 10th to 90th $54,954 to $64,565
$100.0$1.0K$10.0Kfacility $85professional $64,565

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,862.09
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$54,954.09
Median
$64,565.42
Typical High
$64,565.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$346.74
Typical High
$416.87
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$1,862.09
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$42.66
Typical High
$67.61
United
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$436.52
Typical High
$3,019.95
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57

Where Pennsylvania sits

The same service costs 134.9 times more in New Hampshire than in Georgia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $1,862 · 3rd of 50
NH $3,631GA $26.92

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.