CPT 91110 · professional fee

Gi trc img intral esoph-ile (CPT 91110): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 91110, from their published in-network rate files.

GastroenterologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee
Median rate
$1,175
P10 to P90: $729 to $2,184
vs Medicare
146%
non-facility rate $802.29
Payer spread
1.41×
UHC $1,342 vs Aetna $948
State spread
3.5×
AK $2,956 to AL $858
4,410 sampled providers4,975 TINs51 statesSample-based · how this is calculated

What the data shows

Generated from this code's own numbers
1

UnitedHealthcare has the highest median for CPT 91110 in the files analyzed, at $1,342, 41% above Aetna ($948), the lowest of the 4 payers shown.

2

The state spread is 3.5×: Alaska has the highest median at $2,956 and Alabama the lowest at $858, a gap larger than the gap between the highest and lowest payer.

3

Commercial rates run 146% of the Medicare non-facility rate ($802.29), which ranks 123rd of 228 tracked codes by commercial-to-Medicare ratio.

4

Rates are tightest within Aetna (interquartile range $422) and widest within Blue Cross Blue Shield ($707).

5

This is a top-21 code for gastroenterology by Medicare allowed dollars, so it carries real revenue weight for that specialty.

Rates by payer

Median of per-provider median rates, with interquartile range
PayerMedianP25P75vs nationalRankProvidersPosition
UnitedHealthcare$1,342$1,055$1,814+14%13,765
167% of Medicare
Cigna$1,233$961$1,649+5%23,580
154% of Medicare
Blue Cross Blue Shield$1,078$818$1,525-8%33,410
134% of Medicare
Aetna$948$807$1,230-19%42,895
118% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($802.29)
$187$654$1,120$1,586$2,053$2,519UnitedHealthcareCignaBlue Cross Blue ShieldAetnaMedicare

Rates by state

Median across payers · 50 states with enough data
RankStateMedianvs nationalHighest payerLowest payerProvidersLevel
1Alaska$2,956+152%n/an/a16
2Oregon$2,252+92%BCBSAetna104
3Wisconsin$2,191+86%UHCAetna110
4Minnesota$1,703+45%UHCAetna91
5Washington$1,699+45%AetnaCigna96
6Massachusetts$1,664+42%UHCAetna113
7Connecticut$1,658+41%UHCAetna122
8Nebraska$1,649+40%UHCBCBS46
9New Hampshire$1,577+34%UHCAetna74
10South Dakota$1,566+33%UHCBCBS25
11Iowa$1,553+32%UHCBCBS55
12New Jersey$1,532+30%UHCAetna116
13North Dakota$1,441+23%UHCBCBS20
14Georgia$1,371+17%BCBSUHC126
15Vermont$1,305+11%UHCBCBS23
16Idaho$1,302+11%UHCAetna52
17Kansas$1,300+11%CignaAetna62
18Colorado$1,265+8%UHCBCBS124
19Ohio$1,220+4%UHCBCBS123
20District of Columbia$1,215+3%UHCBCBS50
21Utah$1,213+3%AetnaBCBS88
22North Carolina$1,210+3%CignaAetna103
23Maine$1,178+0%UHCAetna53
24New Mexico$1,166-1%UHCBCBS58
25Montana$1,152-2%UHCBCBS28
26Virginia$1,149-2%UHCBCBS115
27Missouri$1,146-2%UHCAetna135
28Pennsylvania$1,145-3%UHCAetna115
29California$1,145-3%UHCBCBS107
30Arizona$1,142-3%UHCAetna98
31Tennessee$1,125-4%UHCAetna109
32Kentucky$1,115-5%UHCAetna123
33Mississippi$1,078-8%UHCCigna92
34Illinois$1,059-10%UHCBCBS115
35Michigan$1,058-10%BCBSAetna113
36New York$1,057-10%UHCAetna131
37Louisiana$1,055-10%UHCBCBS123
38Florida$1,035-12%UHCBCBS117
39Rhode Island$1,032-12%UHCBCBS66
40Arkansas$1,012-14%UHCCigna81
41South Carolina$1,002-15%BCBSAetna115
42Nevada$996-15%UHCAetna84
43West Virginia$992-16%UHCAetna49
44Delaware$991-16%UHCAetna29
45Indiana$972-17%UHCAetna109
46Maryland$970-17%UHCBCBS109
47Hawaii$955-19%UHCCigna44
48Texas$879-25%UHCBCBS132
49Oklahoma$871-26%UHCBCBS98
50Alabama$858-27%UHCCigna115

Frequently asked questions

Answers use this page's data
Which payer has the highest median rate for CPT 91110?

In the files we analyzed, UnitedHealthcare, at a median of $1,342 across 3,765 sampled providers. Aetna is lowest at $948, 41% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 146% of the 2026 Medicare non-facility rate of $802.29.

Which state has the highest median for CPT 91110?

Alaska has the highest median at $2,956; Alabama has the lowest at $858.

Is this a professional fee?

These are professional (physician) fees only. Facility, device and implant payments are priced separately and are not included.

How current is this data?

It is the August 2026 snapshot of each payer's in-network rate file. Sources and filters are listed in the methodology below.

Methodology

How these numbers are calculated
  • Source: in-network negotiated-rate files published under the federal Transparency in Coverage rule, August 2026 snapshot: UnitedHealthcare Choice plans (74 files); Aetna commercial plans (70 files); Cigna national PPO (1 files); BCBS licensees' own-network files (5,387 files). Payer comparisons describe these files, not each payer's entire book of business.
  • Sample: rates come from a random sample of up to 150 providers per state and specialty. Counts on this page are sampled providers and TINs, not totals.
  • Which providers count: only providers in a specialty relevant to the code, because a rate in a payer file attaches to a provider group and is listed under every provider in that group.
  • Filters: fee-for-service, professional billing class, no modifier, negotiated or fee-schedule dollar rates. Rates outside 1% to 1,000% of the Medicare rate are excluded.
  • Statistic: one median rate per provider, then percentiles across providers. A cell is shown only with at least 15 sampled providers and 4 TINs.
  • Medicare benchmark: CY2026 national physician fee schedule, non-QPP conversion factor, unadjusted for locality. Where the non-facility rate is more than twice the facility rate (office rates that include device or supply cost), the facility rate is used so comparisons are like for like.

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