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Magnet-Steered Camera Capsule Of The Stomach

Pennsylvania rates for HCPCS 0651T

The patient swallows a small camera capsule, which is then steered from outside the body using a magnet so the lining of the food pipe and stomach can be examined without passing a scope down the throat. The images captured are reviewed afterwards and a report is issued.

Rates data updated July 2026.

Facilitymedian $741 · 10th–90th $224$1,6600%20%10th90th$741Professionalmedian $240 · 10th–90th $174$3020%20%10th90th$240$200.0$500.0$1.0K$2.0K$5.0K

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
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$724.44
Typical High
$891.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$239.88
Typical High
$288.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$1,000.00
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$1,230.27
Typical High
$1,230.27
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,000.00
Typical High
$1,230.27
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$707.95
Typical High
$891.25
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$234.42
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$1,995.26
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$281.84
Typical High
$457.09