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Magnet-Steered Camera Capsule Of The Stomach

Wisconsin 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 October 2026.

How much does Magnet-Steered Camera Capsule Of The Stomach cost?

$562

Typical negotiated rate. In Wisconsin, October 2026.

Insurers have agreed to pay about $562 for this service. The price depends on where it is billed: about $490 from a physician practice, and about $1,995 from a hospital or other facility.

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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$490$288 to $871
FacilityA hospital or hospital-owned outpatient department$1,995$1,096 to $3,162

How much rates vary

Facilitymedian $1,995 · 10th to 90th $468 to $4,365Professionalmedian $490 · 10th to 90th $234 to $1,622
$200$500$1K$2K$5Kfacility $1,995professional $490

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$234.42
Typical High
$234.42
Aetna
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$234.42
Typical High
$234.42
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$660.69
Typical High
$1,071.52
Cigna
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$1,288.25
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
DeanCare
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$281.84
Typical High
$537.03
Medica
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$2,398.83
Typical High
$4,786.30
Medica
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$831.76
Typical High
$1,905.46
Network Health
Setting
Facility
Modifier
None
Typical Low
$1,548.82
Median
$2,818.38
Typical High
$4,786.30
Network Health
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
Prevea360
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$281.84
Typical High
$537.03
Quartz
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$537.03
Typical High
$831.76
Quartz
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$1,288.25
Typical High
$2,137.96
Quartz
Setting
Professional
Modifier
None
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
United
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$2,754.23
Typical High
$4,677.35
United
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$457.09
Typical High
$1,174.90

Where Wisconsin sits

The same service costs 4.7 times more in Alaska than in Pennsylvania. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wisconsin· 9th of 51

$562

AK $1,047PA $224

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.