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Swallowed Capsule Camera Bowel Exam

Arizona rates for HCPCS 91110

This test uses a small swallowable capsule containing a camera that takes pictures as it travels through the esophagus, stomach, and small intestine. The images are transmitted to a recorder worn by the patient and later reviewed by a doctor to look for sources of bleeding, inflammation, or other abnormalities in areas that are hard to reach with a standard scope.

Rates data updated July 2026.

How much does Swallowed Capsule Camera Bowel Exam cost?

$977

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $977 for this service. Most negotiated rates run $794 to $1,514.

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

Professionalmedian $977 · 10th to 90th $692 to $4,365
$1K$2K$5Kprofessional $977

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
26 · Professional part
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$977.24
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$104.71
Median
$177.83
Typical High
$562.34
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$316.23
Median
$389.05
Typical High
$562.34
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$125.89
Median
$154.88
Typical High
$229.09
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$537.03
Median
$707.95
Typical High
$1,174.90
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$758.58
Typical High
$1,621.81
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$112.20
Median
$123.03
Typical High
$190.55
Ambetter
Setting
Professional
Modifier
TC · Technical part
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$933.25
Typical High
$3,630.78
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$109.65
Median
$138.04
Typical High
$537.03
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$630.96
Median
$794.33
Typical High
$3,019.95
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$29.51
Median
$138.04
Typical High
$199.53
Cigna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$39.81
Median
$213.80
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,023.29
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$109.65
Median
$181.97
Typical High
$331.13
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$602.56
Median
$831.76
Typical High
$1,698.24
Medica
Setting
Facility
Modifier
26 · Professional part
Typical Low
$257.04
Median
$794.33
Typical High
$794.33
Medica
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$281.84
Median
$645.65
Typical High
$645.65
Medica
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,122.02
Typical High
$5,370.32
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$131.83
Median
$204.17
Typical High
$1,047.13
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$630.96
Median
$933.25
Typical High
$4,466.84
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$977.24
Typical High
$1,621.81
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$120.23
Median
$181.97
Typical High
$295.12
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$630.96
Median
$794.33
Typical High
$1,348.96

Where Arizona sits

The same service costs 2.3 times more in Alaska than in Washington, DC. 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.

Arizona· 31st of 51

$977

AK $1,778DC $776

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.