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Swallowed Capsule Camera Bowel Exam

Hawaii 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?

$933

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $933 for this service. Most negotiated rates run $759 to $1,000.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $933 · 10th to 90th $661 to $1,096
$1K$2Kprofessional $933

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
Professional
Modifier
Global
Typical Low
$660.69
Median
$831.76
Typical High
$1,000.00
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$104.71
Median
$123.03
Typical High
$208.93
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$331.13
Median
$380.19
Typical High
$407.38
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$131.83
Median
$151.36
Typical High
$162.18
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$537.03
Median
$660.69
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,096.48
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$134.90
Median
$204.17
Typical High
$331.13
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$630.96
Median
$870.96
Typical High
$1,174.90
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,071.52
Typical High
$1,348.96
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$134.90
Median
$147.91
Typical High
$181.97
Kaiser Permanente
Setting
Professional
Modifier
TC · Technical part
Typical Low
$851.14
Median
$933.25
Typical High
$1,174.90
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$977.24
Typical High
$1,479.11
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$109.65
Median
$204.17
Typical High
$281.84
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$616.60
Median
$954.99
Typical High
$1,288.25
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$1,047.13
Typical High
$1,698.24
University Health Alliance
Setting
Professional
Modifier
26 · Professional part
Typical Low
$83.18
Median
$138.04
Typical High
$194.98
University Health Alliance
Setting
Professional
Modifier
TC · Technical part
Typical Low
$549.54
Median
$851.14
Typical High
$977.24

Where Hawaii 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.

Hawaii· 37th of 51

$933

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.