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Swallowed Capsule Camera Bowel Exam

Indiana 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?

$851

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $851 for this service. Most negotiated rates run $724 to $1,096.

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 $851 · 10th to 90th $692 to $1,413
$1K$2Kprofessional $851

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
$107.15
Median
$158.49
Typical High
$213.80
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$138.04
Median
$138.04
Typical High
$645.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$776.25
Typical High
$1,380.38
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$107.15
Median
$120.23
Typical High
$213.80
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$346.74
Median
$380.19
Typical High
$501.19
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$138.04
Median
$154.88
Typical High
$229.09
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$562.34
Median
$645.65
Typical High
$891.25
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$977.24
Typical High
$1,380.38
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$79.43
Median
$141.25
Typical High
$218.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$891.25
Typical High
$1,479.11
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$141.25
Median
$177.83
Typical High
$281.84
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$616.60
Median
$724.44
Typical High
$1,174.90
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
$691.83
Median
$1,023.29
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$112.20
Median
$190.55
Typical High
$346.74
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$575.44
Median
$831.76
Typical High
$1,479.11
United
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$954.99
Typical High
$1,412.54
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$112.20
Median
$173.78
Typical High
$275.42
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$616.60
Median
$776.25
Typical High
$1,174.90

Where Indiana 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.

Indiana· 46th of 51

$851

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.