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Swallowed Capsule Camera Bowel Exam

Missouri 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?

$1,202

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $1,202 for this service. Most negotiated rates run $871 to $1,905.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $1,202 · 10th to 90th $724 to $4,571
$1K$2K$5Kprofessional $1,202

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
$109.65
Median
$144.54
Typical High
$194.98
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$154.88
Median
$154.88
Typical High
$177.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,230.27
Typical High
$4,786.30
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$107.15
Median
$186.21
Typical High
$630.96
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$346.74
Median
$426.58
Typical High
$794.33
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$128.82
Median
$162.18
Typical High
$245.47
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$588.84
Median
$758.58
Typical High
$1,548.82
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$851.14
Typical High
$1,258.93
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$93.33
Median
$134.90
Typical High
$407.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$977.24
Typical High
$1,380.38
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$134.90
Median
$204.17
Typical High
$281.84
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$645.65
Median
$776.25
Typical High
$1,174.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$977.24
Typical High
$1,288.25
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$120.23
Median
$151.36
Typical High
$251.19
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$660.69
Median
$831.76
Typical High
$1,047.13
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
$724.44
Median
$1,148.15
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$114.82
Median
$204.17
Typical High
$363.08
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$616.60
Median
$933.25
Typical High
$1,819.70
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
$851.14
Median
$1,230.27
Typical High
$5,370.32
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$131.83
Median
$218.78
Typical High
$1,047.13
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$707.95
Median
$1,023.29
Typical High
$4,466.84
United
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,000.00
Typical High
$1,621.81
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$117.49
Median
$177.83
Typical High
$288.40
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$645.65
Median
$831.76
Typical High
$1,412.54

Where Missouri 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.

Missouri· 14th of 51

$1,202

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.