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Swallowed Capsule Camera Bowel Exam

Montana 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 Montana, July 2026.

Insurers have agreed to pay about $1,202 for this service. Most negotiated rates run $912 to $1,549.

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 $1,202 · 10th to 90th $724 to $4,074
$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
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,122.02
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$107.15
Median
$186.21
Typical High
$562.34
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$316.23
Median
$363.08
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$125.89
Median
$144.54
Typical High
$812.83
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$588.84
Median
$758.58
Typical High
$1,202.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$173.78
Median
$173.78
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,174.90
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$154.88
Median
$218.78
Typical High
$338.84
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$630.96
Median
$977.24
Typical High
$1,949.84
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,348.96
Typical High
$2,511.89
Providence
Setting
Facility
Modifier
26 · Professional part
Typical Low
$173.78
Median
$173.78
Typical High
$204.17
Providence
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,621.81
Typical High
$2,089.30
Providence
Setting
Professional
Modifier
26 · Professional part
Typical Low
$117.49
Median
$181.97
Typical High
$363.08
Providence
Setting
Professional
Modifier
TC · Technical part
Typical Low
$707.95
Median
$1,023.29
Typical High
$1,479.11
United
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,412.54
Typical High
$1,584.89
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$186.21
Median
$223.87
Typical High
$323.59
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$831.76
Median
$1,174.90
Typical High
$1,318.26

Where Montana 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.

Montana· 19th 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.