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Swallowed Capsule Camera Bowel Exam

New Hampshire 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 New Hampshire, July 2026.

Insurers have agreed to pay about $1,202 for this service. Most negotiated rates run $955 to $1,698.

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 $794 to $2,089
$1K$2Kprofessional $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
$199.53
Median
$281.84
Typical High
$602.56
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Aetna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$954.99
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$107.15
Median
$199.53
Typical High
$371.54
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$346.74
Median
$389.05
Typical High
$478.63
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$138.04
Median
$154.88
Typical High
$194.98
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$575.44
Median
$758.58
Typical High
$1,737.80
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,148.15
Typical High
$1,659.59
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$117.49
Median
$169.82
Typical High
$263.03
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$691.83
Median
$977.24
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,288.25
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$123.03
Median
$208.93
Typical High
$363.08
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$660.69
Median
$1,023.29
Typical High
$1,778.28
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,445.44
Typical High
$2,187.76
Harvard Pilgrim
Setting
Professional
Modifier
26 · Professional part
Typical Low
$134.90
Median
$208.93
Typical High
$316.23
Harvard Pilgrim
Setting
Professional
Modifier
TC · Technical part
Typical Low
$776.25
Median
$1,230.27
Typical High
$1,819.70
United
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,548.82
Typical High
$2,884.03
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$131.83
Median
$239.88
Typical High
$426.58
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$758.58
Median
$1,288.25
Typical High
$2,344.23
Well Sense
Setting
Facility
Modifier
26 · Professional part
Typical Low
$83.18
Median
$91.20
Typical High
$123.03

Where New Hampshire 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.

New Hampshire· 17th 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.