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Swallowed Capsule Camera Bowel Exam

Oklahoma 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?

$813

Typical negotiated rate. In Oklahoma, July 2026.

Insurers have agreed to pay about $813 for this service. Most negotiated rates run $692 to $1,047.

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 $813 · 10th to 90th $617 to $1,230
$200$500$1K$2K$5Kprofessional $813

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
$104.71
Median
$104.71
Typical High
$213.80
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$724.44
Typical High
$1,148.15
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$102.33
Median
$107.15
Typical High
$181.97
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$316.23
Median
$354.81
Typical High
$478.63
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$125.89
Median
$141.25
Typical High
$190.55
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$537.03
Median
$602.56
Typical High
$851.14
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$933.25
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$131.83
Median
$131.83
Typical High
$134.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$794.33
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$239.88
Median
$239.88
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,023.29
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$125.89
Median
$194.98
Typical High
$288.40
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$588.84
Median
$812.83
Typical High
$1,071.52
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
$645.65
Median
$645.65
Typical High
$645.65
Medica
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,000.00
Typical High
$5,370.32
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$114.82
Median
$204.17
Typical High
$1,047.13
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$630.96
Median
$870.96
Typical High
$4,466.84
United
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$954.99
Typical High
$1,479.11
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$114.82
Median
$177.83
Typical High
$251.19
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$630.96
Median
$776.25
Typical High
$1,258.93

Where Oklahoma 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.

Oklahoma· 48th of 51

$813

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.