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Swallowed Capsule Camera Bowel Exam

Rhode Island 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?

$1,288

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $1,288 for this service. Most negotiated rates run $955 to $4,365.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $1,288 · 10th to 90th $724 to $5,012
$1K$2K$5Kprofessional $1,288

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
$1,412.54
Typical High
$5,011.87
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$123.03
Median
$208.93
Typical High
$1,000.00
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$331.13
Median
$467.74
Typical High
$588.84
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$131.83
Median
$186.21
Typical High
$234.42
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$537.03
Median
$758.58
Typical High
$1,348.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$1,698.24
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$89.13
Median
$125.89
Typical High
$288.40
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$478.63
Median
$676.08
Typical High
$1,071.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,174.90
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$120.23
Median
$199.53
Typical High
$323.59
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$741.31
Median
$954.99
Typical High
$1,621.81
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,047.13
Typical High
$1,479.11
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$125.89
Median
$173.78
Typical High
$239.88
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$724.44
Median
$912.01
Typical High
$1,230.27

Where Rhode Island 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.

Rhode Island· 8th of 51

$1,288

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.