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Swallowed Capsule Camera Bowel Exam

South Dakota 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?

$1,259

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $1,259 for this service. Most negotiated rates run $851 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 7 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $1,259 · 10th to 90th $759 to $1,862
$1K$2Kprofessional $1,259

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
$131.83
Median
$131.83
Typical High
$131.83
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$954.99
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$104.71
Median
$186.21
Typical High
$691.83
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$371.54
Median
$426.58
Typical High
$831.76
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$151.36
Median
$169.82
Typical High
$338.84
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$630.96
Median
$870.96
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,548.82
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$234.42
Median
$234.42
Typical High
$295.12
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,621.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,548.82
Typical High
$5,370.32
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$154.88
Median
$245.47
Typical High
$1,047.13
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$776.25
Median
$1,348.96
Typical High
$4,466.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,778.28
Typical High
$1,995.26
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$257.04
Median
$275.42
Typical High
$288.40
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$1,412.54
Median
$1,479.11
Typical High
$1,698.24
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,778.28
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,174.90
Typical High
$1,479.11
Sanford Health Plan
Setting
Professional
Modifier
26 · Professional part
Typical Low
$151.36
Median
$213.80
Typical High
$316.23
Sanford Health Plan
Setting
Professional
Modifier
TC · Technical part
Typical Low
$831.76
Median
$1,071.52
Typical High
$1,230.27
United
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,513.56
Typical High
$1,995.26
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$141.25
Median
$234.42
Typical High
$331.13
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$776.25
Median
$1,288.25
Typical High
$1,659.59
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,737.80
Typical High
$1,778.28
Wellmark
Setting
Professional
Modifier
26 · Professional part
Typical Low
$213.80
Median
$257.04
Typical High
$263.03
Wellmark
Setting
Professional
Modifier
TC · Technical part
Typical Low
$1,258.93
Median
$1,479.11
Typical High
$1,548.82

Where South Dakota 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.

South Dakota· 10th of 51

$1,259

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.