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Swallowed Capsule Camera Bowel Exam

Tennessee 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?

$1,047

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $1,047 for this service. Most negotiated rates run $776 to $1,585.

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 $1,047 · 10th to 90th $724 to $4,571
$1K$2K$5Kprofessional $1,047

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
$204.17
Median
$251.19
Typical High
$316.23
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$154.88
Median
$323.59
Typical High
$416.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,047.13
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$102.33
Median
$138.04
Typical High
$436.52
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$338.84
Median
$389.05
Typical High
$562.34
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$134.90
Median
$154.88
Typical High
$223.87
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$588.84
Median
$707.95
Typical High
$1,288.25
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$933.25
Typical High
$1,380.38
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$120.23
Median
$144.54
Typical High
$363.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$954.99
Typical High
$1,698.24
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$141.25
Median
$218.78
Typical High
$338.84
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$676.08
Median
$977.24
Typical High
$1,584.89
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,047.13
Typical High
$1,698.24
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$123.03
Median
$199.53
Typical High
$309.03
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$630.96
Median
$851.14
Typical High
$1,380.38
Lucent Health
Setting
Facility
Modifier
26 · Professional part
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Lucent Health
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$5,888.44
Typical High
$5,888.44
Lucent Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$933.25
Median
$933.25
Typical High
$1,096.48
Lucent Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$4,570.88
Median
$5,011.87
Typical High
$5,011.87
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,047.13
Typical High
$1,698.24
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$120.23
Median
$194.98
Typical High
$302.00
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$676.08
Median
$831.76
Typical High
$1,380.38

Where Tennessee 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.

Tennessee· 25th of 51

$1,047

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.