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Swallowed Capsule Camera Bowel Exam

Utah 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 Utah, July 2026.

Insurers have agreed to pay about $1,047 for this service. Most negotiated rates run $871 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 $1,047 · 10th to 90th $724 to $4,074
$200$500$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
$229.09
Median
$229.09
Typical High
$229.09
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,174.90
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$109.65
Median
$229.09
Typical High
$575.44
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$363.08
Median
$467.74
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$144.54
Median
$208.93
Typical High
$812.83
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$630.96
Median
$794.33
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,174.90
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$131.83
Median
$239.88
Typical High
$302.00
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$660.69
Median
$933.25
Typical High
$1,479.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,737.80
Regence BlueShield
Setting
Facility
Modifier
26 · Professional part
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$831.76
Typical High
$1,862.09
Regence BlueShield
Setting
Professional
Modifier
26 · Professional part
Typical Low
$107.15
Median
$125.89
Typical High
$416.87
Regence BlueShield
Setting
Professional
Modifier
TC · Technical part
Typical Low
$602.56
Median
$707.95
Typical High
$1,445.44
Select Health
Setting
Facility
Modifier
26 · Professional part
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Select Health
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,148.15
Typical High
$1,318.26
Select Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$112.20
Median
$173.78
Typical High
$204.17
Select Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$851.14
Median
$954.99
Typical High
$1,000.00
Select Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$851.14
Median
$954.99
Typical High
$1,000.00
Select Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$602.56
Median
$977.24
Typical High
$1,122.02
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$831.76
Typical High
$1,412.54
United
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$977.24
Typical High
$1,621.81
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$107.15
Median
$186.21
Typical High
$316.23
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$602.56
Median
$831.76
Typical High
$1,288.25

Where Utah 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.

Utah· 23rd 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.