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Swallowed Capsule Camera Bowel Exam

Virginia 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?

$933

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $933 for this service. Most negotiated rates run $759 to $1,175.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $933 · 10th to 90th $676 to $1,549
$200$500$1K$2Kprofessional $933

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
$138.04
Median
$177.83
Typical High
$346.74
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$151.36
Median
$186.21
Typical High
$186.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$933.25
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$104.71
Median
$138.04
Typical High
$323.59
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$354.81
Median
$389.05
Typical High
$512.86
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$141.25
Median
$154.88
Typical High
$204.17
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$588.84
Median
$794.33
Typical High
$1,174.90
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$933.25
Typical High
$1,445.44
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$102.33
Median
$144.54
Typical High
$229.09
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$588.84
Median
$776.25
Typical High
$1,230.27
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$794.33
Typical High
$3,981.07
CareFirst
Setting
Professional
Modifier
26 · Professional part
Typical Low
$104.71
Median
$147.91
Typical High
$194.98
CareFirst
Setting
Professional
Modifier
TC · Technical part
Typical Low
$616.60
Median
$676.08
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,096.48
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$112.20
Median
$199.53
Typical High
$323.59
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$630.96
Median
$891.25
Typical High
$1,479.11
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$954.99
Typical High
$1,174.90
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$109.65
Median
$134.90
Typical High
$173.78
Kaiser Permanente
Setting
Professional
Modifier
TC · Technical part
Typical Low
$676.08
Median
$831.76
Typical High
$1,000.00
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,258.93
Typical High
$1,621.81
Medcost
Setting
Professional
Modifier
26 · Professional part
Typical Low
$218.78
Median
$275.42
Typical High
$275.42
Medcost
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Sentara
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$977.24
Typical High
$2,570.40
Sentara
Setting
Professional
Modifier
26 · Professional part
Typical Low
$120.23
Median
$213.80
Typical High
$323.59
Sentara
Setting
Professional
Modifier
TC · Technical part
Typical Low
$691.83
Median
$933.25
Typical High
$1,584.89
United
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,122.02
Typical High
$1,819.70
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$109.65
Median
$181.97
Typical High
$302.00
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$588.84
Median
$933.25
Typical High
$1,584.89

Where Virginia 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.

Virginia· 39th of 51

$933

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.