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Swallowed Capsule Camera Bowel Exam

Vermont 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 Vermont, July 2026.

Insurers have agreed to pay about $933 for this service. Most negotiated rates run $832 to $1,023.

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 $933 · 10th to 90th $776 to $1,349
$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
Professional
Modifier
Global
Typical Low
$776.25
Median
$933.25
Typical High
$1,047.13
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$134.90
Median
$199.53
Typical High
$281.84
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$389.05
Median
$457.09
Typical High
$512.86
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$154.88
Median
$186.21
Typical High
$204.17
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$616.60
Median
$794.33
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,122.02
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$138.04
Median
$251.19
Typical High
$407.38
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$660.69
Median
$870.96
Typical High
$1,737.80
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,258.93
Typical High
$2,137.96
MVP Health Care
Setting
Professional
Modifier
26 · Professional part
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
MVP Health Care
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
MVP Health Care
Setting
Professional
Modifier
TC · Technical part
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,288.25
Typical High
$3,388.44
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$125.89
Median
$194.98
Typical High
$309.03
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$707.95
Median
$1,047.13
Typical High
$1,995.26

Where Vermont 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.

Vermont· 36th 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.