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Camera Capsule Study of the Esophagus

Arkansas rates for HCPCS 91111

A pill-sized camera is swallowed and takes a rapid series of pictures as it passes down the food pipe. The images are sent to a recorder worn on the body and reviewed afterwards to examine the lining of the esophagus, for example for enlarged veins or inflammation. The capsule then passes out naturally in a bowel movement.

Rates data updated July 2026.

Facilitymedian $68 · 10th–90th $65$810%20%40%10th90th$68$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$66.07
Median
$74.13
Typical High
$81.28
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$12.02
Median
$56.23
Typical High
$79.43