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Camera Capsule Study of the Esophagus

Arizona 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 October 2026.

How much does Camera Capsule Study of the Esophagus cost?

$891

Typical negotiated rate. In Arizona, October 2026.

Insurers have agreed to pay about $891 for this service. The price depends on where it is billed: about $891 from a physician practice, and about $2,884 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$891$759 to $1,549
FacilityA hospital or hospital-owned outpatient department$2,884$1,660 to $4,266

How much rates vary

Facilitymedian $2,884 · 10th to 90th $832 to $5,129Professionalmedian $891 · 10th to 90th $708 to $5,495
$1K$2K$5Kfacility $2,884professional $891

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$758.58
Median
$758.58
Typical High
$933.25
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$40.74
Median
$40.74
Typical High
$54.95
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$707.95
Median
$707.95
Typical High
$891.25
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$660.69
Median
$2,884.03
Typical High
$4,265.80
BCBS Arizona
Setting
Professional
Modifier
None (both parts)
Typical Low
$891.25
Median
$891.25
Typical High
$1,698.24
BCBS Arizona
Setting
Professional
Modifier
26 · Professional part
Typical Low
$44.67
Median
$44.67
Typical High
$85.11
BCBS Arizona
Setting
Professional
Modifier
TC · Technical part
Typical Low
$831.76
Median
$831.76
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$724.44
Median
$870.96
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$43.65
Median
$51.29
Typical High
$97.72
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$676.08
Median
$831.76
Typical High
$1,621.81
Medica
Setting
Facility
Modifier
None
Typical Low
$831.76
Median
$2,398.83
Typical High
$5,128.61
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$707.95
Median
$5,495.41
Typical High
$5,495.41
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$48.98
Median
$588.84
Typical High
$588.84
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$660.69
Median
$5,128.61
Typical High
$5,128.61
United
Setting
Facility
Modifier
None
Typical Low
$1,479.11
Median
$3,235.94
Typical High
$5,495.41
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$676.08
Median
$831.76
Typical High
$1,479.11
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$45.71
Median
$53.70
Typical High
$89.13
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$630.96
Median
$776.25
Typical High
$1,380.38

Where Arizona sits

The same service costs 3.1 times more in Alaska than in New York. 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.

Arizona· 39th of 51

$891

AK $2,239NY $724

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.