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Camera Capsule Study of the Esophagus

California 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.

Facilitymedian $257 · 10th–90th $51$2880%20%40%10th90th$257Professionalmedian $65 · 10th–90th $49$1020%10%20%10th90th$65$10.0$20.0$50.0$100.0$200.0

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
$51.29
Median
$57.54
Typical High
$257.04
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$10.96
Median
$50.12
Typical High
$72.44
Contra Costa Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$56.23
Median
$63.10
Typical High
$75.86
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$48.98
Median
$64.57
Typical High
$104.71
Lucent Health
Setting
Facility
Modifier
26 · Professional part
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Providence
Setting
Facility
Modifier
26 · Professional part
Typical Low
$47.86
Median
$47.86
Typical High
$47.86