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Camera Capsule Study of the Esophagus

Iowa 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.

How much rates vary

Facilitymedian $63 · 10th to 90th $63 to $219Professionalmedian $71 · 10th to 90th $42 to $182
$50$100$200facility $63professional $71

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. Small sample; interpret with caution. 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
$63.10
Median
$63.10
Typical High
$63.10
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$41.69
Median
$56.23
Typical High
$181.97
Medica
Setting
Facility
Modifier
26 · Professional part
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$102.33
Median
$112.20
Typical High
$186.21