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Camera Capsule Study of the Esophagus

Indiana 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?

$794

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $794 for this service. The price depends on where it is billed: about $794 from a physician practice, and about $3,236 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$794$708 to $933
FacilityA hospital or hospital-owned outpatient department$3,236$2,089 to $4,266

How much rates vary

Facilitymedian $3,236 · 10th to 90th $794 to $6,457Professionalmedian $794 · 10th to 90th $646 to $1,202
$50$100$200$500$1K$2K$5Kfacility $3,236professional $794

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
Facility
Modifier
None
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$741.31
Median
$794.33
Typical High
$891.25
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$42.66
Median
$42.66
Typical High
$46.77
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$691.83
Median
$741.31
Typical High
$831.76
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$2,754.23
Typical High
$3,715.35
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$602.56
Median
$707.95
Typical High
$1,000.00
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$44.67
Median
$52.48
Typical High
$70.79
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$562.34
Median
$660.69
Typical High
$933.25
CareSource
Setting
Facility
Modifier
None
Typical Low
$45.71
Median
$741.31
Typical High
$776.25
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$660.69
Median
$870.96
Typical High
$1,445.44
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$46.77
Median
$54.95
Typical High
$83.18
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$602.56
Median
$758.58
Typical High
$1,288.25
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$2,187.76
Typical High
$2,691.53
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None (both parts)
Typical Low
$891.25
Median
$1,096.48
Typical High
$1,621.81
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
26 · Professional part
Typical Low
$48.98
Median
$58.88
Typical High
$85.11
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
TC · Technical part
Typical Low
$851.14
Median
$1,047.13
Typical High
$1,548.82
United
Setting
Facility
Modifier
None
Typical Low
$2,754.23
Median
$4,168.69
Typical High
$6,456.54
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$691.83
Median
$891.25
Typical High
$1,412.54
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$44.67
Median
$57.54
Typical High
$89.13
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$645.65
Median
$831.76
Typical High
$1,348.96

Where Indiana 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.

Indiana· 46th of 51

$794

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.