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Camera Capsule Study of the Esophagus

Minnesota 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 $148 · 10th–90th $49$3470%10%10th90th$148$10.0$20.0$50.0$100.0$200.0$500.0

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
$48.98
Median
$48.98
Typical High
$48.98
BCBS
Setting
Facility
Modifier
26 · Professional part
Typical Low
$36.31
Median
$41.69
Typical High
$41.69
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$39.81
Median
$141.25
Typical High
$446.68
Health Partners
Setting
Facility
Modifier
26 · Professional part
Typical Low
$123.03
Median
$177.83
Typical High
$346.74