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Camera Capsule Study of the Esophagus

Montana 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?

$1,380

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $1,380 for this service. The price depends on where it is billed: about $1,349 from a physician practice, and about $1,380 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$1,349$1,047 to $1,514
FacilityA hospital or hospital-owned outpatient department$1,380$54.95 to $1,660

How much rates vary

Facilitymedian $1,380 · 10th to 90th $52 to $1,862Professionalmedian $1,349 · 10th to 90th $794 to $1,738
$50$100$200$500$1K$2K$5Kfacility $1,380professional $1,349

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
$1,000.00
Typical High
$1,621.81
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,148.15
Median
$1,621.81
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$977.24
Median
$1,380.38
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$67.61
Median
$69.18
Typical High
$104.71
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$912.01
Median
$1,318.26
Typical High
$1,621.81
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$52.48
Median
$1,071.52
Typical High
$1,778.28
MountainHealth Co-op
Setting
Professional
Modifier
None (both parts)
Typical Low
$34.67
Median
$56.23
Typical High
$1,737.80
Providence
Setting
Facility
Modifier
None
Typical Low
$1,148.15
Median
$1,621.81
Typical High
$2,454.71
Providence
Setting
Professional
Modifier
None (both parts)
Typical Low
$912.01
Median
$1,380.38
Typical High
$1,862.09
Providence
Setting
Professional
Modifier
26 · Professional part
Typical Low
$43.65
Median
$64.57
Typical High
$72.44
Providence
Setting
Professional
Modifier
TC · Technical part
Typical Low
$870.96
Median
$1,288.25
Typical High
$1,445.44
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,071.52
Median
$1,380.38
Typical High
$1,548.82
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$75.86
Median
$87.10
Typical High
$95.50
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$1,000.00
Median
$1,288.25
Typical High
$1,479.11

Where Montana 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.

Montana· 10th of 51

$1,380

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.