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Camera Capsule Study of the Esophagus

North Carolina 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 $45 · 10th–90th $45$2880%50%90th$45Professionalmedian $85 · 10th–90th $85$850%50%100%$85$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
Medcost
Setting
Professional
Modifier
26 · Professional part
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Wellcare
Setting
Facility
Modifier
26 · Professional part
Typical Low
$288.40
Median
$288.40
Typical High
$288.40