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Camera Capsule Study of the Esophagus

North Dakota 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?

$1,549

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $1,549 for this service. Most negotiated rates run $955 to $2,138.

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.

How much rates vary

Facilitymedian $832 · 10th to 90th $832 to $1,202Professionalmedian $1,585 · 10th to 90th $832 to $2,692
$1K$2K$5Kfacility $832professional $1,585

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$758.58
Median
$831.76
Typical High
$954.99
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$42.66
Median
$52.48
Typical High
$66.07
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$724.44
Median
$794.33
Typical High
$912.01
BCBS North Dakota
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,698.24
Median
$2,089.30
Typical High
$2,570.40
BCBS North Dakota
Setting
Professional
Modifier
26 · Professional part
Typical Low
$83.18
Median
$109.65
Typical High
$128.82
BCBS North Dakota
Setting
Professional
Modifier
TC · Technical part
Typical Low
$1,584.89
Median
$1,995.26
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$758.58
Median
$1,412.54
Typical High
$2,344.23
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$46.77
Median
$74.13
Typical High
$131.83
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$707.95
Median
$1,318.26
Typical High
$2,238.72
Medica
Setting
Facility
Modifier
None
Typical Low
$831.76
Median
$831.76
Typical High
$2,511.89
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$891.25
Median
$1,513.56
Typical High
$5,495.41
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$53.70
Median
$104.71
Typical High
$588.84
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$831.76
Median
$1,412.54
Typical High
$5,128.61
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$870.96
Median
$1,412.54
Typical High
$1,905.46
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$53.70
Median
$93.33
Typical High
$123.03
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$831.76
Median
$1,318.26
Typical High
$1,778.28
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$1,995.26
Median
$2,511.89
Typical High
$3,090.30
BCBS North Dakota
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$338.84
Median
$416.87
Typical High
$512.86

Where North Dakota 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.

North Dakota· 6th of 51

$1,549

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.