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Camera Capsule Study of the Esophagus

New Hampshire 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 $170 · 10th–90th $34$1700%50%10th$170$50.0$100.0

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
$169.82
Median
$169.82
Typical High
$169.82
Well Sense
Setting
Facility
Modifier
26 · Professional part
Typical Low
$33.11
Median
$33.88
Typical High
$36.31