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Camera Capsule Study of the Esophagus

Nevada 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 $47 · 10th–90th $47$470%50%$47Professionalmedian $62 · 10th–90th $1$810%10%10th90th$62$1.0$2.0$5.0$10.0$20.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Hometown Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$0.79
Median
$61.66
Typical High
$81.28
Select Health
Setting
Facility
Modifier
26 · Professional part
Typical Low
$47.86
Median
$47.86
Typical High
$47.86