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Camera Capsule Study of the Esophagus

New York 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 $58 · 10th–90th $40$830%10%20%10th90th$58$10.0$20.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$44.67
Median
$57.54
Typical High
$83.18
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$12.02
Median
$56.23
Typical High
$79.43
Univera
Setting
Facility
Modifier
26 · Professional part
Typical Low
$37.15
Median
$53.70
Typical High
$169.82