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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 October 2026.

How much does Camera Capsule Study of the Esophagus cost?

$724

Typical negotiated rate. In New York, October 2026.

Insurers have agreed to pay about $724 for this service. The price depends on where it is billed: about $724 from a physician practice, and about $2,884 from a hospital or other facility.

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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$724$646 to $851
FacilityA hospital or hospital-owned outpatient department$2,884$1,479 to $4,898

How much rates vary

Facilitymedian $2,884 · 10th to 90th $741 to $6,761Professionalmedian $724 · 10th to 90th $589 to $1,318
$500$1K$2K$5K$10Kfacility $2,884professional $724

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$891.25
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$645.65
Median
$645.65
Typical High
$933.25
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$44.67
Median
$44.67
Typical High
$58.88
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$602.56
Median
$602.56
Typical High
$851.14
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$588.84
Median
$691.83
Typical High
$1,122.02
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$41.69
Median
$48.98
Typical High
$64.57
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$549.54
Median
$645.65
Typical High
$1,071.52
CDPHP
Setting
Professional
Modifier
None (both parts)
Typical Low
$72.44
Median
$1,096.48
Typical High
$1,174.90
Cigna
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$1,479.11
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$616.60
Median
$724.44
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$32.36
Median
$38.90
Typical High
$123.03
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$588.84
Median
$691.83
Typical High
$2,041.74
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$524.81
Median
$1,000.00
Typical High
$3,548.13
Emblem Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,023.29
Median
$1,148.15
Typical High
$1,659.59
Emblem Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$50.12
Median
$56.23
Typical High
$676.08
Emblem Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,621.81
Excellus BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$630.96
Median
$831.76
Typical High
$1,071.52
Excellus BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$34.67
Median
$42.66
Typical High
$58.88
Excellus BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$602.56
Median
$794.33
Typical High
$1,000.00
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
MVP Health Care
Setting
Professional
Modifier
None (both parts)
Typical Low
$660.69
Median
$660.69
Typical High
$2,041.74
MVP Health Care
Setting
Professional
Modifier
26 · Professional part
Typical Low
$54.95
Median
$67.61
Typical High
$91.20
MVP Health Care
Setting
Professional
Modifier
TC · Technical part
Typical Low
$831.76
Median
$1,047.13
Typical High
$1,412.54
United
Setting
Facility
Modifier
None
Typical Low
$1,862.09
Median
$3,801.89
Typical High
$8,709.64
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$691.83
Median
$870.96
Typical High
$1,659.59
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.02
Median
$50.12
Typical High
$109.65
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$645.65
Median
$831.76
Typical High
$1,548.82
Univera
Setting
Facility
Modifier
None
Typical Low
$741.31
Median
$1,071.52
Typical High
$2,511.89
Univera
Setting
Professional
Modifier
None (both parts)
Typical Low
$630.96
Median
$831.76
Typical High
$1,071.52
Univera
Setting
Professional
Modifier
26 · Professional part
Typical Low
$34.67
Median
$42.66
Typical High
$58.88
Univera
Setting
Professional
Modifier
TC · Technical part
Typical Low
$602.56
Median
$794.33
Typical High
$1,000.00
1 more rate 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
Emblem Health
Setting
Professional
Modifier
GL · Free upgrade
Typical Low
$676.08
Median
$812.83
Typical High
$812.83

Where New York 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.

New York· 51st of 51

$724

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.