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Camera Capsule Study of the Esophagus

Pennsylvania 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 $48 · 10th–90th $46$520%50%10th90th$48$50.0

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
$45.71
Median
$47.86
Typical High
$52.48
Martin's Point
Setting
Facility
Modifier
26 · Professional part
Typical Low
$45.71
Median
$47.86
Typical High
$52.48
UPMC Health Plan
Setting
Facility
Modifier
26 · Professional part
Typical Low
$43.65
Median
$43.65
Typical High
$51.29