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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 October 2026.

How much does Camera Capsule Study of the Esophagus cost?

$813

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $813 for this service. The price depends on where it is billed: about $813 from a physician practice, and about $1,148 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$813$794 to $1,175
FacilityA hospital or hospital-owned outpatient department$1,148$692 to $2,570

How much rates vary

Facilitymedian $1,148 · 10th to 90th $363 to $3,890Professionalmedian $813 · 10th to 90th $759 to $1,445
$200$1K$5K$20Kfacility $1,148professional $813

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
$776.25
Median
$933.25
Typical High
$1,862.09
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$758.58
Median
$812.83
Typical High
$933.25
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$42.66
Median
$47.86
Typical High
$52.48
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$707.95
Median
$758.58
Typical High
$891.25
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$79,432.82
Capital Blue Cross
Setting
Professional
Modifier
None (both parts)
Typical Low
$794.33
Median
$812.83
Typical High
$1,479.11
Capital Blue Cross
Setting
Professional
Modifier
26 · Professional part
Typical Low
$44.67
Median
$45.71
Typical High
$102.33
Capital Blue Cross
Setting
Professional
Modifier
TC · Technical part
Typical Low
$741.31
Median
$776.25
Typical High
$1,412.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,122.02
Median
$1,995.26
Typical High
$2,398.83
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$676.08
Median
$794.33
Typical High
$1,445.44
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$41.69
Median
$52.48
Typical High
$89.13
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$630.96
Median
$741.31
Typical High
$1,348.96
Emblem Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,318.26
Median
$1,513.56
Typical High
$1,659.59
Geisinger
Setting
Professional
Modifier
None (both parts)
Typical Low
$707.95
Median
$1,000.00
Typical High
$1,949.84
Geisinger
Setting
Professional
Modifier
26 · Professional part
Typical Low
$50.12
Median
$61.66
Typical High
$104.71
Geisinger
Setting
Professional
Modifier
TC · Technical part
Typical Low
$660.69
Median
$933.25
Typical High
$1,819.70
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$831.76
Median
$933.25
Typical High
$1,862.09
Martin's Point
Setting
Professional
Modifier
None (both parts)
Typical Low
$758.58
Median
$794.33
Typical High
$933.25
Martin's Point
Setting
Professional
Modifier
26 · Professional part
Typical Low
$42.66
Median
$46.77
Typical High
$47.86
Martin's Point
Setting
Professional
Modifier
TC · Technical part
Typical Low
$707.95
Median
$758.58
Typical High
$891.25
Oscar Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,071.52
Median
$1,584.89
Typical High
$1,584.89
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$281.84
Median
$457.09
Typical High
$812.83
UPMC Health Plan
Setting
Professional
Modifier
None (both parts)
Typical Low
$691.83
Median
$691.83
Typical High
$812.83
UPMC Health Plan
Setting
Professional
Modifier
26 · Professional part
Typical Low
$43.65
Median
$51.29
Typical High
$51.29
UPMC Health Plan
Setting
Professional
Modifier
TC · Technical part
Typical Low
$630.96
Median
$630.96
Typical High
$776.25
United
Setting
Facility
Modifier
None
Typical Low
$933.25
Median
$2,041.74
Typical High
$3,890.45
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$676.08
Median
$851.14
Typical High
$1,584.89
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$44.67
Median
$53.70
Typical High
$97.72
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$645.65
Median
$812.83
Typical High
$1,513.56

Where Pennsylvania 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.

Pennsylvania· 45th of 51

$813

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.