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Camera Capsule Study of the Esophagus

Utah 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?

$759

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $759 for this service. The price depends on where it is billed: about $759 from a physician practice, and about $1,820 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$759$67.61 to $871
FacilityA hospital or hospital-owned outpatient department$1,820$1,349 to $2,754

How much rates vary

Facilitymedian $1,820 · 10th to 90th $832 to $4,677Professionalmedian $759 · 10th to 90th $55 to $1,000
$50$100$200$500$1K$2K$5Kfacility $1,820professional $759

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
$831.76
Median
$831.76
Typical High
$831.76
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$812.83
Median
$831.76
Typical High
$1,122.02
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$46.77
Median
$63.10
Typical High
$63.10
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$758.58
Median
$758.58
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$812.83
Median
$812.83
Typical High
$1,445.44
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$56.23
Median
$69.18
Typical High
$83.18
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$758.58
Median
$758.58
Typical High
$1,380.38
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$53.70
Median
$707.95
Typical High
$933.25
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$1,479.11
Median
$1,949.84
Typical High
$2,818.38
Regence BlueShield
Setting
Professional
Modifier
None (both parts)
Typical Low
$812.83
Median
$954.99
Typical High
$1,584.89
Regence BlueShield
Setting
Professional
Modifier
26 · Professional part
Typical Low
$43.65
Median
$51.29
Typical High
$91.20
Regence BlueShield
Setting
Professional
Modifier
TC · Technical part
Typical Low
$776.25
Median
$912.01
Typical High
$1,513.56
Select Health
Setting
Facility
Modifier
None
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Select Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$851.14
Median
$1,071.52
Typical High
$1,778.28
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$1,000.00
Typical High
$1,949.84
United
Setting
Facility
Modifier
None
Typical Low
$2,570.40
Median
$4,677.35
Typical High
$5,128.61
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$707.95
Median
$933.25
Typical High
$1,380.38
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$46.77
Median
$54.95
Typical High
$93.33
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$660.69
Median
$831.76
Typical High
$1,288.25

Where Utah 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.

Utah· 48th of 51

$759

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.