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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 July 2026.

Facilitymedian $63 · 10th–90th $63$760%50%90th$63$100.0$200.0$500.0$1.0K

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
$63.10
Median
$63.10
Typical High
$63.10
Regence BlueShield
Setting
Facility
Modifier
26 · Professional part
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
Select Health
Setting
Facility
Modifier
26 · Professional part
Typical Low
$75.86
Median
$75.86
Typical High
$75.86