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Camera Capsule Study of the Esophagus

Virginia 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.

How much rates vary

Facilitymedian $56 · 10th to 90th $42 to $56Professionalmedian $63 · 10th to 90th $47 to $85
$50$100facility $56professional $63

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$41.69
Median
$56.23
Typical High
$56.23
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$44.67
Median
$54.95
Typical High
$69.18
Medcost
Setting
Professional
Modifier
26 · Professional part
Typical Low
$67.61
Median
$85.11
Typical High
$93.33