go back

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 October 2026.

How much does Camera Capsule Study of the Esophagus cost?

$933

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $933 for this service. The price depends on where it is billed: about $933 from a physician practice, and about $1,445 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$933$832 to $1,072
FacilityA hospital or hospital-owned outpatient department$1,445$759 to $3,388

How much rates vary

Facilitymedian $1,445 · 10th to 90th $68 to $5,370Professionalmedian $933 · 10th to 90th $692 to $1,349
$50$200$1K$5Kfacility $1,445professional $933

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
$851.14
Median
$891.25
Typical High
$1,698.24
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$794.33
Median
$851.14
Typical High
$891.25
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$41.69
Median
$51.29
Typical High
$56.23
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$741.31
Median
$794.33
Typical High
$851.14
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$794.33
Median
$977.24
Typical High
$1,230.27
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$41.69
Median
$50.12
Typical High
$63.10
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$758.58
Median
$933.25
Typical High
$1,174.90
CareFirst
Setting
Professional
Modifier
None (both parts)
Typical Low
$47.86
Median
$851.14
Typical High
$1,071.52
CareFirst
Setting
Professional
Modifier
26 · Professional part
Typical Low
$42.66
Median
$42.66
Typical High
$56.23
CareFirst
Setting
Professional
Modifier
TC · Technical part
Typical Low
$812.83
Median
$912.01
Typical High
$1,023.29
Cigna
Setting
Facility
Modifier
None
Typical Low
$676.08
Median
$1,698.24
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$776.25
Median
$891.25
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$43.65
Median
$54.95
Typical High
$91.20
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$707.95
Median
$851.14
Typical High
$1,412.54
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$1,122.02
Typical High
$1,412.54
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$46.77
Median
$52.48
Typical High
$66.07
Kaiser Permanente
Setting
Professional
Modifier
TC · Technical part
Typical Low
$891.25
Median
$1,071.52
Typical High
$1,348.96
Medcost
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$1,122.02
Typical High
$1,122.02
Medcost
Setting
Professional
Modifier
26 · Professional part
Typical Low
$67.61
Median
$85.11
Typical High
$85.11
Medcost
Setting
Facility
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$1,445.44
Medcost
Setting
Professional
Modifier
None (both parts)
Typical Low
$575.44
Median
$660.69
Typical High
$691.83
Sentara
Setting
Facility
Modifier
None
Typical Low
$60.26
Median
$851.14
Typical High
$3,630.78
Sentara
Setting
Professional
Modifier
None (both parts)
Typical Low
$64.57
Median
$870.96
Typical High
$1,862.09
Sentara
Setting
Professional
Modifier
26 · Professional part
Typical Low
$52.48
Median
$66.07
Typical High
$107.15
Sentara
Setting
Professional
Modifier
TC · Technical part
Typical Low
$758.58
Median
$870.96
Typical High
$1,548.82
United
Setting
Facility
Modifier
None
Typical Low
$1,819.70
Median
$3,548.13
Typical High
$6,165.95
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$616.60
Median
$977.24
Typical High
$1,621.81
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$42.66
Median
$63.10
Typical High
$102.33
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$575.44
Median
$912.01
Typical High
$1,513.56
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Medcost
Setting
Professional
Modifier
27 · Multiple hospital visits
Typical Low
$831.76
Median
$1,047.13
Typical High
$1,047.13

Where Virginia 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.

Virginia· 27th of 51

$933

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.