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Camera Capsule Study of the Esophagus

Washington 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 $95 · 10th to 90th $60 to $158
$50$100$200$500$1K$2Kfacility $95

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. 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
$64.57
Median
$104.71
Typical High
$141.25
Asuris Northwest Health
Setting
Facility
Modifier
26 · Professional part
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89
Kaiser Permanente
Setting
Facility
Modifier
26 · Professional part
Typical Low
$57.54
Median
$91.20
Typical High
$2,238.72
Premera BCBS
Setting
Facility
Modifier
26 · Professional part
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Regence BlueShield
Setting
Facility
Modifier
26 · Professional part
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89