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Camera Capsule Study of the Esophagus

Wisconsin 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 $138 · 10th to 90th $49 to $245Professionalmedian $56 · 10th to 90th $56 to $56
$50$100$200facility $138professional $56

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
$48.98
Median
$48.98
Typical High
$165.96
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$120.23
Median
$138.04
Typical High
$223.87
Medica
Setting
Facility
Modifier
26 · Professional part
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Quartz
Setting
Facility
Modifier
26 · Professional part
Typical Low
$104.71
Median
$288.40
Typical High
$288.40
Security Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$56.23
Median
$56.23
Typical High
$56.23