CPT code 91111: Capsule imaging, esophagus only2026 Medicare rate & RVUs in Connecticut

In Connecticut, Medicare pays $1,029.17 for 91111 in the office.

Check a contract rate as a % of Medicare · 91111 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 91111 covers

A patient swallows a miniature camera capsule that captures images as it passes through the esophagus. Gastroenterologists typically use this approach to assess the esophageal lining, including when capsule-based evaluation of suspected mucosal abnormalities or varices is selected. The study may be performed in an outpatient setting, with the patient wearing equipment that records the images for later review.

Report 91111 when the capsule imaging study is limited to the esophagus; use the documented study extent to distinguish it from imaging that covers additional gastrointestinal regions. The record should support the reason for the study, the esophageal imaging performed, and the resulting interpretation. CMS recognizes professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and billing without either modifier represents the global service.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Connecticut compares for 91111

Across 109 of 109 payment localities, the office rate for 91111 runs from $825.58 in Arkansas to $1,368.63 in San Benito County, CA. Connecticut pays $1,029.17. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

91111 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 91111 in every payment locality

How the 91111 rate is calculated

Each of 91111’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 91111

The CMS indicators that decide how 91111 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

Codes related to 91111

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 91111 has changed in Connecticut

Price 91111 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

• Ansonia
• Ball Pond
• Baltic
• Bantam
• Bethel
• Bethlehem Village
• Bigelow Corners
• Blue Hills

Browse all communities in Connecticut

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates