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Capsule Camera Examination Of The Colon

California rates for HCPCS 0355T

The patient swallows a capsule containing a small camera, which travels through the digestive tract and photographs the lining of the colon as it passes. The images are downloaded afterwards and reviewed by a doctor, who reports on what the lining shows. Bowel preparation beforehand is needed, as it is for a standard colonoscopy.

Rates data updated July 2026.

How much does Capsule Camera Examination Of The Colon cost?

$1,995

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $1,995 for this service. Most negotiated rates run $1,995 to $3,311.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,995 · 10th to 90th $1,995 to $1,995Professionalmedian $3,311 · 10th to 90th $186 to $3,311
$200$500$1K$2Kfacility $1,995professional $3,311

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
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$154.88
Typical High
$186.21
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$630.96
Typical High
$831.76
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31

Where California sits

The same service costs 1698.2 times more in Kentucky than in Idaho. 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.

California· 14th of 40

$1,995

KY $51,286ID $30.20

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.