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Capsule Camera Examination Of The Colon

Kentucky 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?

$51,286

Typical facility fee. In Kentucky, July 2026.

Insurers have agreed to pay about $51,286 for this service. Most negotiated rates run $7,762 to $74,131.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 $51,286 · 10th to 90th $7,413 to $83,176Professionalmedian $66,069 · 10th to 90th $100 to $89,125
$100$1K$10K$100Kfacility $51,286professional $66,069

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
CareSource
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$56,234.13
Typical High
$83,176.38
CareSource
Setting
Professional
Modifier
Global
Typical Low
$66,069.34
Median
$74,131.02
Typical High
$104,712.85
Molina
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$1,513.56

Where Kentucky 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.

Kentucky· 1st of 40

$51,286

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.