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Capsule Camera Examination Of The Colon

Massachusetts 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?

$2,884

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $2,884 for this service. The price depends on where it is billed: about $3,311 from a physician practice, and about $1,995 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,311$3,311 to $3,311
FacilityA hospital or hospital-owned outpatient department$1,995$1,862 to $3,388

How much rates vary

Facilitymedian $1,995 · 10th to 90th $1,000 to $4,074Professionalmedian $3,311 · 10th to 90th $186 to $3,311
$200$500$1K$2K$5Kfacility $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$186.21
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$2,691.53
Typical High
$4,073.80

Where Massachusetts 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.

Massachusetts· 9th of 40

$2,884

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.