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Capsule Camera Examination Of The Colon

Ohio 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?

$2,188

Typical facility fee. In Ohio, July 2026.

Insurers have agreed to pay about $2,188 for this service. Most negotiated rates run $776 to $2,884.

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.

How much rates vary

Facilitymedian $2,188 · 10th to 90th $776 to $3,388Professionalmedian $186 · 10th to 90th $155 to $75,858
$200$1K$5K$20Kfacility $2,188professional $186

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
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$2,187.76
Typical High
$3,388.44
CareSource
Setting
Facility
Modifier
Global
Typical Low
$41,686.94
Median
$41,686.94
Typical High
$63,095.73
CareSource
Setting
Professional
Modifier
Global
Typical Low
$75,857.76
Median
$75,857.76
Typical High
$75,857.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$912.01
Typical High
$3,467.37

Where Ohio 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.

Ohio· 11th of 40

$2,188

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.