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Small Bowel Lining Sample by Capsule or Tube

Arizona rates for HCPCS 44100

Collects one or more small samples of the lining of the small intestine using a swallowed capsule or a slim tube passed through the mouth, without a camera or scope. The capsule takes a snip of tissue when it reaches the right level, guided by imaging. The samples are examined under a microscope for conditions such as celiac disease.

Rates data updated July 2026.

How much does Small Bowel Lining Sample by Capsule or Tube cost?

$126

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $2,138 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 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$115$105 to $145
FacilityA hospital or hospital-owned outpatient department$2,138$776 to $4,467

How much rates vary

Facilitymedian $2,138 · 10th to 90th $123 to $5,623Professionalmedian $115 · 10th to 90th $98 to $229
$100$200$500$1K$2K$5Kfacility $2,138professional $115

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$3,715.35
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$112.20
Typical High
$181.97
BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$1,698.24
Typical High
$3,311.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$125.89
Typical High
$218.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$562.34
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$131.83
Typical High
$234.42
Medica
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$138.04
Typical High
$2,089.30
Medica
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$138.04
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,659.59
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$120.23
Typical High
$204.17

Where Arizona sits

The same service costs 4.1 times more in California than in West Virginia. 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.

Arizona· 37th of 51

$126

CA $447WV $110

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.