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Small Bowel Lining Sample by Capsule or Tube

Hawaii 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?

$155

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $155 for this service. The price depends on where it is billed: about $151 from a physician practice, and about $2,884 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 6 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$151$107 to $1,259
FacilityA hospital or hospital-owned outpatient department$2,884$1,000 to $2,884

How much rates vary

Facilitymedian $2,884 · 10th to 90th $813 to $2,884Professionalmedian $151 · 10th to 90th $102 to $3,388
$50$100$200$500$1K$2Kfacility $2,884professional $151

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
$870.96
Median
$2,884.03
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$107.15
Typical High
$162.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$147.91
Typical High
$281.84
HMSA
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$169.82
Typical High
$199.53
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$109.65
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$131.83
Typical High
$173.78
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$1,548.82
Typical High
$3,981.07

Where Hawaii 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.

Hawaii· 20th of 51

$155

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.