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Small Bowel Lining Sample by Capsule or Tube

Indiana 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?

$132

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $3,802 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 $151
FacilityA hospital or hospital-owned outpatient department$3,802$2,692 to $5,495

How much rates vary

Facilitymedian $3,802 · 10th to 90th $537 to $7,413Professionalmedian $115 · 10th to 90th $98 to $200
$100$200$500$1K$2K$5K$10Kfacility $3,802professional $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
$114.82
Median
$3,801.89
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$109.65
Typical High
$173.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$3,890.45
Typical High
$8,317.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$151.36
Typical High
$229.09
CareSource
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$104.71
Typical High
$120.23
CareSource
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$173.78
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$147.91
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$3,467.37
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$123.03
Typical High
$194.98

Where Indiana 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.

Indiana· 28th of 51

$132

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.