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Small Bowel Lining Sample by Capsule or Tube

Kentucky 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?

$120

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $120 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $1,995 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$117$105 to $138
FacilityA hospital or hospital-owned outpatient department$1,995$1,148 to $2,754

How much rates vary

Facilitymedian $1,995 · 10th to 90th $398 to $3,388Professionalmedian $117 · 10th to 90th $98 to $174
$100$200$500$1K$2K$5Kfacility $1,995professional $117

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
$131.83
Median
$1,000.00
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$107.15
Typical High
$147.91
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,137.96
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$117.49
Typical High
$173.78
CareSource
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$112.20
Typical High
$158.49
CareSource
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$123.03
Typical High
$154.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$162.18
Typical High
$741.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$102.33
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$1,445.44
Typical High
$4,168.69
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$131.83
Typical High
$208.93

Where Kentucky 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.

Kentucky· 43rd of 51

$120

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.