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Small Bowel Lining Sample by Capsule or Tube

Massachusetts 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?

$135

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $135 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $2,089 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 8 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$126$107 to $204
FacilityA hospital or hospital-owned outpatient department$2,089$813 to $3,236

How much rates vary

Facilitymedian $2,089 · 10th to 90th $115 to $4,786Professionalmedian $126 · 10th to 90th $98 to $309
$100$200$500$1K$2K$5K$10Kfacility $2,089professional $126

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
$1,000.00
Median
$2,238.72
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$109.65
Typical High
$302.00
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$1,949.84
Typical High
$19,498.45
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$169.82
Typical High
$870.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$562.34
Typical High
$562.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$501.19
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$165.96
Typical High
$295.12
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$131.83
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$120.23
Typical High
$190.55
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$3,162.28
Typical High
$8,511.38
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$165.96
Typical High
$257.04
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$1,949.84
Typical High
$19,498.45
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$169.82
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$2,398.83
Typical High
$6,918.31
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$173.78
Typical High
$302.00

Where Massachusetts 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.

Massachusetts· 26th of 51

$135

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.