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Small Bowel Lining Sample by Capsule or Tube

North Carolina 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?

$141

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $141 from a physician practice, and about $170 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 7 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$141$105 to $240
FacilityA hospital or hospital-owned outpatient department$170$123 to $513

How much rates vary

Facilitymedian $170 · 10th to 90th $105 to $4,467Professionalmedian $141 · 10th to 90th $68 to $331
$100$200$500$1K$2K$5Kfacility $170professional $141

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
$104.71
Median
$1,202.26
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$117.49
Typical High
$346.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$912.01
Typical High
$1,023.29
BCBS
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$154.88
Typical High
$331.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$707.95
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$162.18
Typical High
$281.84
Medcost
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Medcost
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$141.25
Typical High
$223.87
Medcost
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$275.42
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$1,995.26
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$120.23
Typical High
$213.80
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$19,498.45
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96

Where North Carolina 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.

North Carolina· 24th of 51

$141

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.