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Small Bowel Lining Sample by Capsule or Tube

New York 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 New York, July 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $3,467 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 9 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$123$105 to $155
FacilityA hospital or hospital-owned outpatient department$3,467$1,820 to $4,898

How much rates vary

Facilitymedian $3,467 · 10th to 90th $178 to $7,586Professionalmedian $123 · 10th to 90th $87 to $275
$20$100$500$2K$10Kfacility $3,467professional $123

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
$134.90
Median
$3,090.30
Typical High
$8,128.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$120.23
Typical High
$275.42
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$3,630.78
Typical High
$5,011.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$102.33
Typical High
$208.93
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$1,258.93
Typical High
$4,073.80
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$165.96
Typical High
$389.05
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$204.17
Typical High
$354.81
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$131.83
Typical High
$177.83
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$138.04
Typical High
$223.87
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$190.55
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$3,467.37
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$131.83
Typical High
$275.42
Univera
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$125.89
Typical High
$457.09
Univera
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$125.89
Typical High
$302.00

Where New York 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.

New York· 27th 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.