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Small Bowel Lining Sample by Capsule or Tube

Ohio 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?

$129

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $129 for this service. The price depends on where it is billed: about $120 from a physician practice, and about $2,455 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$120$105 to $148
FacilityA hospital or hospital-owned outpatient department$2,455$1,318 to $4,467

How much rates vary

Facilitymedian $2,455 · 10th to 90th $363 to $10,715Professionalmedian $120 · 10th to 90th $98 to $219
$50$200$1K$5Kfacility $2,455professional $120

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
$204.17
Median
$3,162.28
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$112.20
Typical High
$489.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$2,187.76
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$125.89
Typical High
$199.53
CareSource
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$112.20
Typical High
$630.96
CareSource
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$123.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$363.08
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$147.91
Typical High
$245.47
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$398.11
Typical High
$794.33
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$144.54
Typical High
$239.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$109.65
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$2,089.30
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$123.03
Typical High
$204.17

Where Ohio 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.

Ohio· 32nd of 51

$129

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.