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Small Bowel Lining Sample by Capsule or Tube

Pennsylvania 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?

$123

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $112 from a physician practice, and about $2,570 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$112$105 to $132
FacilityA hospital or hospital-owned outpatient department$2,570$1,318 to $4,786

How much rates vary

Facilitymedian $2,570 · 10th to 90th $617 to $8,318Professionalmedian $112 · 10th to 90th $98 to $209
$100$200$500$1K$2K$5K$10Kfacility $2,570professional $112

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
$660.69
Median
$2,691.53
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$109.65
Typical High
$162.18
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$2,691.53
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$147.91
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$707.95
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$134.90
Typical High
$234.42
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$128.82
Typical High
$181.97
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$724.44
Typical High
$851.14
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$117.49
Typical High
$177.83
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$2,398.83
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$123.03
Typical High
$1,174.90
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$151.36
Typical High
$251.19
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$1,071.52
Typical High
$2,187.76
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$104.71
Typical High
$125.89
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$1,905.46
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$123.03
Typical High
$204.17

Where Pennsylvania 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.

Pennsylvania· 40th of 51

$123

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.