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Small Bowel Lining Sample by Capsule or Tube

South Dakota 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?

$174

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $209 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$170$120 to $234
FacilityA hospital or hospital-owned outpatient department$209$132 to $490

How much rates vary

Facilitymedian $209 · 10th to 90th $102 to $4,365Professionalmedian $170 · 10th to 90th $98 to $302
$100$200$500$1K$2Kfacility $209professional $170

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
$107.15
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$97.72
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$239.88
Typical High
$302.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$177.83
Typical High
$302.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$173.78
Typical High
$1,174.90
Midlands
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$251.19
Typical High
$251.19
Midlands
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$169.82
Typical High
$204.17
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$162.18
Typical High
$288.40
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$234.42
Typical High
$234.42

Where South Dakota 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.

South Dakota· 9th of 51

$174

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.