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Small Bowel Lining Sample by Capsule or Tube

Virginia 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?

$126

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $191 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$123$107 to $155
FacilityA hospital or hospital-owned outpatient department$191$129 to $2,570

How much rates vary

Facilitymedian $191 · 10th to 90th $115 to $5,370Professionalmedian $123 · 10th to 90th $100 to $214
$100$200$500$1K$2K$5K$10Kfacility $191professional $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
$123.03
Median
$3,235.94
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$120.23
Typical High
$213.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,570.40
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$134.90
Typical High
$208.93
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$107.15
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$512.86
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$138.04
Typical High
$208.93
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$107.15
Typical High
$213.80
Medcost
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$181.97
Typical High
$239.88
Medcost
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$147.91
Typical High
$229.09
Medcost
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$269.15
Sentara
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$138.04
Typical High
$794.33
Sentara
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$138.04
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$2,754.23
Typical High
$5,370.32
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$128.82
Typical High
$213.80

Where Virginia 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.

Virginia· 39th of 51

$126

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.