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Capsule Camera Study Of The Colon

Arizona rates for HCPCS 91113

A study in which you swallow a vitamin-sized capsule containing tiny cameras that photograph the lining of the large bowel as it passes through. The images are sent to a recorder worn on a belt, and a doctor later reviews them and writes a report. It is used to look at the colon when a standard scope examination is incomplete or not suitable.

Rates data updated October 2026.

How much does Capsule Camera Study Of The Colon cost?

$1,023

Typical negotiated rate. In Arizona, October 2026.

Insurers have agreed to pay about $1,023 for this service. Most negotiated rates run $891 to $1,738.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,514 · 10th to 90th $380 to $2,399Professionalmedian $1,023 · 10th to 90th $776 to $5,888
$500$1K$2K$5Kfacility $1,514professional $1,023

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$776.25
Median
$776.25
Typical High
$933.25
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$109.65
Median
$109.65
Typical High
$123.03
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$660.69
Median
$660.69
Typical High
$812.83
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$371.54
Median
$1,584.89
Typical High
$2,398.83
BCBS Arizona
Setting
Professional
Modifier
None (both parts)
Typical Low
$912.01
Median
$912.01
Typical High
$1,737.80
BCBS Arizona
Setting
Professional
Modifier
26 · Professional part
Typical Low
$120.23
Median
$120.23
Typical High
$229.09
BCBS Arizona
Setting
Professional
Modifier
TC · Technical part
Typical Low
$794.33
Median
$794.33
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$851.14
Median
$1,023.29
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$114.82
Median
$128.82
Typical High
$263.03
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$724.44
Median
$891.25
Typical High
$1,659.59
Medica
Setting
Facility
Modifier
None
Typical Low
$776.25
Median
$851.14
Typical High
$1,737.80
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$933.25
Median
$5,888.44
Typical High
$5,888.44
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$117.49
Median
$758.58
Typical High
$758.58
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$812.83
Median
$5,128.61
Typical High
$5,128.61
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$870.96
Median
$1,023.29
Typical High
$1,737.80
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$114.82
Median
$128.82
Typical High
$229.09
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$776.25
Median
$891.25
Typical High
$1,548.82
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$389.05
Median
$389.05
Typical High
$467.74
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$154.88
Median
$154.88
Typical High
$190.55

Where Arizona sits

The same service costs 3.2 times more in Alaska than in Utah. 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.

Arizona· 33rd of 51

$1,023

AK $2,455UT $759

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.