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Capsule Camera Study Of The Colon

Colorado 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?

$1,413

Typical negotiated rate. In Colorado, October 2026.

Insurers have agreed to pay about $1,413 for this service. The price depends on where it is billed: about $1,413 from a physician practice, and about $1,230 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,413$1,148 to $1,862
FacilityA hospital or hospital-owned outpatient department$1,230$955 to $1,950

How much rates vary

Facilitymedian $1,230 · 10th to 90th $955 to $4,074Professionalmedian $1,413 · 10th to 90th $955 to $2,239
$1K$2K$5Kfacility $1,230professional $1,413

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$870.96
Median
$954.99
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$117.49
Median
$128.82
Typical High
$131.83
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$758.58
Median
$831.76
Typical High
$891.25
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,071.52
Median
$1,548.82
Typical High
$2,238.72
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$138.04
Median
$194.98
Typical High
$281.84
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$954.99
Median
$1,348.96
Typical High
$1,995.26
Cigna
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$912.01
Median
$1,348.96
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$125.89
Median
$177.83
Typical High
$281.84
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$794.33
Median
$1,174.90
Typical High
$1,862.09
Denver HMP
Setting
Facility
Modifier
None
Typical Low
$954.99
Median
$1,023.29
Typical High
$1,380.38
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$1,047.13
Median
$1,548.82
Typical High
$2,290.87
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$131.83
Median
$194.98
Typical High
$275.42
Kaiser Permanente
Setting
Professional
Modifier
TC · Technical part
Typical Low
$912.01
Median
$1,380.38
Typical High
$1,905.46
Select Health
Setting
Facility
Modifier
None
Typical Low
$1,047.13
Median
$1,949.84
Typical High
$2,187.76
Select Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$724.44
Median
$1,047.13
Typical High
$2,041.74
United
Setting
Facility
Modifier
None
Typical Low
$4,073.80
Median
$4,265.80
Typical High
$4,897.79
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$954.99
Median
$1,412.54
Typical High
$2,238.72
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$123.03
Median
$181.97
Typical High
$281.84
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$831.76
Median
$1,230.27
Typical High
$1,949.84
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
$436.52
Median
$478.63
Typical High
$549.54
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$173.78
Median
$190.55
Typical High
$218.78

Where Colorado 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.

Colorado· 10th of 51

$1,413

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.