go back

Capsule Camera Study Of The Colon

Illinois 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?

$1,072

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $1,072 for this service. The price depends on where it is billed: about $1,072 from a physician practice, and about $1,445 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,072$933 to $1,380
FacilityA hospital or hospital-owned outpatient department$1,445$1,349 to $5,129

How much rates vary

Facilitymedian $1,445 · 10th to 90th $1,175 to $12,882Professionalmedian $1,072 · 10th to 90th $219 to $1,862
$50$200$1K$5K$20Kfacility $1,445professional $1,072

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
Facility
Modifier
None
Typical Low
$851.14
Median
$933.25
Typical High
$2,187.76
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$851.14
Median
$933.25
Typical High
$933.25
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$114.82
Median
$123.03
Typical High
$125.89
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$724.44
Median
$812.83
Typical High
$812.83
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$1,202.26
Median
$1,445.44
Typical High
$14,791.08
BCBS Illinois
Setting
Professional
Modifier
None (both parts)
Typical Low
$134.90
Median
$436.52
Typical High
$1,905.46
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,202.26
Median
$1,318.26
Typical High
$2,884.03
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$851.14
Median
$1,148.15
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$123.03
Median
$144.54
Typical High
$208.93
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$724.44
Median
$1,023.29
Typical High
$1,445.44
Hally Health
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$1,174.90
Typical High
$3,890.45
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$131.83
Median
$173.78
Typical High
$616.60
Hally Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$776.25
Median
$1,023.29
Typical High
$3,235.94
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,000.00
Median
$1,023.29
Typical High
$1,096.48
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
None
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,511.89
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$912.01
Median
$1,174.90
Typical High
$1,905.46
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$117.49
Median
$151.36
Typical High
$245.47
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$794.33
Median
$1,023.29
Typical High
$1,698.24
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
$426.58
Median
$467.74
Typical High
$467.74
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$169.82
Median
$186.21
Typical High
$186.21

Where Illinois 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.

Illinois· 29th of 51

$1,072

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.