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Capsule Camera Study Of The Colon

Indiana 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?

$912

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $912 for this service. The price depends on where it is billed: about $912 from a physician practice, and about $955 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$912$891 to $1,096
FacilityA hospital or hospital-owned outpatient department$955$912 to $2,754

How much rates vary

Facilitymedian $955 · 10th to 90th $851 to $3,311Professionalmedian $912 · 10th to 90th $741 to $1,380
$200$500$1K$2Kfacility $955professional $912

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
$851.14
Median
$851.14
Typical High
$851.14
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$812.83
Median
$851.14
Typical High
$933.25
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$114.82
Median
$114.82
Typical High
$125.89
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$707.95
Median
$724.44
Typical High
$812.83
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$891.25
Median
$2,818.38
Typical High
$3,801.89
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$741.31
Median
$891.25
Typical High
$1,258.93
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$100.00
Median
$117.49
Typical High
$165.96
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$645.65
Median
$758.58
Typical High
$1,071.52
CareSource
Setting
Facility
Modifier
None
Typical Low
$123.03
Median
$691.83
Typical High
$812.83
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$912.01
Median
$1,071.52
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$123.03
Median
$138.04
Typical High
$199.53
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$776.25
Median
$954.99
Typical High
$1,318.26
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$954.99
Typical High
$2,754.23
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None (both parts)
Typical Low
$954.99
Median
$1,148.15
Typical High
$1,698.24
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
26 · Professional part
Typical Low
$131.83
Median
$158.49
Typical High
$234.42
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
TC · Technical part
Typical Low
$812.83
Median
$1,000.00
Typical High
$1,479.11
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$891.25
Median
$1,096.48
Typical High
$1,737.80
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$112.20
Median
$138.04
Typical High
$223.87
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$776.25
Median
$933.25
Typical High
$1,513.56
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
$407.38
Median
$416.87
Typical High
$467.74
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$162.18
Median
$169.82
Typical High
$186.21

Where Indiana 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.

Indiana· 45th of 51

$912

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.