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Capsule Camera Study Of The Colon

Kentucky 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 July 2026.

How much does Capsule Camera Study Of The Colon cost?

$851

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $851 for this service. The price depends on where it is billed: about $851 from a physician practice, and about $851 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 6 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$851$661 to $933
FacilityA hospital or hospital-owned outpatient department$851$776 to $1,000

How much rates vary

Facilitymedian $851 · 10th to 90th $155 to $1,549Professionalmedian $851 · 10th to 90th $661 to $1,122
$100$200$500$1K$2K$5Kfacility $851professional $851

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
$851.14
Median
$851.14
Typical High
$977.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$851.14
Typical High
$1,122.02
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$660.69
Typical High
$912.01
CareSource
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$741.31
Typical High
$1,096.48
CareSource
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$147.91
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,348.96
Typical High
$4,786.30
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$75.86
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$891.25
Typical High
$1,819.70
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,047.13
Typical High
$1,819.70

Where Kentucky sits

The same service costs 2.5 times more in Alaska than in Kentucky. 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.

Kentucky· 51st of 51

$851

AK $2,138KY $851

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.