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Capsule Camera Study Of The Colon

Massachusetts 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?

$1,202

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $1,202 for this service. The price depends on where it is billed: about $1,202 from a physician practice, and about $912 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 7 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$1,202$977 to $1,905
FacilityA hospital or hospital-owned outpatient department$912$251 to $1,288

How much rates vary

Facilitymedian $912 · 10th to 90th $105 to $1,995Professionalmedian $1,202 · 10th to 90th $776 to $2,630
$100$200$500$1K$2K$5Kfacility $912professional $1,202

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
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$977.24
Typical High
$1,318.26
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,584.89
Typical High
$5,888.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,584.89
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,445.44
Typical High
$2,951.21
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$724.44
Typical High
$1,862.09
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$691.83
Typical High
$1,621.81
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,584.89
Typical High
$2,630.27
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,584.89
Typical High
$5,888.44
United
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$1,380.38
Typical High
$3,090.30
United
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,584.89
Typical High
$2,951.21

Where Massachusetts 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.

Massachusetts· 14th of 51

$1,202

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.