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Capsule Camera Study Of The Colon

Missouri 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 Missouri, 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 $2,455 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 $1,514
FacilityA hospital or hospital-owned outpatient department$2,455$1,096 to $3,981

How much rates vary

Facilitymedian $2,455 · 10th to 90th $891 to $3,981Professionalmedian $1,072 · 10th to 90th $851 to $5,888
$1K$2K$5Kfacility $2,455professional $1,072

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
$933.25
Median
$933.25
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$812.83
Median
$933.25
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$117.49
Median
$125.89
Typical High
$147.91
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$707.95
Median
$812.83
Typical High
$954.99
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$851.14
Median
$954.99
Typical High
$1,621.81
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$114.82
Median
$128.82
Typical High
$218.78
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$724.44
Median
$831.76
Typical High
$1,380.38
BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$954.99
Median
$1,071.52
Typical High
$1,380.38
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$131.83
Median
$141.25
Typical High
$186.21
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$831.76
Median
$933.25
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,412.54
Median
$2,238.72
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$812.83
Median
$1,148.15
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$114.82
Median
$151.36
Typical High
$269.15
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$691.83
Median
$977.24
Typical High
$1,698.24
Medica
Setting
Facility
Modifier
None
Typical Low
$891.25
Median
$2,511.89
Typical High
$3,981.07
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$954.99
Median
$2,398.83
Typical High
$5,888.44
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$125.89
Median
$309.03
Typical High
$758.58
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$831.76
Median
$2,089.30
Typical High
$5,128.61
United
Setting
Facility
Modifier
None
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$3,090.30
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$891.25
Median
$1,148.15
Typical High
$2,344.23
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$114.82
Median
$147.91
Typical High
$309.03
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$776.25
Median
$1,000.00
Typical High
$2,041.74
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
$467.74
Typical High
$549.54
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$162.18
Median
$186.21
Typical High
$218.78

Where Missouri sits

The same service costs 3.2 times more in Alaska than in Texas. 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.

Missouri· 28th of 51

$1,072

AK $2,455TX $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.