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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 July 2026.

Facilitymedian $1,047 · 10th–90th $813$2,5120%20%10th90th$1,047Professionalmedian $977 · 10th–90th $794$1,6980%10%20%10th90th$977$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$933.25
Typical High
$1,288.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$933.25
Typical High
$1,548.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,202.26
Typical High
$1,513.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$2,238.72
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,258.93
Typical High
$2,344.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,202.26
Typical High
$2,884.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,288.25
Typical High
$5,888.44
United
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$977.24
Typical High
$2,951.21
United
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,148.15
Typical High
$1,862.09