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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.

How much does Capsule Camera Study Of The Colon cost?

$1,000

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $1,000 for this service. The price depends on where it is billed: about $977 from a physician practice, and about $1,047 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$977$871 to $1,202
FacilityA hospital or hospital-owned outpatient department$1,047$933 to $1,349

How much rates vary

Facilitymedian $1,047 · 10th to 90th $813 to $2,512Professionalmedian $977 · 10th to 90th $794 to $1,698
$200$500$1K$2K$5Kfacility $1,047professional $977

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
$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

Where Missouri 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.

Missouri· 29th of 51

$1,000

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.