go back

Capsule Camera Study Of The Colon

New Jersey 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?

$1,047

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $1,047 for this service. The price depends on where it is billed: about $1,047 from a physician practice, and about $2,884 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,047$891 to $1,122
FacilityA hospital or hospital-owned outpatient department$2,884$1,905 to $3,890

How much rates vary

Facilitymedian $2,884 · 10th to 90th $1,096 to $4,074Professionalmedian $1,047 · 10th to 90th $794 to $1,778
$1K$2K$5Kfacility $2,884professional $1,047

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
$1,047.13
Median
$1,096.48
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$933.25
Median
$1,096.48
Typical High
$1,122.02
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$104.71
Median
$131.83
Typical High
$131.83
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$831.76
Median
$977.24
Typical High
$977.24
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$794.33
Median
$870.96
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$93.33
Median
$112.20
Typical High
$239.88
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$691.83
Median
$776.25
Typical High
$1,778.28
Emblem Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,174.90
Median
$1,548.82
Typical High
$1,548.82
Emblem Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$147.91
Median
$190.55
Typical High
$194.98
Emblem Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$1,023.29
Median
$1,348.96
Typical High
$1,348.96
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$2,089.30
Median
$3,388.44
Typical High
$4,365.16
Horizon BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$933.25
Median
$1,096.48
Typical High
$1,778.28
Horizon BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$114.82
Median
$134.90
Typical High
$213.80
Horizon BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$831.76
Median
$977.24
Typical High
$1,412.54
United
Setting
Facility
Modifier
None
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$3,890.45
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$741.31
Median
$954.99
Typical High
$1,949.84
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$91.20
Median
$117.49
Typical High
$234.42
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$645.65
Median
$851.14
Typical High
$1,737.80
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
$467.74
Median
$549.54
Typical High
$562.34
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$190.55
Median
$218.78
Typical High
$223.87

Where New Jersey sits

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

New Jersey· 30th of 51

$1,047

AK $2,455UT $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.