go back

Capsule Camera Study Of The Colon

New York 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?

$1,047

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $1,047 for this service. The price depends on where it is billed: about $1,023 from a physician practice, and about $1,122 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 9 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$1,023$871 to $1,445
FacilityA hospital or hospital-owned outpatient department$1,122$977 to $1,349

How much rates vary

Facilitymedian $1,122 · 10th to 90th $851 to $1,778Professionalmedian $1,023 · 10th to 90th $776 to $2,399
$500$1K$2K$5K$10Kfacility $1,122professional $1,023

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
$954.99
Median
$1,174.90
Typical High
$1,621.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$954.99
Typical High
$1,698.24
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$870.96
Typical High
$1,862.09
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$1,096.48
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$1,096.48
Typical High
$1,288.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,548.82
Typical High
$3,467.37
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,096.48
Typical High
$2,951.21
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,548.82
Typical High
$1,995.26
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,096.48
Typical High
$2,238.72
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,348.96
Typical High
$2,344.23
United
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$2,290.87
Typical High
$4,466.84
United
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,288.25
Typical High
$3,630.78
Univera
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$954.99
Typical High
$1,096.48
Univera
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,071.52
Typical High
$2,238.72

Where New York 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.

New York· 19th of 51

$1,047

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.