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Capsule Camera Study Of The Colon

Oregon 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?

$1,778

Typical negotiated rate. In Oregon, October 2026.

Insurers have agreed to pay about $1,778 for this service. The price depends on where it is billed: about $1,778 from a physician practice, and about $1,698 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,778$1,318 to $2,344
FacilityA hospital or hospital-owned outpatient department$1,698$1,413 to $2,399

How much rates vary

Facilitymedian $1,698 · 10th to 90th $1,023 to $3,467Professionalmedian $1,778 · 10th to 90th $1,202 to $2,692
$1K$2K$5Kfacility $1,698professional $1,778

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$933.25
Median
$1,202.26
Typical High
$1,202.26
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$114.82
Median
$154.88
Typical High
$154.88
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$812.83
Median
$1,071.52
Typical High
$1,071.52
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,202.26
Median
$1,621.81
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$147.91
Median
$208.93
Typical High
$363.08
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$1,047.13
Median
$1,412.54
Typical High
$2,398.83
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$2,290.87
Typical High
$2,884.03
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$245.47
Median
$295.12
Typical High
$346.74
Kaiser Permanente
Setting
Professional
Modifier
TC · Technical part
Typical Low
$1,698.24
Median
$1,995.26
Typical High
$2,511.89
Moda Health
Setting
Facility
Modifier
None
Typical Low
$1,202.26
Median
$1,737.80
Typical High
$2,454.71
Moda Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,023.29
Median
$1,202.26
Typical High
$2,398.83
Moda Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$114.82
Median
$154.88
Typical High
$154.88
Moda Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$741.31
Median
$1,071.52
Typical High
$1,071.52
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$1,023.29
Median
$1,698.24
Typical High
$1,778.28
Providence
Setting
Facility
Modifier
None
Typical Low
$1,202.26
Median
$1,737.80
Typical High
$2,454.71
Providence
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,318.26
Median
$1,949.84
Typical High
$2,754.23
Providence
Setting
Professional
Modifier
26 · Professional part
Typical Low
$169.82
Median
$245.47
Typical High
$363.08
Providence
Setting
Professional
Modifier
TC · Technical part
Typical Low
$1,148.15
Median
$1,659.59
Typical High
$2,398.83
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$2,398.83
Median
$3,162.28
Typical High
$3,630.78
Regence BlueShield
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,698.24
Median
$1,778.28
Typical High
$2,570.40
Regence BlueShield
Setting
Professional
Modifier
26 · Professional part
Typical Low
$218.78
Median
$239.88
Typical High
$331.13
Regence BlueShield
Setting
Professional
Modifier
TC · Technical part
Typical Low
$1,479.11
Median
$1,548.82
Typical High
$2,238.72
United
Setting
Facility
Modifier
None
Typical Low
$2,951.21
Median
$3,715.35
Typical High
$4,570.88
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,023.29
Median
$1,949.84
Typical High
$2,884.03
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$128.82
Median
$245.47
Typical High
$371.54
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$891.25
Median
$1,698.24
Typical High
$2,511.89
4 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
$602.56
Typical High
$602.56
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$186.21
Median
$245.47
Typical High
$245.47
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$426.58
Median
$602.56
Typical High
$602.56
Moda Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$169.82
Median
$245.47
Typical High
$245.47

Where Oregon 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.

Oregon· 7th of 51

$1,778

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.