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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 July 2026.

Facilitymedian $1,698 · 10th–90th $1,000$2,1380%20%40%10th90th$1,698Professionalmedian $1,738 · 10th–90th $891$2,5700%20%10th90th$1,738$500.0$2.0K$10.0K$50.0K$200.0K$1.0M

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
$2,137.96
Median
$2,137.96
Typical High
$2,137.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,071.52
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,778.28
Typical High
$2,630.27
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,137.96
Typical High
$2,511.89
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,258.93
Typical High
$2,238.72
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,041.74
Typical High
$2,691.53
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,698.24
Typical High
$1,778.28
Providence
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,288.25
Typical High
$2,344.23
Providence
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,995.26
Typical High
$2,691.53
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$3,019.95
Typical High
$3,890.45
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,041.74
Typical High
$2,691.53
United
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
United
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,862.09
Typical High
$2,754.23