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Capsule Camera Study Of The Colon

Pennsylvania 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?

$933

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $933 for this service. The price depends on where it is billed: about $933 from a physician practice, and about $1,000 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 8 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$933$851 to $1,096
FacilityA hospital or hospital-owned outpatient department$1,000$1,000 to $1,995

How much rates vary

Facilitymedian $1,000 · 10th to 90th $1,000 to $2,951Professionalmedian $933 · 10th to 90th $776 to $1,380
$1K$2K$5K$10K$20K$50Kfacility $1,000professional $933

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
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$891.25
Typical High
$1,230.27
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$851.14
Typical High
$1,513.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,862.09
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,174.90
Typical High
$2,137.96
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,412.54
Typical High
$1,737.80
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,047.13
Typical High
$1,995.26
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,862.09
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$891.25
Typical High
$1,230.27
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$977.24
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$870.96
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,238.72
Typical High
$3,090.30
United
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,122.02
Typical High
$2,041.74

Where Pennsylvania 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.

Pennsylvania· 43rd of 51

$933

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.