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Capsule Camera Study Of The Colon

South Dakota 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 $1,514 · 10th–90th $933$1,8620%10%20%10th90th$1,514Professionalmedian $1,660 · 10th–90th $912$2,3440%10%20%10th90th$1,660$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$933.25
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$2,344.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,548.82
Typical High
$1,862.09
Medica
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,621.81
Typical High
$2,884.03
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$2,137.96
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,445.44
Typical High
$1,659.59
United
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,819.70
Typical High
$2,398.83
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,137.96
Typical High
$2,187.76