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Capsule Camera Study Of The Colon

Tennessee 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?

$1,148

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $1,148 for this service. Most negotiated rates run $912 to $2,630.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $851 · 10th to 90th $741 to $1,259Professionalmedian $1,148 · 10th to 90th $813 to $8,511
$1K$2K$5Kfacility $851professional $1,148

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$812.83
Median
$851.14
Typical High
$1,122.02
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$112.20
Median
$117.49
Typical High
$158.49
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$691.83
Median
$724.44
Typical High
$977.24
BCBS Tennessee
Setting
Professional
Modifier
None (both parts)
Typical Low
$758.58
Median
$1,047.13
Typical High
$1,905.46
BCBS Tennessee
Setting
Professional
Modifier
26 · Professional part
Typical Low
$112.20
Median
$144.54
Typical High
$257.04
BCBS Tennessee
Setting
Professional
Modifier
TC · Technical part
Typical Low
$724.44
Median
$933.25
Typical High
$1,659.59
Cigna
Setting
Facility
Modifier
None
Typical Low
$741.31
Median
$851.14
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$812.83
Median
$1,047.13
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$114.82
Median
$141.25
Typical High
$269.15
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$691.83
Median
$912.01
Typical High
$1,737.80
Lucent Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$5,888.44
Median
$8,511.38
Typical High
$8,511.38
Lucent Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$758.58
Median
$1,071.52
Typical High
$1,071.52
Lucent Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$5,128.61
Median
$7,413.10
Typical High
$7,413.10
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$912.01
Median
$1,122.02
Typical High
$2,041.74
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$114.82
Median
$151.36
Typical High
$275.42
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$794.33
Median
$954.99
Typical High
$1,737.80
2 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
$407.38
Median
$426.58
Typical High
$562.34
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$162.18
Median
$169.82
Typical High
$223.87

Where Tennessee 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.

Tennessee· 22nd of 51

$1,148

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.