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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 July 2026.

Facilitymedian $1,698 · 10th–90th $813$5,8880%20%40%10th90th$1,698Professionalmedian $933 · 10th–90th $776$1,6980%20%10th90th$933$100.0$200.0$500.0$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
$831.76
Median
$1,698.24
Typical High
$2,187.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$912.01
Typical High
$1,348.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,023.29
Typical High
$1,862.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,230.27
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,174.90
Typical High
$1,905.46
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$5,888.44
Median
$7,244.36
Typical High
$7,244.36
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$912.01
Typical High
$1,258.93
United
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,148.15
Typical High
$1,949.84