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Capsule Camera Study Of The Colon

Utah 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?

$759

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $759 for this service. The price depends on where it is billed: about $741 from a physician practice, and about $1,660 from a hospital or other facility.

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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$741$102 to $891
FacilityA hospital or hospital-owned outpatient department$1,660$1,023 to $2,188

How much rates vary

Facilitymedian $1,660 · 10th to 90th $1,023 to $2,692Professionalmedian $741 · 10th to 90th $83 to $1,047
$100$200$500$1K$2Kfacility $1,660professional $741

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$870.96
Median
$1,023.29
Typical High
$1,023.29
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$120.23
Median
$141.25
Typical High
$141.25
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$758.58
Median
$870.96
Typical High
$870.96
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,096.48
Median
$1,230.27
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$147.91
Median
$165.96
Typical High
$223.87
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$954.99
Median
$1,071.52
Typical High
$1,380.38
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$81.28
Median
$691.83
Typical High
$933.25
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$1,479.11
Median
$1,862.09
Typical High
$2,754.23
Regence BlueShield
Setting
Professional
Modifier
None (both parts)
Typical Low
$831.76
Median
$1,000.00
Typical High
$1,621.81
Regence BlueShield
Setting
Professional
Modifier
26 · Professional part
Typical Low
$117.49
Median
$134.90
Typical High
$218.78
Regence BlueShield
Setting
Professional
Modifier
TC · Technical part
Typical Low
$724.44
Median
$851.14
Typical High
$1,412.54
Select Health
Setting
Facility
Modifier
None
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,513.56
Select Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$870.96
Median
$1,122.02
Typical High
$1,584.89
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$1,047.13
Typical High
$2,089.30
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$891.25
Median
$1,122.02
Typical High
$1,698.24
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$114.82
Median
$134.90
Typical High
$218.78
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$776.25
Median
$933.25
Typical High
$1,479.11
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
$436.52
Median
$512.86
Typical High
$512.86
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$173.78
Median
$204.17
Typical High
$204.17

Where Utah 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.

Utah· 51st of 51

$759

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.