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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 July 2026.

Facilitymedian $1,023 · 10th–90th $1,023$2,2390%50%90th$1,023Professionalmedian $1,023 · 10th–90th $224$2,7540%10%10th90th$1,023$50.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,000.00
Typical High
$5,011.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,288.25
Typical High
$1,905.46
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$2,137.96
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,778.28
Typical High
$2,754.23
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,023.29
Typical High
$1,584.89
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,513.56
Select Health
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,348.96
Typical High
$1,584.89
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$1,047.13
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,122.02
Typical High
$1,698.24