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Capsule Camera Study Of The Colon

Virginia 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.

How much does Capsule Camera Study Of The Colon cost?

$977

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $977 for this service. The price depends on where it is billed: about $977 from a physician practice, and about $977 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$977$871 to $1,202
FacilityA hospital or hospital-owned outpatient department$977$575 to $1,288

How much rates vary

Facilitymedian $977 · 10th to 90th $148 to $1,820Professionalmedian $977 · 10th to 90th $794 to $1,585
$100$200$500$1K$2K$5K$10Kfacility $977professional $977

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$977.24
Typical High
$977.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$933.25
Typical High
$1,122.02
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,122.02
Typical High
$1,659.59
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$954.99
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,096.48
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,230.27
Typical High
$2,041.74
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,174.90
Typical High
$1,445.44
Medcost
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,122.02
Typical High
$1,862.09
Medcost
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Sentara
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$933.25
Typical High
$1,819.70
Sentara
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$1,047.13
Typical High
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$977.24
Typical High
$1,621.81
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,258.93
Typical High
$2,041.74

Where Virginia sits

The same service costs 2.5 times more in Alaska than in Kentucky. 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.

Virginia· 34th of 51

$977

AK $2,138KY $851

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.