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Capsule Camera Study Of The Colon

Washington 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 $1,738 · 10th–90th $1,047$3,0900%10%10th90th$1,738Professionalmedian $1,288 · 10th–90th $851$2,4550%10%10th90th$1,288$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
$1,288.25
Median
$1,659.59
Typical High
$2,137.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,122.02
Typical High
$1,949.84
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$2,818.38
Typical High
$5,011.87
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,819.70
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,584.89
Typical High
$2,951.21
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,819.70
Typical High
$2,951.21
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,778.28
Typical High
$2,454.71
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,698.24
Typical High
$1,698.24
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,258.93
Typical High
$1,258.93
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,737.80
Typical High
$2,511.89
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$2,754.23
Typical High
$4,897.79
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,819.70
Typical High
$2,344.23
United
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$3,467.37
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,584.89
Typical High
$2,630.27
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,202.26
Typical High
$2,290.87