go back

Capsule Camera Study Of The Colon

West 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 October 2026.

How much does Capsule Camera Study Of The Colon cost?

$1,230

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $1,230 for this service. The price depends on where it is billed: about $1,202 from a physician practice, and about $2,570 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,202$813 to $1,820
FacilityA hospital or hospital-owned outpatient department$2,570$1,549 to $3,802

How much rates vary

Facilitymedian $2,570 · 10th to 90th $1,549 to $3,802Professionalmedian $1,202 · 10th to 90th $813 to $2,089
$1K$2K$5Kfacility $2,570professional $1,202

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$812.83
Median
$812.83
Typical High
$954.99
CareSource
Setting
Professional
Modifier
None (both parts)
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$812.83
Median
$1,288.25
Typical High
$4,786.30
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$117.49
Median
$173.78
Typical High
$616.60
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$691.83
Median
$1,122.02
Typical High
$4,168.69
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$3,801.89
United
Setting
Facility
Modifier
None
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$2,570.40
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$794.33
Median
$1,288.25
Typical High
$2,089.30
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$97.72
Median
$162.18
Typical High
$302.00
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$676.08
Median
$1,122.02
Typical High
$1,778.28

Where West Virginia 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.

West Virginia· 17th of 51

$1,230

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.