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Small Intestine Scope Exam with Biopsy

Vermont rates for HCPCS 44361

A flexible scope is passed further into the small intestine than a standard upper endoscopy reaches, examining the lining beyond the duodenum, and one or more tissue samples are taken during the exam. It helps evaluate causes of bleeding, unexplained symptoms, or abnormal findings in the small bowel.

Rates data updated October 2026.

How much does Small Intestine Scope Exam with Biopsy cost?

$1,504

Typical total for the visit. In Vermont, October 2026.

Insurers have agreed to pay about $1,504 for this procedure. That total is two separate charges: $245 to the doctor who performs it, and $1,259 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$245$224 to $269
Facility feeThe hospital or surgery center$1,259$1,259 to $1,479

How much rates vary

Facilitymedian $1,259 · 10th to 90th $407 to $1,995Professionalmedian $245 · 10th to 90th $182 to $316
$200$500$1K$2Kfacility $1,259professional $245

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
Typical Low
$165.96
Median
$190.55
Typical High
$223.87
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$245.47
Typical High
$281.84
Cigna
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$269.15
Typical High
$269.15
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$239.88
Typical High
$407.38
United
Setting
Facility
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
United
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$223.87
Typical High
$323.59

Where Vermont sits

The same service costs 8.2 times more in Colorado than in Montana. 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.

Physician feeFacility fee

Vermont· 25th of 51

$1,504

$245 physician + $1,259 facility

CO $4,016MT $491

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.