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Deep Small Bowel Scope With Tissue Sample

Massachusetts rates for HCPCS 44377

A long flexible scope is passed through the mouth and worked far down into the small intestine, well beyond the stomach and the first bends of the bowel that a standard upper examination reaches. Small pieces of tissue are taken from areas that look abnormal and sent for examination under a microscope. It is used to find the cause of bleeding, unexplained anemia, diarrhea or pain arising deep in the small bowel.

Rates data updated July 2026.

Facilitymedian $2,692 · 10th–90th $331$5,1290%5%10%10th90th$2,692$100.0$500.0$2.0K$10.0K$50.0K

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
$1,513.56
Median
$2,818.38
Typical High
$4,786.30
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$3,090.30
Typical High
$28,840.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$645.65
Typical High
$1,905.46
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$380.19
Typical High
$3,311.31
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$3,162.28
Typical High
$8,511.38
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$3,090.30
Typical High
$28,840.32
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$2,951.21
Typical High
$7,585.78