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Deep Small Bowel Scope With Tissue Sample

Nebraska 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 $4,365 · 10th–90th $468$13,4900%10%10th90th$4,365Professionalmedian $708 · 10th–90th $575$9330%20%40%10th90th$708$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$7,244.36
Typical High
$14,454.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$4,073.80
Typical High
$7,943.28
Medica
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$478.63
Typical High
$3,019.95
Midlands
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$707.95
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$2,630.27
Typical High
$6,760.83